Evidence map›Paper›PMID 26928243›Full record

ReviewGastroenterology2016

Pathogenesis of Nonalcoholic Steatohepatitis.

Mariana Verdelho Machado, Anna Mae Diehl

Open access · greenAbstract readReview
In one paragraph

Review in Gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 287 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
287citing papers in PubMed, 4 pooled it
24.6field-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

287 citing papers in PubMed, 4 syntheses or guidelines pooled it, 518 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The Green Path to Liver Health: Herbal Solutions for Non-alcoholic Steatohepatitis.Cardiovascular & hematological disorders drug targets · 2025
    Pooled it
  4. Pooled it
  5. Survodutide for Obesity in Chinese Adults: Phase 3 Randomized Trial Design and Baseline Characteristics (SYNCHRONIZE™-CN).Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Protective Effects ofJournal of microbiology and biotechnology · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Daixie recipe ameliorates diet-induced MASH in miceFrontiers in endocrinology · 2026
    Article
  20. Frontiers in pharmacology · 2026
    Article

227 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

2 authors at 2 institutions in 2 countries.

Mariana Verdelho MachadoDivision of Gastroenterology, Department of Medicine, Duke University Medical Center, Durham, North Carolina; Gastroenterology Department, Hospital de Santa Maria, CHLN, Lisbon, Portugal.
Anna Mae DiehlDivision of Gastroenterology, Department of Medicine, Duke University Medical Center, Durham, North Carolina. Electronic address: diehl004@mc.duke.edu.
Duke Medical Center · USHospital de Santa Maria · PT

Funding

TNF ALPHA AND RECOVERY FROM ALCOHOLIC LIVER INJURYR01AA010154 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI ANNA MAE ELIZABETH DIEHL, Auinash Kalsotra · 1994 to 2026
$6.1M
Hedgehog Signaling and Adult Liver RegenerationR01DK077794 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2008 to 2020
$4.6M
TNF Alpha and Recovery from Alchoholic Liver InjuryR37AA010154 · NIAAA · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2009 to 2018
$3.8M
LIVER DISEASE IN OBESITYR01DK053792 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 1999 to 2013
$3.6M
NIAAA NIH HHS R01 AA010154NIAAA NIH HHS R37 AA010154NIDDK NIH HHS R01 DK053792NIDDK NIH HHS R01 DK077794
6 · The paper itself

Abstract

Nonalcoholic steatohepatitis (NASH) is a necro-inflammatory response that ensues when hepatocytes are injured by lipids (lipotoxicity). NASH is a potential outcome of nonalcoholic fatty liver (NAFL), a condition that occurs when lipids accumulate in hepatocytes. NASH may be reversible, but it can also result in cirrhosis and primary liver cancer. We are beginning to learn about the mechanisms of progression of NAFL and NASH. NAFL does not inevitably lead to NASH because NAFL is a heterogeneous condition. This heterogeneity exists because different types of lipids with different cytotoxic potential accumulate in the NAFL, and individuals with NAFL differ in their ability to defend against lipotoxicity. There are no tests that reliably predict which patients with NAFL will develop lipotoxicity. However, NASH encompasses the spectrum of wound-healing responses induced by lipotoxic hepatocytes. Differences in these wound-healing responses among individuals determine whether lipotoxic livers regenerate, leading to stabilization or resolution of NASH, or develop progressive scarring, cirrhosis, and possibly liver cancer. We review concepts that are central to the pathogenesis of NASH.

Indexed as

Disease ProgressionLipid MetabolismHepatocytesHumansLipidsLiverNon-alcoholic Fatty Liver DiseaseLipidsLipotoxicityMisrepairNonalcoholic Fatty Liver DiseaseWound-Healing Response

Identifiers

PMID26928243
PMCPMC4887389
OpenAlexW2283843704

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.