Evidence map›Paper›PMID 30895273›Full record

ArticleJournal of clinical and translational research2018

FXR agonism protects against liver injury in a rat model of intestinal failure-associated liver disease.

Kiran V K Koelfat, Ruben G J Visschers, Caroline M J M Hodin, D Rudi de Waart, Wim G van Gemert, Jack P M Cleutjens, Marion J Gijbels, Ronit Shiri-Sverdlov, Rajeshwar P Mookerjee, Kaatje Lenaerts and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of clinical and translational research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Fat malabsorption in short bowel syndrome: A review of pathophysiology and management.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2024
    Review
  4. New insights into intestinal failure-associated liver disease in adults: A comprehensive review of the literature.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    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

12 authors at 1 institution in 1 country.

Kiran V K KoelfatDepartment of Surgery, Maastricht University Medical Center, Maastricht University, NUTRIM School of Nutrition and Translational Research in Me-tabolism, Maastricht, the Netherlands.
Ruben G J VisschersDepartment of Surgery, Maastricht University Medical Center, Maastricht University, NUTRIM School of Nutrition and Translational Research in Me-tabolism, Maastricht, the Netherlands.
Caroline M J M HodinDepartment of Surgery, Maastricht University Medical Center, Maastricht University, NUTRIM School of Nutrition and Translational Research in Me-tabolism, Maastricht, the Netherlands.
D Rudi de WaartTytgat Institute for Liver and Intestinal Research, Academic Medical Center, Amsterdam, the Netherlands.
Wim G van GemertDepartment of Surgery, Maastricht University Medical Center, Maastricht University, NUTRIM School of Nutrition and Translational Research in Me-tabolism, Maastricht, the Netherlands.
Jack P M CleutjensDepartment of Pathology, Maastricht University Medical Center, Maastricht, the Netherlands.
Marion J GijbelsDepartment of Pathology, Maastricht University Medical Center, Maastricht, the Netherlands.
Ronit Shiri-SverdlovDepartment of Molecular Genetics, Maastricht University, Maastricht, the Netherlands.
Rajeshwar P MookerjeeInstitute for Liver and Digestive Health, University College London, London, United Kingdom.
Kaatje LenaertsDepartment of Surgery, Maastricht University Medical Center, Maastricht University, NUTRIM School of Nutrition and Translational Research in Me-tabolism, Maastricht, the Netherlands.
Frank G SchaapDepartment of Surgery, Maastricht University Medical Center, Maastricht University, NUTRIM School of Nutrition and Translational Research in Me-tabolism, Maastricht, the Netherlands.
Olde Damink Steven W MDepartment of Surgery, Maastricht University Medical Center, Maastricht University, NUTRIM School of Nutrition and Translational Research in Me-tabolism, Maastricht, the Netherlands.
Maastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntestinal failure-associated liver disease (IFALD) is a clinical challenge. The pathophysiol-ogy is multifactorial and remains poorly understood. Disturbed recirculation of bile salts,

methodsTo study consequences of chronic loss of bile, rats underwent external biliary drainage (EBD) or sham surgery for seven days, and the prophylactic potential of the FXR agonist INT-747 was assessed.

resultsEBD for 7 days resulted in liver test abnormalities and histological liver damage. Expression of the intestinal FXR target gene

conclusionsEBD results in extensive hepatobiliary injury and cholestasis. These data suggest that FXR activation might be a novel therapy in preventing liver dysfunction in patients with intestinal failure. RELEVANCE FOR PATIENTS: This study demonstrates that chronic loss of bile causes liver injury in rats. Abro-gated recycling of bile salts impairing of enterohepatic bile salt/FXR signaling underlies these pathological changes, as administration of FXR agonist INT747 prevents biliary drainage-induced liver damage. Phar-macological activation of FXR might be a therapeutic strategy to treat disorders accompanied by a per-turbed enterohepatic circulation such as intestinal failure-associated liver disease.

Indexed as

bile salt signalingenterocutaneous fistulaenterohepatic cycleFXRintestinal failureliver disease

Identifiers

PMID30895273
PMCPMC6426251
OpenAlexW3000638071

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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.