Evidence map›Paper›PMID 26839171›Full record

ArticleNature communications2016

Genome-scale study reveals reduced metabolic adaptability in patients with non-alcoholic fatty liver disease.

Tuulia Hyötyläinen, Livnat Jerby, Elina M Petäjä, Ismo Mattila, Sirkku Jäntti, Petri Auvinen, Amalia Gastaldelli, Hannele Yki-Järvinen, Eytan Ruppin, Matej Orešič

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing 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

68 citing papers in PubMed, 113 citations in OpenAlex.

  1. Review
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  6. Frontiers in medicine · 2026
    Review
  7. MASH: the nexus of metabolism, inflammation, and fibrosis.The Journal of clinical investigation · 2025
    Review
  8. Review
  9. Article
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  11. Article
  12. Hepatic glucose metabolism in the steatotic liver.Nature reviews. Gastroenterology & hepatology · 2024
    Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Observational
  18. Article
  19. Article
  20. Article

8 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

10 authors at 7 institutions in 4 countries.

Tuulia HyötyläinenDepartment of Systems Medicine, Steno Diabetes Center, Niels Steensens Vej 6, Gentofte, DK-2820, Denmark.
Livnat JerbyBlavatnik School of Computer Science, Tel Aviv University, Tel Aviv 69978, Israel.
Elina M PetäjäDepartment of Medicine, Division of Diabetes, University of Helsinki, Helsinki, FI-00014, Finland.
Ismo MattilaDepartment of Systems Medicine, Steno Diabetes Center, Niels Steensens Vej 6, Gentofte, DK-2820, Denmark.
Sirkku JänttiVTT Technical Research Centre of Finland, Espoo, FI-02044 VTT, Finland.
Petri AuvinenInstitute of Biotechnology, DNA Sequencing and Genomics Laboratory, University of Helsinki, Helsinki FI-00014, Finland.
Amalia GastaldelliInstitute of Clinical Physiology, National Research Council, Pisa 56124, Italy.
Hannele Yki-JärvinenDepartment of Medicine, Division of Diabetes, University of Helsinki, Helsinki, FI-00014, Finland.
Eytan RuppinBlavatnik School of Computer Science, Tel Aviv University, Tel Aviv 69978, Israel.
Matej OrešičDepartment of Systems Medicine, Steno Diabetes Center, Niels Steensens Vej 6, Gentofte, DK-2820, Denmark.
Minerva Foundation · FITel Aviv University · ILVTT Technical Research Centre of Finland · FIHelsinki Institute of Physics · FINational Research Council · ITTurku Centre for Biotechnology · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-alcoholic fatty liver disease (NAFLD) is a major risk factor leading to chronic liver disease and type 2 diabetes. Here we chart liver metabolic activity and functionality in NAFLD by integrating global transcriptomic data, from human liver biopsies, and metabolic flux data, measured across the human splanchnic vascular bed, within a genome-scale model of human metabolism. We show that an increased amount of liver fat induces mitochondrial metabolism, lipolysis, glyceroneogenesis and a switch from lactate to glycerol as substrate for gluconeogenesis, indicating an intricate balance of exacerbated opposite metabolic processes in glycemic regulation. These changes were associated with reduced metabolic adaptability on a network level in the sense that liver fat accumulation puts increasing demands on the liver to adaptively regulate metabolic responses to maintain basic liver functions. We propose that failure to meet excessive metabolic challenges coupled with reduced metabolic adaptability may lead to a vicious pathogenic cycle leading to the co-morbidities of NAFLD.

Indexed as

Adaptation, PhysiologicalAdultBlood GlucoseCase-Control StudiesFemaleGene Expression ProfilingGene Regulatory NetworksGluconeogenesisGlycerolHumansIntra-Abdominal FatLactic AcidLipolysisLiverMaleMetabolic Flux AnalysisBlood GlucoseGlycerolLactic Acid

Identifiers

PMID26839171
PMCPMC4742839
OpenAlexW2285169196

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.