Evidence map›Paper›PMID 25646700›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2015

Beneficial effects of mineralocorticoid receptor blockade in experimental non-alcoholic steatohepatitis.

Margarita Pizarro, Nancy Solís, Pablo Quintero, Francisco Barrera, Daniel Cabrera, Pamela Rojas-de Santiago, Juan P Arab, Oslando Padilla, Juan C Roa, Han Moshage and 7 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

35 citing papers in PubMed, 61 citations in OpenAlex.

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  19. Targeting mineralocorticoid receptors in diet-induced hepatic steatosis and insulin resistance.American journal of physiology. Regulatory, integrative and comparative physiology · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 3 countries.

Margarita PizarroDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Nancy SolísDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Pablo QuinteroDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Francisco BarreraDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Daniel CabreraDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Pamela Rojas-de SantiagoDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Juan P ArabDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Oslando PadillaDepartamento de Salud Pública, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Juan C RoaDepartamento de Patología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Han MoshageDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Alexander WreeDepartment of Pediatrics, University of California, San Diego, CA, USA.
Eugenia InzaugaratDepartment of Pediatrics, University of California, San Diego, CA, USA.
Ariel E FeldsteinDepartment of Pediatrics, University of California, San Diego, CA, USA.
Carlos E FardellaDepartamento de Endocrinología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rene BaudrandDepartamento de Endocrinología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Arnoldo RiquelmeDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Marco ArreseDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Pontificia Universidad Católica de Chile · CLUniversity of California, San Diego · USUniversidad Bernardo O'Higgins · CLUniversity Medical Center Groningen · NL

Funding

Caspase Dependent Cell Death in Nonalcoholic Fatty Liver DiseaseR01DK082451 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FELDSTEIN, ARIEL · 2009 to 2012
$1.4M
NIDDK NIH HHS R01 DK082451
6 · The paper itself

Abstract

backgroundTherapeutic options to treat Non-alcoholic steatohepatitis (NASH) are limited. Mineralocorticoid receptor (MR) activation could play a role in hepatic fibrogenesis and its modulation could be beneficial for NASH.

aimTo investigate whether eplerenone, a specific MR antagonist, ameliorates liver damage in experimental NASH.

methodsC57bl6 mice were fed a choline-deficient and amino acid-defined (CDAA) diet for 22 weeks with or without eplerenone supplementation. Serum levels of aminotransferases and aldosterone were measured and hepatic steatosis, inflammation and fibrosis scored histologically. Hepatic triglyceride content (HTC) and hepatic mRNA levels of pro-inflammatory pro-fibrotic, oxidative stress-associated genes and of MR were also assessed.

resultsCDAA diet effectively induced fibrotic NASH, and increased the hepatic expression of pro-inflammatory, pro-fibrotic and oxidative stress-associated genes. Hepatic MR mRNA levels significantly correlated with the expression of pro-inflammatory and pro-fibrotic genes and were significantly increased in hepatic stellate cells obtained from CDAA-fed animals. Eplerenone administration was associated to a reduction in histological steatosis and attenuation of liver fibrosis development, which was associated to a significant decrease in the expression of collagen-α1, collagen type III, alpha 1 and Matrix metalloproteinase-2.

conclusionThe expression of MR correlates with inflammation and fibrosis development in experimental NASH. Specific MR blockade with eplerenone has hepatic anti-steatotic and anti-fibrotic effects. These data identify eplerenone as a potential novel therapy for NASH. Considering its safety and FDA-approved status, human studies are warranted.

Indexed as

AnimalsBiomarkersDisease Models, AnimalEplerenoneLiverLiver CirrhosisMaleMiceMice, Inbred C57BLMineralocorticoid Receptor AntagonistsNon-alcoholic Fatty Liver DiseaseOxidative StressReceptors, MineralocorticoidSpironolactoneBiomarkersEplerenoneMineralocorticoid Receptor AntagonistsReceptors, MineralocorticoidSpironolactonefatty liverfibrosisinflammationNASHsteatohepatitis

Identifiers

PMID25646700
PMCPMC4522413
OpenAlexW2136320665

What OpenQuestion holds

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LicenceTDM
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.