Evidence map›Paper›PMID 25375408›Full record

ArticleMolecular medicine (Cambridge, Mass.)2015

Toll-like receptor 4 (TLR4) antagonist eritoran tetrasodium attenuates liver ischemia and reperfusion injury through inhibition of high-mobility group box protein B1 (HMGB1) signaling.

Kerry-Ann Mcdonald, Hai Huang, Samer Tohme, Patricia Loughran, Kimberly Ferrero, Timothy Billiar, Allan Tsung

Open access · goldAbstract read
In one paragraph

Article in Molecular medicine (Cambridge, Mass.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 77 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Anti-DAMP therapies for acute inflammation.Frontiers in immunology · 2025
    Review
  8. Emerging Roles of High-mobility Group Box-1 in Liver Disease.Journal of clinical and translational hepatology · 2024
    Review
  9. Article
  10. Review
  11. Article
  12. Responses of hepatic sinusoidal cells to liver ischemia-reperfusion injury.Frontiers in cell and developmental biology · 2023
    Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Hepatic Macrophages in Liver Injury.Frontiers in immunology · 2020
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Kerry-Ann McdonaldDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States of America.
Hai HuangDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States of America.
Samer TohmeDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States of America.
Patricia LoughranCenter for Biologic Imaging, Department of Cell Biology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States of America.
Kimberly FerreroDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States of America.
Timothy BilliarDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States of America.
Allan TsungDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States of America.
University of Pittsburgh Medical Center · USUPMC Montefiore · US

Funding

Regulation and Function of Endotoxin Signaling in Surgical SepsisR01GM050441 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BILLIAR, TIMOTHY R · 1994 to 2018
$4.6M
Postdoctoral Research Training in Biotherapy of CancerT32CA113263 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Udai S Kammula · 2006 to 2026
$3.6M
Endogenous regulators of inflammation in liver ischemia/reperfusionR01GM095566 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TSUNG, ALLAN · 2011 to 2019
$2.7M
Howard Hughes Medical InstituteNCI NIH HHS T32 CA113263NIGMS NIH HHS R01 GM050441NIGMS NIH HHS R01 GM095566NIGMS NIH HHS R01-GM50441NIGMS NIH HHS R01-GM95566
6 · The paper itself

Abstract

Toll-like receptor 4 (TLR4) is ubiquitously expressed on parenchymal and immune cells of the liver and is the most studied TLR responsible for the activation of proinflammatory signaling cascades in liver ischemia and reperfusion (I/R). Since pharmacological inhibition of TLR4 during the sterile inflammatory response of I/R has not been studied, we sought to determine whether eritoran, a TLR4 antagonist trialed in sepsis, could block hepatic TLR4-mediated inflammation and end organ damage. When C57BL/6 mice were pretreated with eritoran and subjected to warm liver I/R, there was significantly less hepatocellular injury compared to control counterparts. Additionally, we found that eritoran is protective in liver I/R through inhibition of high-mobility group box protein B1 (HMGB1)-mediated inflammatory signaling. When eritoran was administered in conjunction with recombinant HMGB1 during liver I/R, there was significantly less injury, suggesting that eritoran blocks the HMGB1-TLR4 interaction. Not only does eritoran attenuate TLR4-dependent HMGB1 release in vivo, but this TLR4 antagonist also dampened HMGB1's release from hypoxic hepatocytes in vitro and thereby weakened HMGB1's activation of innate immune cells. HMGB1 signaling through TLR4 makes an important contribution to the inflammatory response seen after liver I/R. This study demonstrates that novel blockade of HMGB1 by the TLR4 antagonist eritoran leads to the amelioration of liver injury.

Indexed as

AnimalsCell LineCells, CulturedDisaccharidesHepatocytesHMGB1 ProteinInterleukin-6LipopolysaccharidesLiverLiver DiseasesMaleMice, Inbred C57BLReperfusion InjurySignal TransductionSugar PhosphatesToll-Like Receptor 4DisaccharideseritoranHMGB1 ProteinHMGB1 protein, mouseInterleukin-6interleukin-6, mouseLipopolysaccharidesSugar PhosphatesTlr4 protein, mouseToll-Like Receptor 4Tumor Necrosis Factor-alpha

Identifiers

PMID25375408
PMCPMC4365061
OpenAlexW2331730637

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.