Evidence map›Paper›PMID 31209199›Full record

ArticleCell death & disease2019

Hepatic ferroptosis plays an important role as the trigger for initiating inflammation in nonalcoholic steatohepatitis.

Shinya Tsurusaki, Yuichi Tsuchiya, Tomoko Koumura, Misaki Nakasone, Taro Sakamoto, Masaki Matsuoka, Hirotaka Imai, Cindy Yuet-Yin Kok, Hitoshi Okochi, Hiroyasu Nakano and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 297 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
297citing papers in PubMed, 1 pooled it
31.1field-weighted citation impact, top 1% 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

297 citing papers in PubMed, 1 synthesis or guideline pooled it, 492 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Ferroptosis in liver biology and diseases.Hepatology communications · 2026
    Review
  4. Article
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  6. Review
  7. Sinomenine protects mice againstMicrobiology spectrum · 2026
    Article
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237 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

12 authors at 4 institutions in 3 countries.

Shinya TsurusakiDepartment of Regenerative Medicine, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan.
Yuichi TsuchiyaDepartment of Biochemistry, Toho University School of Medicine, Tokyo, Japan.
Tomoko KoumuraSchool of Pharmaceutical Sciences, Kitasato University, Tokyo, Japan.
Misaki NakasoneSchool of Pharmaceutical Sciences, Kitasato University, Tokyo, Japan.
Taro SakamotoSchool of Pharmaceutical Sciences, Kitasato University, Tokyo, Japan.
Masaki MatsuokaSchool of Pharmaceutical Sciences, Kitasato University, Tokyo, Japan.
Hirotaka ImaiSchool of Pharmaceutical Sciences, Kitasato University, Tokyo, Japan.
Cindy Yuet-Yin KokDepartment of Regenerative Medicine, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0003-3086-7097
Hitoshi OkochiDepartment of Regenerative Medicine, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan.
Hiroyasu NakanoDepartment of Biochemistry, Toho University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0003-4843-1427
Atsushi MiyajimaLaboratory of Stem Cell Therapy, Institute for Quantitative Biosciences, The University of Tokyo, Tokyo, Japan.
Minoru TanakaDepartment of Regenerative Medicine, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan. m-tanaka@ri.ncgm.go.jp.
Kitasato University · JPNational Center for Global Health and Medicine · JPToho University · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonalcoholic steatohepatitis (NASH) is a metabolic liver disease that progresses from simple steatosis to the disease state of inflammation and fibrosis. Previous studies suggest that apoptosis and necroptosis may contribute to the pathogenesis of NASH, based on several murine models. However, the mechanisms underlying the transition of simple steatosis to steatohepatitis remain unclear, because it is difficult to identify when and where such cell deaths begin to occur in the pathophysiological process of NASH. In the present study, our aim is to investigate which type of cell death plays a role as the trigger for initiating inflammation in fatty liver. By establishing a simple method of discriminating between apoptosis and necrosis in the liver, we found that necrosis occurred prior to apoptosis at the onset of steatohepatitis in the choline-deficient, ethionine-supplemented (CDE) diet model. To further investigate what type of necrosis is involved in the initial necrotic cell death, we examined the effect of necroptosis and ferroptosis inhibition by administering inhibitors to wild-type mice in the CDE diet model. In addition, necroptosis was evaluated using mixed lineage kinase domain-like protein (MLKL) knockout mice, which is lacking in a terminal executor of necroptosis. Consequently, necroptosis inhibition failed to block the onset of necrotic cell death, while ferroptosis inhibition protected hepatocytes from necrotic death almost completely, and suppressed the subsequent infiltration of immune cells and inflammatory reaction. Furthermore, the amount of oxidized phosphatidylethanolamine, which is involved in ferroptosis pathway, was increased in the liver sample of the CDE diet-fed mice. These findings suggest that hepatic ferroptosis plays an important role as the trigger for initiating inflammation in steatohepatitis and may be a therapeutic target for preventing the onset of steatohepatitis.

Indexed as

FerroptosisAnimalsApoptosisCarbon TetrachlorideChromansCytokinesDietEthionineHepatitisHepatocytesIron Chelating AgentsLiverMaleMiceMice, Inbred C57BLMice, Knockout6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acidCarbon TetrachlorideChromansCytokinesEthionineIron Chelating Agents

Identifiers

PMID31209199
PMCPMC6579767
OpenAlexW2952112680

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.