Evidence map›Paper›PMID 26212029›Full record

ArticleJournal of hepatology2015

Canalicular membrane MRP2/ABCC2 internalization is determined by Ezrin Thr567 phosphorylation in human obstructive cholestasis.

Jin Chai, Shi-Ying Cai, Xiaocong Liu, Wei Lian, Sheng Chen, Liangjun Zhang, Xinchan Feng, Ying Cheng, Xiaochong He, Yu He and 5 more

Open access · greenAbstract read
In one paragraph

Article in Journal of hepatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

33 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
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  8. Drug-Induced Liver Injury Associated With Emerging Cancer Therapies.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
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  11. Genetics of Gallstone Disease and Their Clinical Significance: A Narrative Review.Journal of clinical and translational hepatology · 2024
    Review
  12. Chishao (Frontiers in pharmacology · 2024
    Article
  13. Article
  14. Article
  15. A modular analysis of bile canalicular function and its implications for cholestasis.American journal of physiology. Gastrointestinal and liver physiology · 2023
    Review
  16. Article
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  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 2 countries.

Jin ChaiDepartment of Gastroenterology, Third Military Medical University, Chongqing 400038, PR China.
Shi-Ying CaiLiver Center, Yale University School of Medicine, New Haven, CT 06520, USA.
Xiaocong LiuDepartment of Gastroenterology, Third Military Medical University, Chongqing 400038, PR China.
Wei LianDepartment of Gastroenterology, Third Military Medical University, Chongqing 400038, PR China.
Sheng ChenDepartment of Pediatrics, Third Military Medical University, Chongqing 400038, PR China.
Liangjun ZhangDepartment of Gastroenterology, Third Military Medical University, Chongqing 400038, PR China.
Xinchan FengDepartment of Gastroenterology, Third Military Medical University, Chongqing 400038, PR China.
Ying ChengDepartment of Gastroenterology, Third Military Medical University, Chongqing 400038, PR China.
Xiaochong HeSchool of Nursing, Third Military Medical University, Chongqing 400038, PR China.
Yu HeInstitute of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical University, Chongqing 400038, PR China.
Lei ChenDepartment of Gastroenterology, Third Military Medical University, Chongqing 400038, PR China.
Rongquan WangDepartment of Gastroenterology, Third Military Medical University, Chongqing 400038, PR China.
Huaizhi WangInstitute of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical University, Chongqing 400038, PR China. Electronic address: whuaizhi@gmail.com.
James L BoyerLiver Center, Yale University School of Medicine, New Haven, CT 06520, USA.
Wensheng ChenDepartment of Gastroenterology, Third Military Medical University, Chongqing 400038, PR China. Electronic address: wenshengchen@hotmail.com.
Army Medical University · CNYale University · US

Funding

Yale Liver CenterP30DK034989 · NIDDK · YALE UNIVERSITY · PI YASUKO IWAKIRI · 1986 to 2026
$31.1M
MECHANISMS OF BILE SECRETION &CHOLESTASISR37DK025636 · NIDDK · YALE UNIVERSITY · PI BOYER, JAMES LORENZEN · 1990 to 2017
$9.7M
MECHANISMS OF BILE SECRETION AND CHOLESTASISR01DK025636 · NIDDK · YALE UNIVERSITY · PI BOYER, JAMES LORENZEN · 1986 to 2007
$6.1M
NIDDK NIH HHS DK25636NIDDK NIH HHS DK34989NIDDK NIH HHS P30 DK034989NIDDK NIH HHS R01 DK025636NIDDK NIH HHS R37 DK 025636NIDDK NIH HHS R37 DK025636
6 · The paper itself

Abstract

BACKGROUND &

aimsMultidrug resistance-associated protein 2 (MRP2) excretes conjugated organic anions including bilirubin and bile acids. Malfunction of MRP2 leads to jaundice in patients. Studies in rodents indicate that Radixin plays a critical role in determining Mrp2 canalicular membrane expression. However, it is not known how human hepatic MRP2 expression is regulated in cholestasis.

methodsWe assessed liver MRP2 expression in patients with obstructive cholestasis caused by gallstone blockage of bile ducts, and investigated the regulatory mechanism in HepG2 cells.

resultsWestern blot detected that liver MRP2 protein expression in obstructive cholestatic patients (n=30) was significantly reduced to 25% of the non-cholestatic controls (n=23). Immunoprecipitation identified Ezrin but not Radixin associating with MRP2 in human livers, and the increased amount of phospho-Ezrin Thr567 was positively correlated with the amount of co-precipitated MRP2 in cholestatic livers, whereas Ezrin and Radixin total protein levels were unchanged in cholestasis. Further detailed studies indicate that Ezrin Thr567 phosphorylation plays an important role in MRP2 internalization in HepG2 cells. Since increased expression of PKCα, δ and ε were detected in these cholestatic livers, we further confirmed that these PKCs stimulated Ezrin phosphorylation and reduced MRP2 membrane expression in HepG2 cells. Finally, we identified GP78 as the key ubiquitin ligase E3 involved in MRP2 proteasome degradation.

conclusionsActivation of liver PKCs during cholestasis leads to Ezrin Thr567 phosphorylation resulting in MRP2 internalization and degradation where ubiquitin ligase E3 GP78 is involved. This process provides a mechanistic explanation for jaundice seen in patients with obstructive cholestasis.

Indexed as

AdultATP-Binding Cassette, Sub-Family C ProteinsBile CanaliculiCase-Control StudiesCholestasisCytoskeletal ProteinsEzrinFemaleGallstonesGene Knockdown TechniquesHep G2 CellsHumansLiverMaleMembrane ProteinsMiddle AgedABCC2 protein, humanAMFR protein, humanATP-Binding Cassette, Sub-Family C ProteinsCytoskeletal ProteinsEzrinMembrane ProteinsMultidrug Resistance-Associated Protein 2Protein Kinase CradixinReceptors, Autocrine Motility FactorRNA, MessengerThreonineEzrin phosphorylationMultidrug resistance-associated protein 2Protease degradationProtein kinase CUbiquitin ligase E3 GP78

Identifiers

PMID26212029
PMCPMC4686151
OpenAlexW1016434128

What OpenQuestion holds

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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.