Evidence map›Paper›PMID 28220039›Full record

ArticleInternational journal of obesity (2005)2017

Hormone signaling and fatty liver in females: analysis of estrogen receptor α mutant mice.

S Hart-Unger, Y Arao, K J Hamilton, S L Lierz, D E Malarkey, S C Hewitt, M Freemark, K S Korach

Open access · greenAbstract read
In one paragraph

Article in International journal of obesity (2005), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

54 citing papers in PubMed, 95 citations in OpenAlex.

  1. The Liver-Testis Axis: Molecular Mechanisms and Clinical Implications.International journal of molecular sciences · 2026
    Review
  2. Observational
  3. Article
  4. Sex and gender differences in metabolic dysfunction-associated liver disease.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Article
  10. Article
  11. Observational
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. 17β-Estradiol (EAntioxidants (Basel, Switzerland) · 2023
    Article
  20. Machine Learning Enables Single-Score Assessment of MASLD Presence and Severity.medRxiv : the preprint server for health sciences · 2023
    Article
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

8 authors at 2 institutions in 1 country.

S Hart-UngerReproductive and Development Biology Laboratory, National Institute of Environmental Health Sciences/NIH, Research Triangle Park, NC, USA.
Y AraoReproductive and Development Biology Laboratory, National Institute of Environmental Health Sciences/NIH, Research Triangle Park, NC, USA.ORCID 0000-0003-1560-351X
K J HamiltonReproductive and Development Biology Laboratory, National Institute of Environmental Health Sciences/NIH, Research Triangle Park, NC, USA.
S L LierzReproductive and Development Biology Laboratory, National Institute of Environmental Health Sciences/NIH, Research Triangle Park, NC, USA.
D E MalarkeyNational Toxicology Program Pathology Group, National Institute of Environmental Health Sciences/NIH, Research Triangle Park, NC, USA.
S C HewittReproductive and Development Biology Laboratory, National Institute of Environmental Health Sciences/NIH, Research Triangle Park, NC, USA.
M FreemarkDivision of Pediatric Endocrinology and Diabetes, Duke University Medical Center, Durham, NC, USA.
K S KorachReproductive and Development Biology Laboratory, National Institute of Environmental Health Sciences/NIH, Research Triangle Park, NC, USA.
National Institute of Environmental Health Sciences · USDuke Medical Center · US

Funding

Gene Expression and MicroarraysZICES102445 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI GERRISH, KEVIN · 2009 to 2025
$31.6M
Chemical Receptor Interactions In Reproduction And Hormonal ToxicityZIAES070065 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI KORACH, KENNETH S · 2009 to 2019
$29.6M
Toxicologic Pathology Evaluations for the National Toxicology ProgramZIAES103319 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI MALARKEY, DAVID · 2016 to 2019
$25.2M
Understanding the effects of estrogen signaling on fatty liver diseaseF32DK093200 · NIDDK · DUKE UNIVERSITY · PI HART-UNGER, SARAH · 2011 to 2012
$114k
Intramural NIH HHS ZIA ES070065NIDDK NIH HHS F32 DK093200
6 · The paper itself

Abstract

backgroundTreatment with estrogen in early menopausal women protects against development of hepatic steatosis and nonalcoholic fatty liver disease but estrogen has undesirable side effects, which negate its beneficial effects in premenopausal and postmenopausal women. Targeted therapies require better understanding of the target sites and mechanisms by which estrogen signaling exerts its protective effects in women. Estrogen receptor α (ERα) is thought to be the primary mediator for estrogen signaling to protect against hepatic steatosis. ERα has several mechanisms for signal transduction: (1) inducing gene transcription by direct binding to specific DNA sequences, (2) inducing tethered transcription with other DNA-binding factors, and (3) stimulating nongenomic action through membrane-associated ERα. However, it is still unclear which mechanisms mediate ERα-dependent protection against hepatic steatosis.

methodsTo understand the mechanisms of estrogen signaling for protection against hepatic steatosis in females, we analyzed the global ERα knockout mouse (αERKO), ERα DNA-binding domain mutant mouse (KIKO) and liver-specific ERα knockout mouse (LERKO) fed high-fat diets (HFD). The KIKO mouse disrupts the direct DNA-binding transcription activity but retains tethered transcription regulation and nongenomic action. Hepatic steatosis was evaluated by scoring the macrovesicular and microvesicular steatosis as well as serum alanine aminotransferase (ALT) levels. We analyzed serum testosterone to assess its correlation with hepatic steatosis.

resultsLiver fat accumulation was far greater in HFD-fed αERKO and KIKO females than in HFD-fed wild-type (WT) controls. Conversely, HFD-fed LERKO females did not accumulate excess liver fat. HFD-fed αERKO and KIKO females showed higher microvesicular steatosis and ALT levels than WT controls that correlated with increased serum testosterone levels.

conclusionsERα-mediated direct transcription in non-hepatic tissues is essential for estrogen-mediated protection against hepatic steatosis in HFD-fed females. The balance between non-hepatic estrogen signaling and hepatic or non-hepatic testosterone action may control hepatic steatosis.

Indexed as

AdiposityAnimalsBlotting, WesternDiet, High-FatDisease Models, AnimalDNA-Binding ProteinsEstrogen Receptor alphaEstrogensFemaleMiceMice, KnockoutNon-alcoholic Fatty Liver DiseaseSignal TransductionTranscription FactorsDNA-Binding ProteinsEstrogen Receptor alphaEstrogensTranscription Factors

Identifiers

PMID28220039
PMCPMC5735425
OpenAlexW2591016527

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.