Evidence map›Paper›PMID 28802066›Full record

ArticleHepatology (Baltimore, Md.)2018

Targeting senescent cholangiocytes and activated fibroblasts with B-cell lymphoma-extra large inhibitors ameliorates fibrosis in multidrug resistance 2 gene knockout (Mdr2

Anja Moncsek, Mohammed S Al-Suraih, Christy E Trussoni, Steven P O'Hara, Patrick L Splinter, Camille Zuber, Eleonora Patsenker, Piero V Valli, Christian D Fingas, Achim Weber and 7 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Hepatology (Baltimore, Md.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed
7.5field-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

85 citing papers in PubMed, 128 citations in OpenAlex.

  1. Article
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  3. Melatonin Alleviates Graft Biliary Fibrosis by Inhibiting VIMAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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  10. Development and Validation of a Scaffold-Free Human Multilineage Spheroid Model for Early Stage Cholangiopathies Driven by Cholangiocyte Senescence.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
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25 more citing papers are in PubMed but not listed here.

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

17 authors at 4 institutions in 3 countries.

Anja MoncsekDepartment of Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland.
Mohammed S Al-SuraihDivision of Gastroenterology and Hepatology and Center for Cell Signaling in Gastroenterology, Mayo Clinic, Rochester, MN.
Christy E TrussoniDivision of Gastroenterology and Hepatology and Center for Cell Signaling in Gastroenterology, Mayo Clinic, Rochester, MN.
Steven P O'HaraDivision of Gastroenterology and Hepatology and Center for Cell Signaling in Gastroenterology, Mayo Clinic, Rochester, MN.
Patrick L SplinterDivision of Gastroenterology and Hepatology and Center for Cell Signaling in Gastroenterology, Mayo Clinic, Rochester, MN.
Camille ZuberDepartment of Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland.
Eleonora PatsenkerDepartment of Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland.
Piero V ValliDepartment of Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland.
Christian D FingasDepartment of General, Visceral, and Transplantation Surgery, University Hospital Essen, Essen, Germany.
Achim WeberDepartment of Pathology and Molecular Pathology, University Hospital Zürich, Zürich, Switzerland.
Yi ZhuThe Robert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, MN.
Tamar TchkoniaThe Robert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, MN.
James L KirklandThe Robert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, MN.
Gregory J GoresDivision of Gastroenterology and Hepatology and Center for Cell Signaling in Gastroenterology, Mayo Clinic, Rochester, MN.
Beat MüllhauptDepartment of Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland.
Nicholas F LaRussoDivision of Gastroenterology and Hepatology and Center for Cell Signaling in Gastroenterology, Mayo Clinic, Rochester, MN.
Joachim C MertensDepartment of Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland.
Mayo Clinic · USUniversity Hospital of Zurich · CHEssen University Hospital · DEWinnMed · US

Funding

PILOT AND FEASIBILTY PROGRAMP30DK084567 · NIDDK · MAYO CLINIC ROCHESTER · PI Nicholas F. LaRusso · 2009 to 2026
$22.2M
Pathophysiology of Biliary DiseaseR01DK057993 · NIDDK · MAYO CLINIC ROCHESTER · PI LARUSSO, NICHOLAS F., O'HARA, STEVEN P · 2001 to 2025
$7.1M
Effect of Aging on Preadipocyte DifferentiationR37AG013925 · NIA · MAYO CLINIC ROCHESTER · PI KIRKLAND, JAMES L. · 2016 to 2025
$6.6M
Organelle Dysfunction and Apoptosis in Liver EpitheliaR01DK063947 · NIDDK · MAYO CLINIC ROCHESTER · PI GORES, GREGORY J. · 2003 to 2016
$4.1M
Effect of Aging on Preadipocyte DifferentiationR01AG013925 · NIA · MAYO CLINIC ROCHESTER · PI KIRKLAND, JAMES L. · 1997 to 2012
$3.7M
NIA NIH HHS R01 AG013925NIA NIH HHS R37 AG013925NIDDK NIH HHS P30 DK084567NIDDK NIH HHS R01 DK057993NIDDK NIH HHS R01 DK063947
6 · The paper itself

Abstract

Cholangiocyte senescence has been linked to primary sclerosing cholangitis (PSC). Persistent secretion of growth factors by senescent cholangiocytes leads to the activation of stromal fibroblasts (ASFs), which are drivers of fibrosis. The activated phenotype of ASFs is characterized by an increased sensitivity to apoptotic stimuli. Here, we examined the mechanisms of apoptotic priming in ASFs and explored a combined targeting strategy to deplete senescent cholangiocytes and ASFs from fibrotic tissue to ameliorate liver fibrosis. Using a coculture system, we determined that senescent cholangiocytes promoted quiescent mesenchymal cell activation in a platelet-derived growth factor (PDGF)-dependent manner. We also identified B-cell lymphoma-extra large (Bcl-xL) as a key survival factor in PDGF-activated human and mouse fibroblasts. Bcl-xL was also up-regulated in senescent cholangiocytes. In vitro, inhibition of Bcl-xL by the small molecule Bcl-2 homology domain 3 mimetic, A-1331852, or Bcl-xL-specific small interfering RNA induced apoptosis in PDGF-activated fibroblasts, but not in quiescent fibroblasts. Likewise, inhibition of Bcl-xL reduced the survival and increased apoptosis of senescent cholangiocytes, compared to nonsenescent cells. Treatment of multidrug resistance 2 gene knockout (Mdr2

conclusionBcl-xL is a key survival factor in ASFs as well as in senescent cholangiocytes. Treatment with the Bcl-xL-specific inhibitor, A-1331852, reduces liver fibrosis, possibly by a dual effect on activated fibroblasts and senescent cholangiocytes. This mechanism represents an attractive therapeutic strategy in biliary fibrosis. (Hepatology 2018;67:247-259).

Indexed as

AnimalsBenzothiazolesBile DuctsBiopsy, NeedleCell ProliferationCells, CulturedCell SurvivalCellular SenescenceCholangitis, SclerosingDisease Models, AnimalDrug Resistance, MultipleFibroblastsImmunohistochemistryIsoquinolinesMiceMice, Inbred BALB CA-1331852BenzothiazolesIsoquinolinesPlatelet-Derived Growth Factor

Identifiers

PMID28802066
PMCPMC5739965
OpenAlexW2784796582

What OpenQuestion holds

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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.