Evidence map›Paper›PMID 25947162›Full record

ArticleScience translational medicine2015

Identification of a plant isoflavonoid that causes biliary atresia.

Kristin Lorent, Weilong Gong, Kyung A Koo, Orith Waisbourd-Zinman, Sara Karjoo, Xiao Zhao, Ian Sealy, Ross N Kettleborough, Derek L Stemple, Peter A Windsor and 4 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed
12.4field-weighted citation impact, top 1% 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

83 citing papers in PubMed, 165 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Organoids in biliary atresia.World journal of pediatric surgery · 2025
    Review
  12. Review
  13. Biliary atresia.Nature reviews. Disease primers · 2024
    Review
  14. Progress in Biomarkers Related to Biliary Atresia.Journal of clinical and translational hepatology · 2024
    Review
  15. Review
  16. Article
  17. Diseases of bile duct in children.World journal of gastroenterology · 2024
    Review
  18. Review
  19. Article
  20. Biliary atresia: the role of gut microbiome, and microbial metabolites.Frontiers in cellular and infection microbiology · 2024
    Review

23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 4 countries.

Kristin LorentDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Weilong GongDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Kyung A KooDepartment of Biological Sciences, University of the Sciences, Philadelphia, PA 19104, USA.
Orith Waisbourd-ZinmanDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Sara KarjooDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Xiao ZhaoDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Ian SealyWellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge CB10 1SA, UK.
Ross N KettleboroughWellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge CB10 1SA, UK.
Derek L StempleWellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge CB10 1SA, UK.
Peter A WindsorFaculty of Veterinary Science, University of Sydney, Camden, New South Wales 2570, Australia.
Stephen J WhittakerHume Livestock Health and Pest Authority, Albury, New South Wales 2640, Australia.
John R PorterDepartment of Biological Sciences, University of the Sciences, Philadelphia, PA 19104, USA.
Rebecca G WellsDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. rgwells@mail.med.upenn.edu mpack@mail.med.upenn.edu.
Michael PackDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. Cell and Developmental Biology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. rgwells@mail.med.upenn.edu mpack@mail.med.upenn.edu.
University of Pennsylvania · USWellcome Sanger Institute · GBUniversity of the Sciences · USChildren's Hospital of Philadelphia · USTel Aviv University · ILUniversity of Sydney · AU

Funding

Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Trevor M Penning · 2006 to 2026
$35.3M
TRANSGENIC AND CHIMERIC MOUSE COREP30DK050306 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI REBECCA G WELLS · 1997 to 2026
$32.5M
UNIVERSITY OF PENNSYLVANIA TRAINING IN GASTROENTEROLOGYT32DK007066 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI JONATHAN P KATZ · 1986 to 2026
$11.7M
Training Program in the Genetic Basis of Pediatric Gastrointestinal DisordersT32DK101371 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI ROBERT O HEUCKEROTH, Judith Rachel Kelsen · 2014 to 2026
$2.5M
Isolation, Identification and Characterization of a Toxin Causing Biliary AtresiaR01DK092111 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI PACK, MICHAEL A, WELLS, REBECCA G · 2011 to 2014
$2.2M
NIDDK NIH HHS P30 DK050306NIDDK NIH HHS P30DK050306NIDDK NIH HHS R01 DK092111NIDDK NIH HHS R01DK092111NIDDK NIH HHS T32 DK007066NIDDK NIH HHS T32 DK101371NIEHS NIH HHS P30 ES013508Wellcome TrustWellcome Trust 098051
6 · The paper itself

Abstract

Biliary atresia (BA) is a rapidly progressive and destructive fibrotic disorder of unknown etiology affecting the extrahepatic biliary tree of neonates. Epidemiological studies suggest that an environmental factor, such as a virus or toxin, is the cause of the disease, although none have been definitively established. Several naturally occurring outbreaks of BA in Australian livestock have been associated with the ingestion of unusual plants by pregnant animals during drought conditions. We used a biliary secretion assay in zebrafish to isolate a previously undescribed isoflavonoid, biliatresone, from Dysphania species implicated in a recent BA outbreak. This compound caused selective destruction of the extrahepatic, but not intrahepatic, biliary system of larval zebrafish. A mutation that enhanced biliatresone toxicity mapped to a region of the zebrafish genome that has conserved synteny with an established human BA susceptibility locus. The toxin also caused loss of cilia in neonatal mouse extrahepatic cholangiocytes in culture and disrupted cell polarity and monolayer integrity in cholangiocyte spheroids. Together, these findings provide direct evidence that BA could be initiated by perinatal exposure to an environmental toxin.

Indexed as

AmaranthaceaeAnimalsAustraliaBiliary AtresiaBiological AssayCattleDisease Models, AnimalExomeFlavonoidsGenetic Predisposition to DiseaseHumansImmunity, InnateMiceMicroscopy, ConfocalMutationPlant ExtractsFlavonoidsPlant Extracts

Identifiers

PMID25947162
PMCPMC4784984
OpenAlexW1943002894

What OpenQuestion holds

Textmetadata
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.