Evidence map›Paper›PMID 28115652›Full record

ArticleToxicological sciences : an official journal of the Society of Toxicology2017

Editor's Highlight: Candidate Risk Factors and Mechanisms for Tolvaptan-Induced Liver Injury Are Identified Using a Collaborative Cross Approach.

Merrie Mosedale, Yunjung Kim, William J Brock, Sharin E Roth, Tim Wiltshire, J Scott Eaddy, Gregory R Keele, Robert W Corty, Yuying Xie, William Valdar and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Toxicological sciences : an official journal of the Society of Toxicology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
9.0field-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

36 citing papers in PubMed, 52 citations in OpenAlex.

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  18. Identification of Candidate Risk Factor Genes for Human Idelalisib Toxicity Using a Collaborative Cross Approach.Toxicological sciences : an official journal of the Society of Toxicology · 2019
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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

11 authors at 4 institutions in 1 country.

Merrie MosedaleInstitute for Drug Safety Sciences, University of North Carolina at Chapel Hill, Research Triangle Park, North Carolina 27709.
Yunjung KimInstitute for Drug Safety Sciences, University of North Carolina at Chapel Hill, Research Triangle Park, North Carolina 27709.
William J BrockOtsuka Pharmaceutical Development and Commercialization, Inc., Rockville, Maryland 20850.
Sharin E RothOtsuka Pharmaceutical Development and Commercialization, Inc., Rockville, Maryland 20850.
Tim WiltshireDivision of Pharmacotherapy and Experimental Therapeutics, UNC Eshelman School of Pharmacy, Chapel Hill, North Carolina 27599.
J Scott EaddyInstitute for Drug Safety Sciences, University of North Carolina at Chapel Hill, Research Triangle Park, North Carolina 27709.
Gregory R KeeleDepartment of Genetics, UNC School of Medicine, Chapel Hill, North Carolina 27599.
Robert W CortyDepartment of Genetics, UNC School of Medicine, Chapel Hill, North Carolina 27599.
Yuying XieDepartment of Genetics, UNC School of Medicine, Chapel Hill, North Carolina 27599.
William ValdarDepartment of Genetics, UNC School of Medicine, Chapel Hill, North Carolina 27599.
Paul B WatkinsInstitute for Drug Safety Sciences, University of North Carolina at Chapel Hill, Research Triangle Park, North Carolina 27709.
University of North Carolina Health Care · USUniversity of North Carolina at Chapel Hill · USOtsuka (United States) · USScientific Consulting Group · US

Funding

Statistical Modeling of Complex Traits in Genetic Reference Super-PopulationsR01GM104125 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VALDAR, WILLIAM · 2012 to 2016
$1.2M
NIGMS NIH HHS R01 GM104125
6 · The paper itself

Abstract

Clinical trials of tolvaptan showed it to be a promising candidate for the treatment of Autosomal Dominant Polycystic Kidney Disease (ADPKD) but also revealed potential for idiosyncratic drug-induced liver injury (DILI) in this patient population. To identify risk factors and mechanisms underlying tolvaptan DILI, 8 mice in each of 45 strains of the genetically diverse Collaborative Cross (CC) mouse population were treated with a single oral dose of either tolvaptan or vehicle. Significant elevations in plasma alanine aminotransferase (ALT) were observed in tolvaptan-treated animals in 3 of the 45 strains. Genetic mapping coupled with transcriptomic analysis in the liver was used to identify several candidate susceptibility genes including epoxide hydrolase 2, interferon regulatory factor 3, and mitochondrial fission factor. Gene pathway analysis revealed that oxidative stress and immune response pathways were activated in response to tolvaptan treatment across all strains, but genes involved in regulation of bile acid homeostasis were most associated with tolvaptan-induced elevations in ALT. Secretory leukocyte peptidase inhibitor (Slpi) mRNA was also induced in the susceptible strains and was associated with increased plasma levels of Slpi protein, suggesting a potential serum marker for DILI susceptibility. In summary, tolvaptan induced signs of oxidative stress, mitochondrial dysfunction, and innate immune response in all strains, but variation in bile acid homeostasis was most associated with susceptibility to the liver response. This CC study has indicated potential mechanisms underlying tolvaptan DILI and biomarkers of susceptibility that may be useful in managing the risk of DILI in ADPKD patients.

Indexed as

AnimalsBenzazepinesBiomarkersChemical and Drug Induced Liver InjuryImmunity, InnateLiver Function TestsMice, Inbred StrainsOxidative StressRisk FactorsSpecies SpecificityTolvaptanToxicogeneticsTranscriptomeBenzazepinesBiomarkersTolvaptanCollaborative Crossdrug-induced liver injuryprecision medicinetolvaptantoxicogenomics.

Identifiers

PMID28115652
PMCPMC6075566
OpenAlexW2582553117

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.