Evidence map›Paper›PMID 31196960›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2019

Up-regulation of FOXO1 and reduced inflammation by β-hydroxybutyric acid are essential diet restriction benefits against liver injury.

Tomoyuki Miyauchi, Yoichiro Uchida, Kentaro Kadono, Hirofumi Hirao, Junya Kawasoe, Takeshi Watanabe, Shugo Ueda, Hideaki Okajima, Hiroaki Terajima, Shinji Uemoto

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
7.3field-weighted citation impact, top 2% 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

73 citing papers in PubMed, 118 citations in OpenAlex.

  1. Article
  2. The Role of Gut Microbiota in Liver Regeneration After Partial Hepatectomy: New Evidence From Animal and Human Studies.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Review
  3. Article
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  6. Notch2 Directs aTreg Cell Fate Toward Immunoregulation or Inflammatory Pyroptosis.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Acta pharmaceutica Sinica. B · 2025
    Article
  11. Review
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  13. Article
  14. Article
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  16. Article
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  19. Review
  20. Developing poly(ethylene glycol)-Science and technology of advanced materials · 2024
    Article

13 more citing papers are in PubMed but not listed here.

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 2 institutions in 1 country.

Tomoyuki MiyauchiDivision of Hepato-Pancreato-Biliary and Transplantation Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, 606-8501 Kyoto, Japan.
Yoichiro UchidaDivision of Hepato-Pancreato-Biliary and Transplantation Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, 606-8501 Kyoto, Japan; uchiday@kuhp.kyoto-u.ac.jp.ORCID 0000-0003-2266-7722
Kentaro KadonoDivision of Hepato-Pancreato-Biliary and Transplantation Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, 606-8501 Kyoto, Japan.
Hirofumi HiraoDivision of Hepato-Pancreato-Biliary and Transplantation Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, 606-8501 Kyoto, Japan.
Junya KawasoeDivision of Hepato-Pancreato-Biliary and Transplantation Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, 606-8501 Kyoto, Japan.
Takeshi WatanabeThe Tazuke Kofukai Medical Research Institute, Kitano Hospital, 530-8480 Osaka, Japan.
Shugo UedaDepartment of Gastroenterological Surgery and Oncology, The Tazuke Kofukai Medical Research Institute, Kitano Hospital, 530-8480 Osaka, Japan.
Hideaki OkajimaDivision of Hepato-Pancreato-Biliary and Transplantation Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, 606-8501 Kyoto, Japan.
Hiroaki TerajimaDivision of Hepato-Pancreato-Biliary and Transplantation Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, 606-8501 Kyoto, Japan.
Shinji UemotoDivision of Hepato-Pancreato-Biliary and Transplantation Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, 606-8501 Kyoto, Japan.
Kyoto University · JPKitano Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver ischemia and reperfusion injury (IRI) is a major challenge in liver surgery. Diet restriction reduces liver damage by increasing stress resistance; however, the underlying molecular mechanisms remain unclear. We investigated the preventive effect of 12-h fasting on mouse liver IRI. Partial warm hepatic IRI model in wild-type male C57BL/6 mice was used. The control ischemia and reperfusion (IR) group of mice was given food and water ad libitum, while the fasting IR group was given water but not food for 12 h before ischemic insult. In 12-h fasting mice, serum liver-derived enzyme level and tissue damages due to IR were strongly suppressed. Serum β-hydroxybutyric acid (BHB) was significantly raised before ischemia and during reperfusion. Up-regulated BHB induced an increment in the expression of FOXO1 transcription factor by raising the level of acetylated histone. Antioxidative enzyme heme oxigenase 1 (HO-1), a target gene of FOXO1, then increased. Autophagy activity was also enhanced. Serum high-mobility group box 1 was remarkably lowered by the 12-h fasting, and activation of NF-κB and NLRP3 inflammasome was suppressed. Consequently, inflammatory cytokine production and liver injury were reduced. Exogenous BHB administration or histone deacetylase inhibitor administration into the control fed mice ameliorated liver IRI, while FOXO1 inhibitor administration to the 12-h fasting group exacerbated liver IRI. The 12-h fasting exerted beneficial effects on the prevention of liver IRI by increasing BHB, thus up-regulating FOXO1 and HO-1, and by reducing the inflammatory responses and apoptotic cell death via the down-regulation of NF-κB and NLRP3 inflammasome.

Indexed as

Fasting3-Hydroxybutyric AcidAnimalsForkhead Box Protein O1InflammationLiverLiver DiseasesMaleMiceMice, Inbred C57BLNF-kappa BNLR Family, Pyrin Domain-Containing 3 ProteinOxidative StressReperfusion InjuryUp-Regulation3-Hydroxybutyric AcidForkhead Box Protein O1Foxo1 protein, mouseNF-kappa BNLR Family, Pyrin Domain-Containing 3 ProteinNlrp3 protein, mousefastingFOXO1ischemia and reperfusion injuryβ-hydroxybutyric acid

Identifiers

PMID31196960
PMCPMC6613133
OpenAlexW2952520583

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.