Evidence map›Paper›PMID 31561561›Full record

ArticleCells2019

TGR5 Activation Modulates an Inhibitory Effect on Liver Fibrosis Development Mediated by Anagliptin in Diabetic Rats.

Daisuke Kaya, Kosuke Kaji, Yuki Tsuji, Satoko Yamashita, Koh Kitagawa, Takahiro Ozutsumi, Yukihisa Fujinaga, Hiroaki Takaya, Hideto Kawaratani, Kei Moriya and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cells, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 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

13 authors at 2 institutions in 1 country.

Daisuke KayaThird Department of Internal Medicine, Nara Medical University, Kashihara, Nara 634-8521, Japan. kayad@naramed-u.ac.jp.
Kosuke KajiThird Department of Internal Medicine, Nara Medical University, Kashihara, Nara 634-8521, Japan. kajik@naramed-u.ac.jp.
Yuki TsujiThird Department of Internal Medicine, Nara Medical University, Kashihara, Nara 634-8521, Japan. tsujih@naramed-u.ac.jp.
Satoko YamashitaSanwa Kagaku Kenkyusho, Co., Ltd., Nagoya, Aichi 461-8631, Japan. s_yamashita@skk-net.com.
Koh KitagawaThird Department of Internal Medicine, Nara Medical University, Kashihara, Nara 634-8521, Japan. kitagawa@naramed-u.ac.jp.
Takahiro OzutsumiThird Department of Internal Medicine, Nara Medical University, Kashihara, Nara 634-8521, Japan. ozutaka@naramed-u.ac.jp.
Yukihisa FujinagaThird Department of Internal Medicine, Nara Medical University, Kashihara, Nara 634-8521, Japan. fujinaga@naramed-u.ac.jp.
Hiroaki TakayaThird Department of Internal Medicine, Nara Medical University, Kashihara, Nara 634-8521, Japan. htky@naramed-u.ac.jp.
Hideto KawarataniThird Department of Internal Medicine, Nara Medical University, Kashihara, Nara 634-8521, Japan. kawara@naramed-u.ac.jp.ORCID 0000-0002-4361-0592
Kei MoriyaThird Department of Internal Medicine, Nara Medical University, Kashihara, Nara 634-8521, Japan. moriyak@naramed-u.ac.jp.
Tadashi NamisakiThird Department of Internal Medicine, Nara Medical University, Kashihara, Nara 634-8521, Japan. tadashin@naramed-u.ac.jp.
Takemi AkahaneThird Department of Internal Medicine, Nara Medical University, Kashihara, Nara 634-8521, Japan. stakemi@naramed-u.ac.jp.
Hitoshi YoshijiThird Department of Internal Medicine, Nara Medical University, Kashihara, Nara 634-8521, Japan. yoshijih@naramed-u.ac.jp.
Nara Medical University · JPRiso Kagaku (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hyperglycemia and hyperinsulinemia activate the proliferative potential of hepatic stellate cells (HSCs) and promote hepatic fibrosis. Dipeptidyl peptidase-4 (DPP-4) inhibitors, antidiabetic agents, reportedly inhibit the HSC proliferation. Additionally, Takeda G protein-coupled receptor 5 (TGR5) agonists induce the systemic release of glucagon-like peptides from intestinal L cells, which maintains glycemic homeostasis. This study assessed the combined effect of TGR5 agonist and DPP-4 inhibitor on diabetes-based liver fibrosis development. Male diabetic rats received intraperitoneal injection of porcine serum (PS) to induce liver fibrosis, and they were orally administered the following agents: oleanolic acid (OA) as a TGR5 agonist, anagliptin (ANA) as a DPP-4 inhibitor, and a combination of both agents. Treatment with OA or ANA significantly improved glycemic status and attenuated intrahepatic steatosis and lipid peroxidation in diabetic rats. PS-induced liver fibrosis development was also drastically suppressed by treatment with either agent, and the combination of both reciprocally enhanced the antifibrotic effect. Fecal microbiome demonstrated that both agents inhibited the increase in the Firmicutes/Bacteroidetes ratio, an indicator of dysbiosis related to metabolic syndromes. Furthermore, ANA directly inhibited in vitro HSC proliferative and profibrogenic activities. Collectively, TGR5 agonist and DPP-4 inhibitor appears to be a novel strategy against liver fibrosis under diabetic conditions.

Indexed as

Administration, OralAnimalsCell LineDiabetes Mellitus, ExperimentalDipeptidyl Peptidase 4Disease Models, AnimalDrug SynergismDysbiosisFecesHumansLipid PeroxidationLiver CirrhosisMaleOleanolic AcidPyrimidinesRatsanagliptinDipeptidyl Peptidase 4DPP4 protein, ratGpbar1 protein, ratOleanolic AcidPyrimidinesReceptors, G-Protein-Coupleddipeptidyl peptidase-4 inhibitorshepatic stellate cellsoleanolic acidTakeda G protein-coupled receptor 5

Identifiers

PMID31561561
PMCPMC6829474
OpenAlexW2975362642

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.