Evidence map›Paper›PMID 30979951›Full record

ArticleScientific reports2019

HMGB1 is a Central Driver of Dynamic Pro-inflammatory Networks in Pediatric Acute Liver Failure induced by Acetaminophen.

Ruben Zamora, Derek Barclay, Jinling Yin, Estella M Alonso, Mike A Leonis, Qi Mi, Timothy R Billiar, Richard L Simmons, Robert H Squires, Yoram Vodovotz

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.3field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Emerging Roles of High-mobility Group Box-1 in Liver Disease.Journal of clinical and translational hepatology · 2024
    Review
  3. Article
  4. Article
  5. Observational
  6. Role of High-Mobility Group Box-1 in Liver Pathogenesis.International journal of molecular sciences · 2019
    Review
  7. High mobility group box-1 release from HWorld journal of gastroenterology · 2019
    Article
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

10 authors at 3 institutions in 1 country.

Ruben ZamoraDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, 15213, USA.
Derek BarclayDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, 15213, USA.
Jinling YinDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, 15213, USA.
Estella M AlonsoAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, 60611, USA.
Mike A LeonisDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, 35233, USA.
Qi MiDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, 15213, USA.
Timothy R BilliarDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, 15213, USA.
Richard L SimmonsDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, 15213, USA.
Robert H SquiresDepartment of Pediatrics, University of Pittsburgh, Pittsburgh, PA, 15213, USA.
Yoram VodovotzDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, 15213, USA. vodovotzy@upmc.edu.ORCID http://orcid.org/0000-0002-4389-8768
University of Pittsburgh · USLurie Children's Hospital · USUniversity of Alabama at Birmingham · US

Funding

Multi-Center Group to Study Acute Liver Failure in ChildU01DK072146 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SQUIRES, ROBERT H · 2005 to 2014
$23.2M
NIDDK NIH HHS U01 DK072146
6 · The paper itself

Abstract

Acetaminophen (APAP) overdose (APAPo) is predominant in the NIH Pediatric Acute Liver Failure (PALF) Study. We assayed multiple inflammatory mediators in serial serum samples from 13 PALF survivors with APAPo + N-acetylcysteine (NAC, the frontline therapy for APAPo), 8 non-APAPo + NAC, 40 non-APAPo non-NAC, and 12 non-survivors. High Mobility Group Box 1 (HMGB1) was a dominant mediator in dynamic inflammation networks in all sub-groups, associated with a threshold network complexity event at d1-2 following enrollment that was exceeded in non-survivors vs. survivors. We thus hypothesized that differential HMGB1 network connectivity after day 2 is related to the putative threshold event in non-survivors. DyNA showed that HMGB1 is most connected in non-survivors on day 2-3, while no connections were observed in APAPo + NAC and non-APAPo + NAC survivors. Inflammatory dynamic networks, and in particular HMGB1 connectivity, were associated with the use of NAC in the context of APAPo. To recapitulate hepatocyte (HC) damage in vitro, primary C57BL/6 HC and HC-specific HMGB1-null HC were treated with APAP + NAC. Network phenotypes of survivors were recapitulated in C57BL/6 mouse HC and were greatly altered in HMGB1-null HC. HC HMGB1 may thus coordinate a pro-inflammatory program in PALF non-survivors (which is antagonized by NAC), while driving an anti-inflammatory/repair program in survivors.

Indexed as

AcetaminophenAdolescentAnalgesics, Non-NarcoticAnimalsBiomarkersChemical and Drug Induced Liver InjuryChildChild, PreschoolCohort StudiesDrug OverdoseHepatocytesHMGB1 ProteinHumansInfantInflammationLiver Failure, AcuteAcetaminophenAnalgesics, Non-NarcoticBiomarkersHMGB1 ProteinHMGB1 protein, humanHMGB1 protein, mouse

Identifiers

PMID30979951
PMCPMC6461628
OpenAlexW2938842463

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.