Evidence map›Paper›PMID 28073160›Full record

ArticleHepatology (Baltimore, Md.)2017

Activation of the c-Jun N-terminal kinase pathway aggravates proteotoxicity of hepatic mutant Z alpha1-antitrypsin.

Nunzia Pastore, Sergio Attanasio, Barbara Granese, Raffaele Castello, Jeffrey Teckman, Andrew A Wilson, Andrea Ballabio, Nicola Brunetti-Pierri

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Hepatology (Baltimore, Md.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. An association study ofBiochemistry and biophysics reports · 2025
    Article
  6. Alpha-1 Antitrypsin Inclusions Sequester GRP78 in a Bile Acid-Inducible Manner.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  7. Article
  8. Article
  9. Up-regulation of miR-34b/c by JNK and FOXO3 protects from liver fibrosis.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  10. Article
  11. Review
  12. CHOP and c-JUN up-regulate the mutant Z αThe Journal of biological chemistry · 2020
    Article
  13. Review
  14. Review
  15. New Therapeutic Targets for Alpha-1 Antitrypsin Deficiency.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2018
    Article
  16. Liver: Taking out the JuNK to treat α1-antitrypsin deficiency.Nature reviews. Gastroenterology & hepatology · 2017
    Article
  17. Review
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Nunzia PastoreTelethon Institute of Genetics and Medicine, Pozzuoli, Naples, Italy.
Sergio AttanasioTelethon Institute of Genetics and Medicine, Pozzuoli, Naples, Italy.
Barbara GraneseTelethon Institute of Genetics and Medicine, Pozzuoli, Naples, Italy.
Raffaele CastelloTelethon Institute of Genetics and Medicine, Pozzuoli, Naples, Italy.
Jeffrey TeckmanDepartment of Pediatrics, Saint Louis University School of Medicine, Cardinal Glennon Children's Medical Center, Saint Louis, MO, USA.
Andrew A WilsonBoston University Center for Regenerative Medicine of Boston University and Boston Medical Center, Boston, MA.
Andrea BallabioTelethon Institute of Genetics and Medicine, Pozzuoli, Naples, Italy.
Nicola Brunetti-PierriTelethon Institute of Genetics and Medicine, Pozzuoli, Naples, Italy.
Federico II University Hospital · ITTelethon Institute Of Genetics And Medicine · ITBaylor College of Medicine · USBoston Medical Center · USSaint Louis University · US

Funding

Telethon TGM11MT3
6 · The paper itself

Abstract

Alpha1-antitrypsin deficiency is a genetic disease that can affect both the lung and the liver. The vast majority of patients harbor a mutation in the serine protease inhibitor 1A (SERPINA1) gene leading to a single amino acid substitution that results in an unfolded protein that is prone to polymerization. Alpha1-antitrypsin defciency-related liver disease is therefore caused by a gain-of-function mechanism due to accumulation of the mutant Z alpha1-antitrypsin (ATZ) and is a key example of an disease mechanism induced by protein toxicity. Intracellular retention of ATZ triggers a complex injury cascade including apoptosis and other mechanisms, although several aspects of the disease pathogenesis are still unclear. We show that ATZ induces activation of c-Jun N-terminal kinase (JNK) and c-Jun and that genetic ablation of JNK1 or JNK2 decreased ATZ levels in vivo by reducing c-Jun-mediated SERPINA1 gene expression. JNK activation was confirmed in livers of patients homozygous for the Z allele, with severe liver disease requiring hepatic transplantation. Treatment of patient-derived induced pluripotent stem cell-hepatic cells with a JNK inhibitor reduced accumulation of ATZ.

conclusionThese data reveal that JNK is a key pathway in the disease pathogenesis and add new therapeutic entry points for liver disease caused by ATZ. (Hepatology 2017;65:1865-1874).

Indexed as

alpha 1-AntitrypsinAnimalsApoptosisBlotting, WesternCells, CulturedDisease Models, AnimalEnzyme-Linked Immunosorbent AssayHepatocytesHumansImmunoprecipitationJNK Mitogen-Activated Protein KinasesLiverMiceMice, Inbred C57BLMice, TransgenicMutationalpha 1-AntitrypsinJNK Mitogen-Activated Protein KinasesSERPINA1 protein, human

Identifiers

PMID28073160
PMCPMC5485069
OpenAlexW2571086437

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Registered trials

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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.