Evidence map›Paper›PMID 27869651›Full record

ArticleThe Journal of clinical investigation2017

Pericyte MyD88 and IRAK4 control inflammatory and fibrotic responses to tissue injury.

Irina A Leaf, Shunsaku Nakagawa, Bryce G Johnson, Jin Joo Cha, Kristen Mittelsteadt, Kevin M Guckian, Ivan G Gomez, William A Altemeier, Jeremy S Duffield

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
9.4field-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

73 citing papers in PubMed, 145 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. The role of extracellular vesicles in kidney disease progression.Kidney research and clinical practice · 2026
    Article
  5. Article
  6. Article
  7. Pericytes in tissue fibrosis.American journal of physiology. Cell physiology · 2025
    Review
  8. Immune control of brain physiology.Nature reviews. Immunology · 2025
    Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Irina A Leaf
Shunsaku Nakagawa
Bryce G Johnson
Jin Joo Cha
Kristen Mittelsteadt
Kevin M Guckian
Ivan G Gomez
William A Altemeier
Jeremy S Duffield
Biogen (United States) · US

Funding

Using iPSCs to model patient outcomes in nephrotic syndromeUH3TR000504 · NCATS · UNIVERSITY OF WASHINGTON · PI HIMMELFARB, JONATHAN · 2014 to 2016
$6.1M
Pericyte-endothelial cross talk in vascular stability after kidney injuryR01DK093493 · NIDDK · UNIVERSITY OF WASHINGTON · PI SHANKLAND, STUART JAMES · 2012 to 2016
$2.5M
A Tissue Engineered Human Kidney Microphysiological SystemUH2TR000504 · NCATS · UNIVERSITY OF WASHINGTON · PI HIMMELFARB, JONATHAN · 2012 to 2013
$2.1M
PDGFR-beta+ stromal cells as critical regulators of immune response to tissue injuryR01HL122895 · NHLBI · UNIVERSITY OF WASHINGTON · PI ALTEMEIER, WILLIAM A · 2015 to 2018
$1.7M
Kidney pericytes in vascular regeneration after injuryRC1DK087389 · NIDDK · UNIVERSITY OF WASHINGTON · PI DUFFIELD, JEREMY S · 2009 to 2010
$989k
Kidney Progenitor Cells in DiseaseR24DK094768 · NIDDK · UNIVERSITY OF WASHINGTON · PI GROSS, KENNETH W, PRUITT, STEVEN C · 2012 to 2012
$533k
NCATS NIH HHS UH2 TR000504NCATS NIH HHS UH3 TR000504NHLBI NIH HHS R01 HL122895NIDDK NIH HHS R01 DK093493NIDDK NIH HHS R24 DK094768NIDDK NIH HHS RC1 DK087389
6 · The paper itself

Abstract

Fibrotic disease is associated with matrix deposition that results in the loss of organ function. Pericytes, the precursors of myofibroblasts, are a source of pathological matrix collagens and may be promising targets for treating fibrogenesis. Here, we have shown that pericytes activate a TLR2/4- and MyD88-dependent proinflammatory program in response to tissue injury. Similarly to classic immune cells, pericytes activate the NLRP3 inflammasome, leading to IL-1β and IL-18 secretion. Released IL-1β signals through pericyte MyD88 to amplify this response. Unexpectedly, we found that MyD88 and its downstream effector kinase IRAK4 intrinsically control pericyte migration and conversion to myofibroblasts. Specific ablation of MyD88 in pericytes or pharmacological inhibition of MyD88 signaling by an IRAK4 inhibitor in vivo protected against kidney injury by profoundly attenuating tissue injury, activation, and differentiation of myofibroblasts. Our data show that in pericytes, MyD88 and IRAK4 are key regulators of 2 major injury responses: inflammatory and fibrogenic. Moreover, these findings suggest that disruption of this MyD88-dependent pathway in pericytes might be a potential therapeutic approach to inhibit fibrogenesis and promote regeneration.

Indexed as

Acute Kidney InjuryAnimalsCells, CulturedFibrosisHumansInterleukin-1betaInterleukin-1 Receptor-Associated KinasesMiceMice, KnockoutMyeloid Differentiation Factor 88MyofibroblastsPericytesSignal TransductionIL1B protein, humanIL1B protein, mouseInterleukin-1betaInterleukin-1 Receptor-Associated KinasesIRAK4 protein, humanIrak4 protein, mouseMYD88 protein, humanMyd88 protein, mouseMyeloid Differentiation Factor 88

Identifiers

PMID27869651
PMCPMC5199713
OpenAlexW2552360097

What OpenQuestion holds

Textmetadata
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.