Evidence map›Paper›PMID 30426165›Full record

ArticleArchives of toxicology2019

Characterisation of the NRF2 transcriptional network and its response to chemical insult in primary human hepatocytes: implications for prediction of drug-induced liver injury.

Ian M Copple, Wouter den Hollander, Giulia Callegaro, Fiona E Mutter, James L Maggs, Amy L Schofield, Lucille Rainbow, Yongxiang Fang, Jeffrey J Sutherland, Ewa C Ellis and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Archives of toxicology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 34 citations in OpenAlex.

  1. Hepatic cellular stress response pathways exhibit species differences in basal and inducible activity.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Article
  2. Article
  3. Review
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  5. Article
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  8. Emerging Bioinformatics Methods and Resources in Drug Toxicology.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
  9. Evaluating adaptive stress response gene signatures using transcriptomics.Computational toxicology (Amsterdam, Netherlands) · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Nrf2 in liver toxicology.Archives of pharmacal research · 2020
    Review
  14. 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

16 authors at 5 institutions in 4 countries.

Ian M CoppleMRC Centre for Drug Safety Science, Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, L69 3GE, UK. ian.copple@liverpool.ac.uk.ORCID http://orcid.org/0000-0003-4101-1913
Wouter den HollanderDivision of Toxicology, Leiden Academic Centre for Drug Research, Leiden University, 2333 CC, Leiden, The Netherlands.
Giulia CallegaroDivision of Toxicology, Leiden Academic Centre for Drug Research, Leiden University, 2333 CC, Leiden, The Netherlands.
Fiona E MutterMRC Centre for Drug Safety Science, Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, L69 3GE, UK.
James L MaggsMRC Centre for Drug Safety Science, Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, L69 3GE, UK.
Amy L SchofieldMRC Centre for Drug Safety Science, Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, L69 3GE, UK.
Lucille RainbowCentre for Genomic Research, Institute of Integrative Biology, University of Liverpool, Liverpool, L69 7ZB, UK.
Yongxiang FangCentre for Genomic Research, Institute of Integrative Biology, University of Liverpool, Liverpool, L69 7ZB, UK.
Jeffrey J SutherlandLilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN, 46285, USA.
Ewa C EllisLiver Cell Lab, Unit for Transplantation Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska University Hospital Huddinge, 141-86, Stockholm, Sweden.
Magnus Ingelman-SundbergSection of Pharmacogenetics, Department of Physiology and Pharmacology, Karolinska Institute, 171-77, Stockholm, Sweden.
Stephen W FenwickDepartment of Hepatobiliary Surgery, Aintree University Hospital NHS Foundation Trust, Liverpool, L9 7AL, UK.
Christopher E GoldringMRC Centre for Drug Safety Science, Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, L69 3GE, UK.
Bob van de WaterDivision of Toxicology, Leiden Academic Centre for Drug Research, Leiden University, 2333 CC, Leiden, The Netherlands.
James L StevensLilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN, 46285, USA.
B Kevin ParkMRC Centre for Drug Safety Science, Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, L69 3GE, UK.
University of Liverpool · GBLeiden University · NLEli Lilly (United States) · USKarolinska Institutet · SEKarolinska University Hospital · SE

Funding

European Molecular Biology Organization ASTF 398-2013Horizon 2020 681002Innovative Medicines Initiative 116030Innovative Medicines Initiative 777365Medical Research Council G0700654Medical Research Council MR/L006758/1Wellcome TrustWellcome Trust 094128/Z/10/Z
6 · The paper itself

Abstract

The transcription factor NRF2, governed by its repressor KEAP1, protects cells against oxidative stress. There is interest in modelling the NRF2 response to improve the prediction of clinical toxicities such as drug-induced liver injury (DILI). However, very little is known about the makeup of the NRF2 transcriptional network and its response to chemical perturbation in primary human hepatocytes (PHH), which are often used as a translational model for investigating DILI. Here, microarray analysis identified 108 transcripts (including several putative novel NRF2-regulated genes) that were both downregulated by siRNA targeting NRF2 and upregulated by siRNA targeting KEAP1 in PHH. Applying weighted gene co-expression network analysis (WGCNA) to transcriptomic data from the Open TG-GATES toxicogenomics repository (representing PHH exposed to 158 compounds) revealed four co-expressed gene sets or 'modules' enriched for these and other NRF2-associated genes. By classifying the 158 TG-GATES compounds based on published evidence, and employing the four modules as network perturbation metrics, we found that the activation of NRF2 is a very good indicator of the intrinsic biochemical reactivity of a compound (i.e. its propensity to cause direct chemical stress), with relatively high sensitivity, specificity, accuracy and positive/negative predictive values. We also found that NRF2 activation has lower sensitivity for the prediction of clinical DILI risk, although relatively high specificity and positive predictive values indicate that false positive detection rates are likely to be low in this setting. Underpinned by our comprehensive analysis, activation of the NRF2 network is one of several mechanism-based components that can be incorporated into holistic systems toxicology models to improve mechanistic understanding and preclinical prediction of DILI in man.

Indexed as

Cells, CulturedChemical and Drug Induced Liver InjuryGene Expression RegulationGene Regulatory NetworksHepatocytesHumansIsothiocyanatesKelch-Like ECH-Associated Protein 1NF-E2-Related Factor 2Oligonucleotide Array Sequence AnalysisOxidative StressRNA, Small InterferingSulfoxidesIsothiocyanatesKEAP1 protein, humanKelch-Like ECH-Associated Protein 1NFE2L2 protein, humanNF-E2-Related Factor 2RNA, Small InterferingsulforaphaneSulfoxidesDILIKEAP1NFE2L2Oxidative stressWGCNA

Identifiers

PMID30426165
PMCPMC6373176
OpenAlexW2900835839

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Registered trials

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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.