Evidence map›Paper›PMID 31562906›Full record

ArticleJournal of hepatology2020

Coordinated development of the mouse extrahepatic bile duct: Implications for neonatal susceptibility to biliary injury.

Gauri Khandekar, Jessica Llewellyn, Alyssa Kriegermeier, Orith Waisbourd-Zinman, Nicolette Johnson, Yu Du, Roquibat Giwa, Xiao Liu, Tatiana Kisseleva, Pierre A Russo and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Genetic background and biliary atresia.World journal of pediatric surgery · 2025
    Review
  4. Biliary atresia.Nature reviews. Disease primers · 2024
    Review
  5. Article
  6. Contribution ofInternational journal of molecular sciences · 2023
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. In Utero Extrahepatic Bile Duct Damage and Repair: Implications for Biliary Atresia.Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
    Review
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 2 countries.

Gauri KhandekarDivision of Gastroenterology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Jessica LlewellynDivision of Gastroenterology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Alyssa KriegermeierDivision of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Orith Waisbourd-ZinmanDivision of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA, United States; Schneider Children's Hospital, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Nicolette JohnsonCell and Molecular Biology Graduate Group, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Yu DuDivision of Gastroenterology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Roquibat GiwaDivision of Gastroenterology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Xiao LiuDepartment of Surgery University of California, San Diego, La Jolla, CA, United States.
Tatiana KisselevaDepartment of Surgery University of California, San Diego, La Jolla, CA, United States.
Pierre A RussoDepartment of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Neil D TheiseDepartment of Pathology, New York University School of Medicine, New York, NY, United States.
Rebecca G WellsDivision of Gastroenterology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States; Department of Bioengineering, School of Engineering and Applied Sciences, The University of Pennsylvania, Philadelphia, PA, United States; Department of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States; Center for Engineering MechanoBiology, The University of Pennsylvania, Philadelphia, PA, United States. Electronic address: rgwells@pennmedicine.upenn.edu.
University of Pennsylvania · USChildren's Hospital of Philadelphia · USUniversity of California San Diego · USNew York University · US

Funding

TRANSGENIC AND CHIMERIC MOUSE COREP30DK050306 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI Ken Hashigiwa Cadwell · 1997 to 2026
$32.5M
NRSA Training CoreTL1TR001880 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$10.0M
The Role of Portal Fibroblasts in Cholestatic Liver FibrosisR01DK101737 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KISSELEVA, TATIANA · 2014 to 2025
$3.8M
Injury, Progression, and Fibrosis of the Extrahepatic Bile DuctR01DK119290 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI REBECCA G WELLS · 2019 to 2026
$2.9M
Training Program in the Genetic Basis of Pediatric Gastrointestinal DisordersT32DK101371 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI ROBERT O HEUCKEROTH, Judith Rachel Kelsen · 2014 to 2026
$2.5M
Isolation, Identification and Characterization of a Toxin Causing Biliary AtresiaR01DK092111 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI PACK, MICHAEL A, WELLS, REBECCA G · 2011 to 2014
$2.2M
The Role of IL-17 in Alcoholic Liver Disease and CancerU01AA022614 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KARIN, MICHAEL, KISSELEVA, TATIANA · 2014 to 2018
$1.8M
Fibrocytes regulate liver fibrosisR01DK111866 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KISSELEVA, TATIANA · 2017 to 2020
$1.4M
Building Enhanced Capability for the PennVet Multiphoton CoreS10OD021633 · OD · UNIVERSITY OF PENNSYLVANIA · PI FREEDMAN, BRUCE D · 2016 to 2016
$600k
Isolation, Identification and Characterization of a Toxin Causing Biliary AtresiaR56DK092111 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI PACK, MICHAEL A, PORTER, JOHN R · 2015 to 2015
$448k
Injury, progression, and fibrosis of the extrahepatic bile ductR56DK119290 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI WELLS, REBECCA G · 2018 to 2018
$403k
NCATS NIH HHS TL1 TR001880NIAAA NIH HHS U01 AA022614NIDDK NIH HHS P30 DK050306NIDDK NIH HHS R01 DK092111NIDDK NIH HHS R01 DK101737NIDDK NIH HHS R01 DK111866NIDDK NIH HHS R01 DK119290NIDDK NIH HHS R56 DK092111NIDDK NIH HHS R56 DK119290NIDDK NIH HHS T32 DK101371NIH HHS S10 OD021633
6 · The paper itself

Abstract

BACKGROUND &

aimsThe extrahepatic bile duct is the primary tissue initially affected by biliary atresia. Biliary atresia is a cholangiopathy which exclusively affects neonates. Current animal models suggest that the developing bile duct is uniquely susceptible to damage. In this study, we aimed to define the anatomical and functional differences between the neonatal and adult mouse extrahepatic bile ducts.

methodsWe studied mouse passaged cholangiocytes, mouse BALB/c neonatal and adult primary cholangiocytes, as well as isolated extrahepatic bile ducts, and a collagen reporter mouse. The methods used included transmission electron microscopy, lectin staining, immunostaining, rhodamine uptake assays, bile acid toxicity assays, and in vitro modeling of the matrix.

resultsThe cholangiocyte monolayer of the neonatal extrahepatic bile duct was immature, lacking the uniform apical glycocalyx and mature cell-cell junctions typical of adult cholangiocytes. Functional studies showed that the glycocalyx protected against bile acid injury and that neonatal cholangiocyte monolayers were more permeable than adult monolayers. In adult ducts, the submucosal space was filled with collagen I, elastin, hyaluronic acid, and proteoglycans. In contrast, the neonatal submucosa had little collagen I and elastin, although both increased rapidly after birth. In vitro modeling of the matrix suggested that the composition of the neonatal submucosa relative to the adult submucosa led to increased diffusion of bile. A Col-GFP reporter mouse showed that cells in the neonatal but not adult submucosa were actively producing collagen.

conclusionWe identified 4 key differences between the neonatal and adult extrahepatic bile duct. We showed that these features may have functional implications, suggesting the neonatal extrahepatic bile ducts are particularly susceptible to injury and fibrosis. LAY SUMMARY: Biliary atresia is a disease that affects newborns and is characterized by extrahepatic bile duct injury and obstruction, resulting in liver injury. We identify 4 key differences between the epithelial and submucosal layers of the neonatal and adult extrahepatic bile duct and show that these may render the neonatal duct particularly susceptible to injury.

Indexed as

AnimalsAnimals, NewbornBile Ducts, ExtrahepaticBiliary AtresiaCells, CulturedCell SurvivalCollagen Type ICollagen Type I, alpha 1 ChainDisease Models, AnimalElastinEpithelial CellsFemaleGreen Fluorescent ProteinsHumansHyaluronic AcidImmunohistochemistryCollagen Type ICollagen Type I, alpha 1 ChainElastinGreen Fluorescent ProteinsHyaluronic AcidProteoglycansBiliary atresiaFibrogenesisGlycocalyxLectinSubmucosa

Identifiers

PMID31562906
PMCPMC7079197
OpenAlexW2975888562

What OpenQuestion holds

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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.