Evidence map›Paper›PMID 26379158›Full record

ArticlePloS one2015

The Role of ARF6 in Biliary Atresia.

Mylarappa Ningappa, Juhoon So, Joseph Glessner, Chethan Ashokkumar, Sarangarajan Ranganathan, Jun Min, Brandon W Higgs, Qing Sun, Kimberly Haberman, Lori Schmitt and 10 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.4field-weighted citation impact, top 5% 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, 66 citations in OpenAlex.

  1. Article
  2. Article
  3. Organoids in biliary atresia.World journal of pediatric surgery · 2025
    Review
  4. Heritable Chronic Cholestatic Liver Diseases: A Review.Journal of clinical and translational hepatology · 2024
    Review
  5. Biliary atresia.Nature reviews. Disease primers · 2024
    Review
  6. Article
  7. Article
  8. Contribution ofInternational journal of molecular sciences · 2023
    Article
  9. Review
  10. Article
  11. Biliary Atresia Animal Models: Is the Needle in a Haystack?International journal of molecular sciences · 2022
    Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. 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

20 authors at 8 institutions in 2 countries.

Mylarappa NingappaHillman Center for Pediatric Transplantation of the Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA, 15224, United States of America.
Juhoon SoDepartment of Developmental Biology and McGowan Institute of Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA, 15261, United States of America.
Joseph GlessnerCenter for Applied Genomics of the Children's Hospital of Philadelphia, Philadelphia, PA, 19104, United States of America.
Chethan AshokkumarHillman Center for Pediatric Transplantation of the Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA, 15224, United States of America.
Sarangarajan RanganathanDepartment of Pathology, Division of Pediatric Pathology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, 15224, United States of America.
Jun MinDepartment of Bioengineering, University of California San Diego, La Jolla, CA, 92013, United States of America.
Brandon W HiggsHillman Center for Pediatric Transplantation of the Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA, 15224, United States of America.
Qing SunHillman Center for Pediatric Transplantation of the Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA, 15224, United States of America.
Kimberly HabermanHillman Center for Pediatric Transplantation of the Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA, 15224, United States of America.
Lori SchmittHistology Core Laboratory, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, 15224, United States of America.
Silvia VilarinhoDepartment of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, CT, 06510, United States of America.
Pramod K MistryDepartment of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, CT, 06510, United States of America.
Gerard VockleyDepartment of Pediatrics and Human Genetics, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, 15224, United States of America.
Anil DhawanPaediatric Liver, GI, and Nutrition, King's College Hospital, London, WC2R 2LS, England.
George K GittesPediatric General and Thoracic Surgery, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, 15224, United States of America.
Hakon HakonarsonCenter for Applied Genomics of the Children's Hospital of Philadelphia, Philadelphia, PA, 19104, United States of America.
Ronald JaffeHistology Core Laboratory, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, 15224, United States of America.
Shankar SubramaniamDepartment of Bioengineering, University of California San Diego, La Jolla, CA, 92013, United States of America.
Donghun ShinDepartment of Developmental Biology and McGowan Institute of Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA, 15261, United States of America.
Rakesh SindhiHillman Center for Pediatric Transplantation of the Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA, 15224, United States of America.
Children's Hospital of Pittsburgh · USUniversity of Pittsburgh Medical Center · USChildren's Hospital of Philadelphia · USUniversity of California, San Diego · USYale University · USKing's College Hospital · GBMcGowan Institute for Regenerative Medicine · USUniversity of Pittsburgh · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Yale Liver CenterP30DK034989 · NIDDK · YALE UNIVERSITY · PI YASUKO IWAKIRI · 1986 to 2026
$31.1M
NCATS NIH HHS UL1 TR000005NIDDK NIH HHS P30 DK034989
6 · The paper itself

Abstract

BACKGROUND &

aimsAltered extrahepatic bile ducts, gut, and cardiovascular anomalies constitute the variable phenotype of biliary atresia (BA).

methodsTo identify potential susceptibility loci, Caucasian children, normal (controls) and with BA (cases) at two US centers were compared at >550000 SNP loci. Systems biology analysis was carried out on the data. In order to validate a key gene identified in the analysis, biliary morphogenesis was evaluated in 2-5-day post-fertilization zebrafish embryos after morpholino-antisense oligonucleotide knockdown of the candidate gene ADP ribosylation factor-6 (ARF6, Mo-arf6).

resultsAmong 39 and 24 cases at centers 1 and 2, respectively, and 1907 controls, which clustered together on principal component analysis, the SNPs rs3126184 and rs10140366 in a 3' flanking enhancer region for ARF6 demonstrated higher minor allele frequencies (MAF) in each cohort, and 63 combined cases, compared with controls (0.286 vs. 0.131, P = 5.94x10-7, OR 2.66; 0.286 vs. 0.13, P = 5.57x10-7, OR 2.66). Significance was enhanced in 77 total cases, which included 14 additional BA genotyped at rs3126184 only (p = 1.58x10-2, OR = 2.66). Pathway analysis of the 1000 top-ranked SNPs in CHP cases revealed enrichment of genes for EGF regulators (p<1 x10-7), ERK/MAPK and CREB canonical pathways (p<1 x10-34), and functional networks for cellular development and proliferation (p<1 x10-45), further supporting the role of EGFR-ARF6 signaling in BA. In zebrafish embryos, Mo-arf6 injection resulted in a sparse intrahepatic biliary network, several biliary epithelial cell defects, and poor bile excretion to the gall bladder compared with uninjected embryos. Biliary defects were reproduced with the EGFR-blocker AG1478 alone or with Mo-arf6 at lower doses of each agent and rescued with arf6 mRNA.

conclusionsThe BA-associated SNPs identify a chromosome 14q21.3 susceptibility locus encompassing the ARF6 gene. arf6 knockdown in zebrafish implicates early biliary dysgenesis as a basis for BA, and also suggests a role for EGFR signaling in BA pathogenesis.

Indexed as

ADP-Ribosylation Factor 6ADP-Ribosylation FactorsAnimalsBiliary AtresiaCase-Control StudiesCell ProliferationErbB ReceptorsGene FrequencyGenetic Predisposition to DiseaseGenotypeHumansPolymorphism, Single NucleotideSignal TransductionZebrafishADP-Ribosylation Factor 6ADP-Ribosylation FactorsARF6 protein, humanEGFR protein, humanErbB Receptors

Identifiers

PMID26379158
PMCPMC4574480
OpenAlexW2196995961

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.