Evidence map›Paper›PMID 26241054›Full record

ArticleThe Journal of clinical investigation2015

Elevated copper impairs hepatic nuclear receptor function in Wilson's disease.

Clavia Ruth Wooton-Kee, Ajay K Jain, Martin Wagner, Michael A Grusak, Milton J Finegold, Svetlana Lutsenko, David D Moore

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 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
–field-weighted citation impact
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.

  1. The pathogenesis of liver fibrosis in Wilson's disease: hepatocyte injury and regulation mediated by copper metabolism dysregulation.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Hepatic oxylipin profiles in mouse models of Wilson disease: New insights into early hepatic manifestations.Biochimica et biophysica acta. Molecular and cell biology of lipids · 2024
    Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Wilson Disease: Update on Pathophysiology and Treatment.Frontiers in cell and developmental biology · 2022
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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.

Clavia Ruth Wooton-Kee
Ajay K Jain
Martin Wagner
Michael A Grusak
Milton J Finegold
Svetlana Lutsenko
David D Moore

Funding

Tissue Analysis & Molecular Imaging CoreP30DK056338 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI Geoffrey A Preidis · 2001 to 2026
$28.3M
Research Training in Pediatrics GastroenterolgyT32DK007664 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI DOUGLAS G BURRIN · 1991 to 2026
$8.4M
Integrative Analysis of Wilson's DiseaseR01GM101502 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI LUTSENKO, SVETLANA · 2012 to 2021
$3.6M
Excessive Copper Levels Disrupt Hepatic Nuclear Receptor FunctionF32DK089689 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI WOOTON-KEE, CLAVIA RUTH · 2010 to 2011
$65k
NIDDK NIH HHS 5T32 DK-007664-19NIDDK NIH HHS DK-56338NIDDK NIH HHS F32 DK089689NIDDK NIH HHS F32-DK-089689-01A1NIDDK NIH HHS P30 DK056338NIDDK NIH HHS T32 DK007664NIGMS NIH HHS R01 GM101502
6 · The paper itself

Abstract

Wilson's disease (WD) is an autosomal recessive disorder that results in accumulation of copper in the liver as a consequence of mutations in the gene encoding the copper-transporting P-type ATPase (ATP7B). WD is a chronic liver disorder, and individuals with the disease present with a variety of complications, including steatosis, cholestasis, cirrhosis, and liver failure. Similar to patients with WD, Atp7b⁻/⁻ mice have markedly elevated levels of hepatic copper and liver pathology. Previous studies have demonstrated that replacement of zinc in the DNA-binding domain of the estrogen receptor (ER) with copper disrupts specific binding to DNA response elements. Here, we found decreased binding of the nuclear receptors FXR, RXR, HNF4α, and LRH-1 to promoter response elements and decreased mRNA expression of nuclear receptor target genes in Atp7b⁻/⁻ mice, as well as in adult and pediatric WD patients. Excessive hepatic copper has been described in progressive familial cholestasis (PFIC), and we found that similar to individuals with WD, patients with PFIC2 or PFIC3 who have clinically elevated hepatic copper levels exhibit impaired nuclear receptor activity. Together, these data demonstrate that copper-mediated nuclear receptor dysfunction disrupts liver function in WD and potentially in other disorders associated with increased hepatic copper levels.

Indexed as

Adenosine TriphosphatasesAdultAnimalsATP Binding Cassette Transporter, Subfamily BCation Transport ProteinsCholestasis, IntrahepaticCopperCopper-Transporting ATPasesFemaleHepatolenticular DegenerationHumansLiverMaleMiceMice, KnockoutReceptors, Cytoplasmic and NuclearAdenosine TriphosphatasesAtp7a protein, mouseATP7B protein, humanATP Binding Cassette Transporter, Subfamily BCation Transport ProteinsCopperCopper-Transporting ATPasesReceptors, Cytoplasmic and Nuclear

Identifiers

PMID26241054
PMCPMC4588285

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.