Evidence map›Paper›PMID 28008998›Full record

ArticleScientific reports2016

Impaired Hepatic Adaptation to Chronic Cholestasis induced by Primary Sclerosing Cholangitis.

Malgorzata Milkiewicz, Marta Klak, Agnieszka Kempinska-Podhorodecka, Anna Wiechowska-Kozlowska, Elzbieta Urasinska, Malgorzata Blatkiewicz, Ewa Wunsch, Elwyn Elias, Piotr Milkiewicz

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Bile acid signaling in health and disease.Molecular biomedicine · 2026
    Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Primary Sclerosing Cholangitis and Inflammatory Bowel Disease: A Review.Journal of clinical and translational hepatology · 2022
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Primary sclerosing cholangitis.Translational gastroenterology and hepatology · 2021
    Review
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

9 authors at 3 institutions in 2 countries.

Malgorzata MilkiewiczDepartment of Medical Biology, Pomeranian Medical University, Szczecin, Poland.
Marta KlakDepartment of Medical Biology, Pomeranian Medical University, Szczecin, Poland.
Agnieszka Kempinska-PodhorodeckaDepartment of Medical Biology, Pomeranian Medical University, Szczecin, Poland.
Anna Wiechowska-KozlowskaEndoscopy Unit, Ministry of Internal Affairs Hospital, Szczecin, Poland.
Elzbieta UrasinskaDepartment of Pathology, Pomeranian Medical University, Szczecin, Poland.
Malgorzata BlatkiewiczDepartment of Medical Biology, Pomeranian Medical University, Szczecin, Poland.
Ewa WunschTranslational Medicine Group, Pomeranian Medical University, Szczecin, Poland.
Elwyn EliasLiver and Hepatobiliary Unit, University of Birmingham, Birmingham, UK.
Piotr MilkiewiczTranslational Medicine Group, Pomeranian Medical University, Szczecin, Poland.
Pomeranian Medical University · PLMedical University of Warsaw · PLUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pathogenesis of primary sclerosing cholangitis (PSC) may involve impaired bile acid (BA) homeostasis. We analyzed expressions of factors mediating enterohepatic circulation of BA using ileal and colonic (ascending and sigmoid) biopsies obtained from patients with PSC with and without ulcerative colitis (UC) and explanted PSC livers. Two-fold increase of BA-activated farnesoid X receptor (FXR) protein levels were seen in ascending and sigmoid colon of PSC patients with correspondingly decreased apical sodium-dependent BA transporter (ASBT) gene expression. This was associated with increased OSTβ protein levels in each part of analyzed gut. An intestinal fibroblast growth factor (FGF19) protein expression was significantly enhanced in ascending colon. Despite increased hepatic nuclear receptors (FXR, CAR, SHP), and FGF19, neither CYP7A1 suppression nor CYP3A4 induction were observed. The lack of negative regulation of BA synthesis may be accountable for lower levels of cholesterol observed in PSC in comparison to primary biliary cholangitis (PBC). In conclusion, chronic cholestasis in PSC induces adaptive changes in expression of BA transporters and FXR in the intestine. However hepatic impairment of expected in chronic cholestasis downregulation of CYP7A1 and upregulation of CYP3A4 may promote BA-induced liver injury in PSC.

Indexed as

AdultBile Acids and SaltsBiopsyCholangitis, SclerosingCholesterol 7-alpha-HydroxylaseChronic DiseaseColonCytochrome P-450 CYP3AFemaleFibroblast Growth FactorsGene Expression ProfilingGene Expression RegulationHomeostasisHumansInflammatory Bowel DiseasesIntestinal MucosaBile Acids and SaltsCholesterol 7-alpha-HydroxylaseCYP3A4 protein, humanCYP7A1 protein, humanCytochrome P-450 CYP3AFGF19 protein, humanFibroblast Growth FactorsReceptor, Farnesoid X-ActivatedReceptors, Cytoplasmic and Nuclear

Identifiers

PMID28008998
PMCPMC5180097
OpenAlexW2563794740

What OpenQuestion holds

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LicenceCC BY
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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.