Evidence map›Paper›PMID 26888176›Full record

ArticleNature communications2016

Mutations in the nuclear bile acid receptor FXR cause progressive familial intrahepatic cholestasis.

Natalia Gomez-Ospina, Carol J Potter, Rui Xiao, Kandamurugu Manickam, Mi-Sun Kim, Kang Ho Kim, Benjamin L Shneider, Jennifer L Picarsic, Theodora A Jacobson, Jing Zhang and 19 more

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 124 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 2 pooled it
15.3field-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

124 citing papers in PubMed, 2 syntheses or guidelines pooled it, 290 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Genetic testing in liver diseases: Clinical applications.JHEP reports : innovation in hepatology · 2026
    Review
  4. Farnesoid x Receptor Deficiency Promotes Hepatocytic Injury in Cyp2c70-Deficient Mice With a Human-Like Bile Acid Composition.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  5. Article
  6. FXR's double life in bile ducts.Nature metabolism · 2026
    Article
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64 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

29 authors at 9 institutions in 3 countries.

Natalia Gomez-OspinaLucile Packard Children's Hospital, Divisions of Medical Genetics, Stanford University Medical Center, Stanford, California 94305, USA.
Carol J PotterSection of Human and Molecular Genetics, Nationwide Children's Hospital, Columbus, Ohio 43205, USA.
Rui XiaoDepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, Texas 77030, USA.
Kandamurugu ManickamSection of Human and Molecular Genetics, Nationwide Children's Hospital, Columbus, Ohio 43205, USA.
Mi-Sun KimDepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, Texas 77030, USA.
Kang Ho KimDepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, Texas 77030, USA.
Benjamin L ShneiderDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas 77030, USA.
Jennifer L PicarsicDepartment of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15261, USA.
Theodora A JacobsonSection of Human and Molecular Genetics, Nationwide Children's Hospital, Columbus, Ohio 43205, USA.
Jing ZhangDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA.
Weimin HeDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA.
Pengfei LiuDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA.
A S KniselyInstitute of Liver Studies, King's College Hospital, London SE5 9R5, UK.
Milton J FinegoldDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas 77030, USA.
Donna M MuznyHuman Genome Sequencing Center, Baylor College of Medicine, Houston, Texas 77030, USA.
Eric BoerwinkleHuman Genome Sequencing Center, Baylor College of Medicine, Houston, Texas 77030, USA.
James R LupskiDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA.
Sharon E PlonDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA.
Richard A GibbsDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA.
Christine M EngDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA.
Yaping YangDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA.
Gabriel C WashingtonPediatric Stem Cell Transplantation, Stanford University Medical Center, Stanford, California 94305, USA.
Matthew H PorteusPediatric Stem Cell Transplantation, Stanford University Medical Center, Stanford, California 94305, USA.
William E BerquistPediatric Gastroenterology, Stanford University Medical Center, Stanford, California 94305, USA.
Neeraja KambhamAnatomic and Clinical Pathology, Stanford University Medical Center, Stanford, California 94305, USA.
Ravinder J SinghImmunochemistry Core Laboratory, College of Medicine, Mayo Clinic, Rochester, Minnesota 55902, USA.
Fan XiaDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA.
Gregory M EnnsLucile Packard Children's Hospital, Divisions of Medical Genetics, Stanford University Medical Center, Stanford, California 94305, USA.
David D MooreDepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, Texas 77030, USA.
Baylor College of Medicine · USNationwide Children's Hospital · USStanford University · USBaylor Genetics · USStanford Medicine · USLucile Packard Children's Hospital · USMayo Clinic · USUniversity of Graz · ATUniversity of Pittsburgh · US

Funding

Baylor-Johns Hopkins Center for Mendelian GeneticsU54HG006542 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 2012 to 2015
$15.6M
NHGRI NIH HHS U54 HG006542NHGRI NIH HHS U54HG006542
6 · The paper itself

Abstract

Neonatal cholestasis is a potentially life-threatening condition requiring prompt diagnosis. Mutations in several different genes can cause progressive familial intrahepatic cholestasis, but known genes cannot account for all familial cases. Here we report four individuals from two unrelated families with neonatal cholestasis and mutations in NR1H4, which encodes the farnesoid X receptor (FXR), a bile acid-activated nuclear hormone receptor that regulates bile acid metabolism. Clinical features of severe, persistent NR1H4-related cholestasis include neonatal onset with rapid progression to end-stage liver disease, vitamin K-independent coagulopathy, low-to-normal serum gamma-glutamyl transferase activity, elevated serum alpha-fetoprotein and undetectable liver bile salt export pump (ABCB11) expression. Our findings demonstrate a pivotal function for FXR in bile acid homeostasis and liver protection.

Indexed as

MutationATP-Binding Cassette TransportersATP Binding Cassette Transporter, Subfamily B, Member 11Bile Acids and SaltsCholestasis, IntrahepaticFemaleHumansMaleReceptor, Farnesoid X-ActivatedReceptors, Cytoplasmic and NuclearYoung AdultABCB11 protein, humanATP-Binding Cassette TransportersATP Binding Cassette Transporter, Subfamily B, Member 11Bile Acids and SaltsReceptor, Farnesoid X-ActivatedReceptors, Cytoplasmic and Nuclear

Identifiers

PMID26888176
PMCPMC4759630
OpenAlexW2283912536

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.