Evidence map›Paper›PMID 30358741›Full record

ArticleJournal of pediatric gastroenterology and nutrition2019

Biliary Atresia Relevant Human Induced Pluripotent Stem Cells Recapitulate Key Disease Features in a Dish.

Lipeng Tian, Zhaohui Ye, Kim Kafka, Dylan Stewart, Robert Anders, Kathleen B Schwarz, Yoon-Young Jang

Open access · hybridAbstract read
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Review
  3. Organoids in biliary atresia.World journal of pediatric surgery · 2025
    Review
  4. Review
  5. Article
  6. Biliary atresia.Nature reviews. Disease primers · 2024
    Review
  7. Review
  8. Biliary Atresia Animal Models: Is the Needle in a Haystack?International journal of molecular sciences · 2022
    Review
  9. Review
  10. Wnt signaling in biliary development, proliferation, and fibrosis.Experimental biology and medicine (Maywood, N.J.) · 2022
    Review
  11. Review
  12. Review
  13. Review
  14. From Cells to Organs: The Present and Future of Regenerative Medicine.Advances in experimental medicine and biology · 2022
    Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

7 authors at 3 institutions in 1 country.

Lipeng TianDepartment of Oncology, The Sidney Kimmel Comprehensive Cancer Center.
Zhaohui YeDepartment of Medicine.
Kim KafkaDepartment of Pediatrics.
Dylan StewartDepartment of Surgery.
Robert AndersDepartment of Pathology.
Kathleen B SchwarzDepartment of Pediatrics.
Yoon-Young JangDepartment of Oncology, The Sidney Kimmel Comprehensive Cancer Center.
Johns Hopkins Medicine · USSidney Kimmel Comprehensive Cancer Center · USUniversity of Baltimore · US

Funding

Real Time Elucidation of Drug-Drug Interactions via Dual Reporter Cell Technology and Microfabricated ArraysR01EB023812 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI TONER, MEHMET, YARMUSH, MARTIN L · 2016 to 2019
$1.8M
A human iPSC-based model of Biliary AtresiaR03HD091264 · NICHD · JOHNS HOPKINS UNIVERSITY · PI JANG, YOON YOUNG · 2018 to 2019
$164k
NIBIB NIH HHS R01 EB023812NICHD NIH HHS R03 HD091264
6 · The paper itself

Abstract

Biliary atresia (BA) is the most common cause of pediatric end-stage liver disease and the etiology is poorly understood. There is no effective therapy for BA partly due to lack of human BA models. Towards developing in vitro human models of BA, disease-specific induced pluripotent stem cells (iPSCs) from 6 BA patients were generated using non-integrating episomal plasmids. In addition, to determine the functional significance of BA-susceptibility genes identified by genome-wide association studies (GWAS) in biliary development, a genome-editing approach was used to create iPSCs with defined mutations in these GWAS BA loci. Using the Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR)/Cas9 system, isogenic iPSCs deficient in BA-associated genes (GPC1 and ADD3) were created from healthy iPSCs. Both the BA patient-iPSCs and the knock out (KO) iPSCs were studied for their in vitro biliary differentiation potential. These BA-specific iPSCs demonstrated significantly decreased formation of ductal structures, decreased expression of biliary markers including CK7, EpCAM, SOX9, CK19, AE2, and CFTR and increased fibrosis markers such as alpha smooth muscle actin, Loxl2, and Collagen1 compared to controls. Both the patient- and the KO-iPSCs also showed increased yes-associated protein (YAP, a marker of bile duct proliferation/fibrosis). Collagen and YAP were reduced by treatment with the anti-fibrogenic drug pentoxifylline. In summary, these BA-specific human iPSCs showed deficiency in biliary differentiation along with increased fibrosis, the 2 key disease features of BA. These iPSCs can provide new human BA models for understanding the molecular basis of abnormal biliary development and opportunities to identify drugs that have therapeutic effects on BA.

Indexed as

Biliary AtresiaCell DifferentiationFemaleGenetic LociGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansInduced Pluripotent Stem CellsInfantMaleMutationPentoxifyllinePentoxifylline

Identifiers

PMID30358741
PMCPMC6314509
OpenAlexW2898255564

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.