Evidence map›Paper›PMID 26645994›Full record

ArticleHepatology (Baltimore, Md.)2016

Macrophage recruitment by fibrocystin-defective biliary epithelial cells promotes portal fibrosis in congenital hepatic fibrosis.

Luigi Locatelli, Massimiliano Cadamuro, Carlo Spirlì, Romina Fiorotto, Silvia Lecchi, Carola Maria Morell, Yury Popov, Roberto Scirpo, Maria De Matteis, Mariangela Amenduni and 5 more

Open access · greenAbstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
8.0field-weighted citation impact, top 2% 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

63 citing papers in PubMed, 104 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Myeloid cells in chronic liver inflammation.Cellular & molecular immunology · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. Primary sclerosing cholangitis.Nature reviews. Disease primers · 2025
    Review
  13. Review
  14. Review
  15. Heritable Chronic Cholestatic Liver Diseases: A Review.Journal of clinical and translational hepatology · 2024
    Review
  16. Article
  17. Article
  18. [A case of neonatal liver failure].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Article
  19. Review
  20. Article

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

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

15 authors at 7 institutions in 3 countries.

Luigi LocatelliDepartment of Surgery and Translational Medicine, University of Milan-Bicocca, Milan, Italy.
Massimiliano CadamuroDepartment of Surgery and Translational Medicine, University of Milan-Bicocca, Milan, Italy.
Carlo SpirlìSection of Digestive Diseases, Yale University, New Haven, CT.
Romina FiorottoSection of Digestive Diseases, Yale University, New Haven, CT.
Silvia LecchiCenter for Liver Research (CeLiveR), Papa Giovanni XXIII Hospital, Bergamo, Italy.
Carola Maria MorellDepartment of Surgery and Translational Medicine, University of Milan-Bicocca, Milan, Italy.
Yury PopovDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Roberto ScirpoDepartment of Surgery and Translational Medicine, University of Milan-Bicocca, Milan, Italy.
Maria De MatteisDepartment of Molecular Medicine, University of Padua School of Medicine, Padua, Italy.
Mariangela AmenduniSection of Digestive Diseases, Yale University, New Haven, CT.
Andrea PietrobattistaLiver Unit, Bambino Gesù Pediatric Hospital, IRCSS, Rome, Italy.
Giuliano TorreLiver Unit, Bambino Gesù Pediatric Hospital, IRCSS, Rome, Italy.
Detlef SchuppanDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Luca FabrisDepartment of Molecular Medicine, University of Padua School of Medicine, Padua, Italy.
Mario StrazzaboscoDepartment of Surgery and Translational Medicine, University of Milan-Bicocca, Milan, Italy.
University of Milano-Bicocca · ITUniversity of Padua · ITYale University · USBambino Gesù Children's Hospital · ITBeth Israel Deaconess Medical Center · USOspedale Papa Giovanni XXIII · ITUniversity Medical Center of the Johannes Gutenberg University Mainz · DE

Funding

Yale Liver CenterP30DK034989 · NIDDK · YALE UNIVERSITY · PI YASUKO IWAKIRI · 1986 to 2026
$31.1M
Cross talk between epithelial, inflammatory and mesenchymal cells in the development of portal fibrosisR01DK101528 · NIDDK · YALE UNIVERSITY · PI STRAZZABOSCO, MARIO · 2015 to 2023
$3.5M
Epithelial Angiogenic Signaling in Polycystic Diseases of the LiverR01DK079005 · NIDDK · YALE UNIVERSITY · PI STRAZZABOSCO, MARIO · 2008 to 2017
$3.5M
Viral, T Cell, &Cytokine Determinants of Stellate CellU19AI066313 · NIAID · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KOZIEL, MARGARET J · 2005 to 2009
$2.6M
Identification of Serum Markers of Liver Fibrogenesis/ Fibrolysis by ProteomicsR21DK076873 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SCHUPPAN, DETLEF · 2007 to 2008
$462k
NIAID NIH HHS U19 AI066313NIDDK NIH HHS 1R21A1 DK076873NIDDK NIH HHS DK034989NIDDK NIH HHS DK079005NIDDK NIH HHS P30 DK034989NIDDK NIH HHS R01 DK079005NIDDK NIH HHS R01 DK101528NIDDK NIH HHS R01DK101528NIDDK NIH HHS R21 DK076873
6 · The paper itself

Abstract

unlabelledCongenital hepatic fibrosis (CHF) is a disease of the biliary epithelium characterized by bile duct changes resembling ductal plate malformations and by progressive peribiliary fibrosis, in the absence of overt necroinflammation. Progressive liver fibrosis leads to portal hypertension and liver failure; however, the mechanisms leading to fibrosis in CHF remain elusive. CHF is caused by mutations in PKHD1, a gene encoding for fibrocystin, a ciliary protein expressed in cholangiocytes. Using a fibrocystin-defective (Pkhd1(del4/del4)) mouse, which is orthologous of CHF, we show that Pkhd1(del4/del4) cholangiocytes are characterized by a β-catenin-dependent secretion of a range of chemokines, including chemokine (C-X-C motif) ligands 1, 10, and 12, which stimulate bone marrow-derived macrophage recruitment. We also show that Pkhd1(del4/del4) cholangiocytes, in turn, respond to proinflammatory cytokines released by macrophages by up-regulating αvβ6 integrin, an activator of latent local transforming growth factor-β1. While the macrophage infiltrate is initially dominated by the M1 phenotype, the profibrogenic M2 phenotype increases with disease progression, along with the number of portal myofibroblasts. Consistent with these findings, clodronate-induced macrophage depletion results in a significant reduction of portal fibrosis and portal hypertension as well as of liver cysts.

conclusionFibrosis can be initiated by an epithelial cell dysfunction, leading to low-grade inflammation, macrophage recruitment, and collagen deposition; these findings establish a new paradigm for biliary fibrosis and represent a model to understand the relationship between cell dysfunction, parainflammation, liver fibrosis, and macrophage polarization over time.

Indexed as

AnimalsAntigens, NeoplasmChemokinesClodronic AcidCollagenDisease Models, AnimalEpithelial CellsGenetic Diseases, InbornIntegrinsLiver CirrhosisMacrophagesMiceMyofibroblastsReceptors, Cell SurfaceSnail Family Transcription FactorsTranscription FactorsAntigens, NeoplasmChemokinesClodronic AcidCollagenintegrin alphavbeta6IntegrinsPkhd1 protein, mouseReceptors, Cell SurfaceSnail Family Transcription FactorsTgfb1 protein, mouseTranscription FactorsTransforming Growth Factor beta1Tumor Necrosis Factor-alpha

Identifiers

PMID26645994
PMCPMC4764460
OpenAlexW2213687129

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.