Evidence map›Paper›PMID 31171625›Full record

ArticleGut2019

Glial cell line-derived neurotrophic factor (GDNF) mediates hepatic stellate cell activation via ALK5/Smad signalling.

Le Tao, Wenting Ma, Liu Wu, Mingyi Xu, Yanqin Yang, Wei Zhang, Wenjun Sha, Hongshan Li, Jianrong Xu, Rilu Feng and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Gut, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
3.7field-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

35 citing papers in PubMed, 54 citations in OpenAlex.

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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 6 institutions in 3 countries.

Le Tao *Central Laboratory, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Wenting Ma *Laboratory of Liver Disease, Department of Infectious Disease, PutuoHospital , Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Liu Wu *Laboratory of Liver Disease, Department of Infectious Disease, PutuoHospital , Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Mingyi Xu *Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yanqin YangDepartment of Pathology, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Wei ZhangCentral Laboratory, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Wenjun ShaDepartmentof Endocrinology and Metabolism, PutuoHospital , Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Hongshan LiDepartment of Hepatology, HwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, China.
Jianrong XuDepartment of Pharmacology and Chemical Biology, Faculty of Basic Medicine, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Rilu FengDepartment of Medicine II, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Dongying XueLaboratory of Liver Disease, Department of Infectious Disease, PutuoHospital , Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Jie ZhangLaboratory of Liver Disease, Department of Infectious Disease, PutuoHospital , Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Steven DooleyDepartment of Medicine II, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Ekihiro SekiDivision of Digestive and Liver Diseases, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Ping LiuShanghai University of Traditional Chinese Medicine, Shanghai, China.
Cheng LiuCentral Laboratory, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.ORCID 0000-0002-8741-6169
Shanghai University of Traditional Chinese Medicine · CNHeidelberg University · DEShanghai Jiao Tong University · CNAnhui Medical University · CNCedars-Sinai Medical Center · USUniversity of Chinese Academy of Sciences · CN

Funding

LPS binding to TLR4 regulates hepatic stellate cell activation and fibrosisR01DK085252 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI EKIHIRO SEKI · 2011 to 2026
$4.8M
Role of TLR7 in progression and treatment of alcoholic hepatitisR01AA027036 · NIAAA · CEDARS-SINAI MEDICAL CENTER · PI SEKI, EKIHIRO · 2018 to 2022
$2.1M
NIAAA NIH HHS R01 AA027036NIDDK NIH HHS R01 DK085252
6 · The paper itself

Abstract

objectiveAlthough glial cell line-derived neurotrophic factor (GDNF) is a member of the transforming growth factor-β superfamily, its function in liver fibrosis has rarely been studied. Here, we investigated the role of GDNF in hepatic stellate cell (HSC) activation and liver fibrosis in humans and mice.

designGDNF expression was examined in liver biopsies and sera from patients with liver fibrosis. The functional role of GDNF in liver fibrosis was examined in mice with adenoviral delivery of the GDNF gene, GDNF sgRNA CRISPR/Cas9 and the administration of GDNF-blocking antibodies. GDNF was examined on HSC activation using human and mouse primary HSCs. The binding of activin receptor-like kinase 5 (ALK5) to GDNF was determined using surface plasmon resonance (SPR), molecular docking, mutagenesis and co-immunoprecipitation.

resultsGDNF mRNA and protein levels are significantly upregulated in patients with stage F4 fibrosis. Serum GDNF content correlates positively with α-smooth muscle actin (α-SMA) and Col1A1 mRNA in human fibrotic livers. Mice with overexpressed GDNF display aggravated liver fibrosis, while mice with silenced GDNF expression or signalling inhibition by GDNF-blocking antibodies have reduced fibrosis and HSC activation. GDNF is confined mainly to HSCs and contributes to HSC activation through ALK5 at His

conclusionsGDNF promotes HSC activation and liver fibrosis through ALK5/Smad signalling. Inhibition of GDNF could be a novel therapeutic strategy to combat liver fibrosis.

Indexed as

Gene Expression RegulationAdultAnimalsBiopsyCell LineDisease Models, AnimalFemaleFollow-Up StudiesGlial Cell Line-Derived Neurotrophic FactorHepatic Stellate CellsHumansLiver CirrhosisMaleMiceReceptor, Transforming Growth Factor-beta Type IRetrospective StudiesGlial Cell Line-Derived Neurotrophic FactorReceptor, Transforming Growth Factor-beta Type IRNASmad ProteinsTGFBR1 protein, humanchronic liver diseasehepatic fibrosishepatic stellate cell

Identifiers

PMID31171625
PMCPMC6842044
OpenAlexW2955893995

What OpenQuestion holds

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LicenceCC BY-NC
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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.