Evidence map›Paper›PMID 29305935›Full record

ArticleGastroenterology2018

Hedgehog-YAP Signaling Pathway Regulates Glutaminolysis to Control Activation of Hepatic Stellate Cells.

Kuo Du, Jeongeun Hyun, Richard T Premont, Steve S Choi, Gregory A Michelotti, Marzena Swiderska-Syn, George D Dalton, Eric Thelen, Bahar Salimian Rizi, Youngmi Jung and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 212 papers.

0numbers the graph read from it
0cells of the map it votes in
212citing papers in PubMed
15.1field-weighted citation impact, top 1% 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

212 citing papers in PubMed, 319 citations in OpenAlex.

  1. Review
  2. The circadian clock controls hepatic stellate cell activation via a BMAL1/CK1ε/REV-ERBα/transgelin signaling pathway.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Response to Kawamoto et al.EMBO reports · 2026
    Article
  10. Article
  11. Mechanobiology of the Hippo-YAP Signaling Network.Cold Spring Harbor perspectives in biology · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Macrophage β-catenin-Ihh axis induces hepatic stellate cell activation and fibrosis in metabolic dysfunction-associated steatohepatitis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review

152 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Kuo DuDivision of Gastroenterology, Department of Medicine, Duke University, Durham, North Carolina.
Jeongeun HyunDivision of Gastroenterology, Department of Medicine, Duke University, Durham, North Carolina.
Richard T PremontDivision of Gastroenterology, Department of Medicine, Duke University, Durham, North Carolina.
Steve S ChoiDivision of Gastroenterology, Department of Medicine, Duke University, Durham, North Carolina.
Gregory A MichelottiDivision of Gastroenterology, Department of Medicine, Duke University, Durham, North Carolina.
Marzena Swiderska-SynDivision of Gastroenterology, Department of Medicine, Duke University, Durham, North Carolina.
George D DaltonDivision of Gastroenterology, Department of Medicine, Duke University, Durham, North Carolina.
Eric ThelenXF Seahorse, Agilent Technologies, Lexington, Massachusetts.
Bahar Salimian RiziXF Seahorse, Agilent Technologies, Lexington, Massachusetts.
Youngmi JungDepartment of Integrated Biological Science, Pusan National University, Pusan, South Korea.
Anna Mae DiehlDivision of Gastroenterology, Department of Medicine, Duke University, Durham, North Carolina. Electronic address: annamae.diehl@duke.edu.
Duke University · USAgilent Technologies (United States) · USPusan National University · KR

Funding

Hedgehog Signaling and Adult Liver RegenerationR01DK077794 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2008 to 2020
$4.6M
TNF Alpha and Recovery from Alchoholic Liver InjuryR37AA010154 · NIAAA · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2009 to 2018
$3.8M
Pathogenesis of NASH CirrhosisR56DK106633 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2015 to 2015
$278k
NIAAA NIH HHS R37 AA010154NIDDK NIH HHS R01 DK077794NIDDK NIH HHS R56 DK106633
6 · The paper itself

Abstract

BACKGROUND &

aimsCirrhosis results from accumulation of myofibroblasts derived from quiescent hepatic stellate cells (Q-HSCs); it regresses when myofibroblastic HSCs are depleted. Hedgehog signaling promotes transdifferentiation of HSCs by activating Yes-associated protein 1 (YAP1 or YAP) and inducing aerobic glycolysis. However, increased aerobic glycolysis alone cannot meet the high metabolic demands of myofibroblastic HSCs. Determining the metabolic processes of these cells could lead to strategies to prevent progressive liver fibrosis, so we investigated whether glutaminolysis (conversion of glutamine to alpha-ketoglutarate) sustains energy metabolism and permits anabolism when Q-HSCs become myofibroblastic, and whether this is controlled by hedgehog signaling to YAP.

methodsPrimary HSCs were isolated from C57BL/6 or Smo

resultsExpression of genes that regulate glutaminolysis increased during transdifferentiation of primary Q-HSCs into myofibroblastic HSCs, and inhibition of glutaminolysis disrupted transdifferentiation. Blocking glutaminolysis in myofibroblastic HSCs suppressed mitochondrial respiration, cell growth and migration, and fibrogenesis; replenishing glutaminolysis metabolites to these cells restored these activities. Knockout of the hedgehog signaling intermediate smoothened or knockdown of YAP inhibited expression of glutaminase, the rate-limiting enzyme in glutaminolysis. Hedgehog and YAP inhibitors blocked glutaminolysis and suppressed myofibroblastic activities in HSCs. In livers of patients and of mice with acute or chronic fibrosis, glutaminolysis was induced in myofibroblastic HSCs. In mice with liver fibrosis, inhibition of glutaminase blocked accumulation of myofibroblasts and fibrosis progression.

conclusionsGlutaminolysis controls accumulation of myofibroblast HSCs in mice and might be a therapeutic target for cirrhosis.

Indexed as

Energy MetabolismAdaptor Proteins, Signal TransducingAnimalsCase-Control StudiesCell Cycle ProteinsCell ProliferationCells, CulturedCell TransdifferentiationCellular ReprogrammingGene Expression RegulationGlutaminaseGlutamineHedgehog ProteinsHepatic Stellate CellsHumansKetoglutaric AcidsAdaptor Proteins, Signal TransducingCell Cycle ProteinsGlutaminaseGlutamineHedgehog ProteinsKetoglutaric AcidsPhosphoproteinsSmoothened ReceptorSmo protein, mouseTranscription FactorsYAP1 protein, humanYap1 protein, mouseYAP-Signaling ProteinsFibrogenesisHippo PathwayLiver DiseasesMetabolic Reprogramming

Identifiers

PMID29305935
PMCPMC5880682
OpenAlexW2781725704

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.