Evidence map›Paper›PMID 31832977›Full record

ArticleHepatology international2020

Liver organoids reproduce alpha-1 antitrypsin deficiency-related liver disease.

Gema Gómez-Mariano, Nerea Matamala, Selene Martínez, Iago Justo, Alberto Marcacuzco, Carlos Jimenez, Sara Monzón, Isabel Cuesta, Cristina Garfia, María Teresa Martínez and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Hepatology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

39 citing papers in PubMed, 70 citations in OpenAlex.

  1. Review
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  4. Stem cells in organogenesis and regeneration.Stem cell research & therapy · 2026
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  8. [Liver organoid technology and its related progress in liver disease research].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
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  19. Liver organoid culture methods.Cell & bioscience · 2023
    Review
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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

15 authors at 4 institutions in 3 countries.

Gema Gómez-MarianoMolecular Genetics Unit, Institute of Rare Diseases Research, Institute of Health Carlos III (ISCIII), Ctra. Majadahonda-Pozuelo Km2,200, 28220, Madrid, Spain.
Nerea MatamalaMolecular Genetics Unit, Institute of Rare Diseases Research, Institute of Health Carlos III (ISCIII), Ctra. Majadahonda-Pozuelo Km2,200, 28220, Madrid, Spain.
Selene MartínezMolecular Genetics Unit, Institute of Rare Diseases Research, Institute of Health Carlos III (ISCIII), Ctra. Majadahonda-Pozuelo Km2,200, 28220, Madrid, Spain.
Iago JustoGeneral and Digestive Surgery Department, Hospital Doce de Octubre, Madrid, Spain.
Alberto MarcacuzcoGeneral and Digestive Surgery Department, Hospital Doce de Octubre, Madrid, Spain.
Carlos JimenezGeneral and Digestive Surgery Department, Hospital Doce de Octubre, Madrid, Spain.
Sara MonzónBioinformatics Unit, Institute of Health Carlos III (ISCIII), Madrid, Spain.
Isabel CuestaBioinformatics Unit, Institute of Health Carlos III (ISCIII), Madrid, Spain.
Cristina GarfiaDigestive Department, Hospital Doce de Octubre, Madrid, Spain.
María Teresa MartínezNeumology Department, Hospital Doce de Octubre, Madrid, Spain.
Meritxell HuchWellcome Trust-Medical Research Council Stem Cell Institute, University of Cambridge, Cambridge, UK.
Ignacio Pérez de CastroGene Therapy Unit, Institute of Rare Diseases Research, Institute of Health Carlos III (ISCIII), Madrid, Spain.
Manuel PosadaInstitute of Rare Diseases Research, Institute of Health Carlos III (ISCIII), Centre for Biomedical Network Research on Rare Diseases, CIBERER, Madrid, Spain.
Sabina JanciauskieneDepartment of Respiratory Medicine, German Centre for Lung Research (DZL), Hannover Medical School, Hannover, Germany.
Beatriz Martínez-DelgadoMolecular Genetics Unit, Institute of Rare Diseases Research, Institute of Health Carlos III (ISCIII), Ctra. Majadahonda-Pozuelo Km2,200, 28220, Madrid, Spain. bmartinezd@isciii.es.ORCID http://orcid.org/0000-0001-6834-350X
Instituto de Salud Carlos III · ESHospital Universitario 12 De Octubre · ESMedizinische Hochschule Hannover · DEWellcome/MRC Cambridge Stem Cell Institute · GB

Funding

Instituto de Salud Carlos III AESI PI17CIII/00042Instituto de Salud Carlos III DTS17CIII/00007Medical Research Council MC_PC_12009
6 · The paper itself

Abstract

BACKGROUND AND

aimsAlpha-1 antitrypsin (AAT) is a product of SERPINA1 gene mainly expressed by hepatocytes. Clinically relevant mutations in the SERPINA1 gene, such as Z (Glu342Lys), results in an expression of misfolded AAT protein having high propensity to polymerize, accumulate in hepatocytes and thus to enhance a risk for hepatocyte damage and subsequent liver disease. So far, the relationship between the Z-AAT accumulation and liver cell damage remains not completely understood. We present three-dimensional organoid culture systems, as a novel tool for modeling Z-AAT-related liver diseases.

methodsWe have established liver organoids from liver biopsies of patients with homozygous (ZZ) and heterozygous (MZ) deficiency and normal (MM) genotypes of AAT. The features of these organoid models were characterized by analyzing AAT protein secretion and intracellular aggregation in MZ and ZZ genotypes as well as SERPINA1 expression in differentiated cultures.

resultsTranscriptional analysis of differentiated organoid cultures by RNA-Seq showed hepatocyte-specific gene expression profile. Genes, such as ALB, APOB, CYP3A4 and SERPINA1, were validated and confirmed through quantitative-PCR analysis. The organoids from MZ and ZZ cases showed intracellular aggregation and lower secretion of AAT protein, and lower expression of ALB and APOB, as typically seen in hepatocytes from Z-AAT deficiency patients. Furthermore, organoids responded to external stimulus. Treatment with oncostatin M, a well-known inducer of SERPINA1, increased expression of the full-length transcripts (AAT-1C) as well as the short transcript of AAT (AAT-ST1C4).

conclusionsLiver organoid model recapitulates the key features of Z-AAT deficiency and provides a useful tool for disease modeling.

Indexed as

alpha 1-Antitrypsin DeficiencyLiver CirrhosisModels, TheoreticalOrganoidsalpha 1-AntitrypsinHumansalpha 1-AntitrypsinAlpha-1 antitrypsin deficiencyLiverOncostatin MOrganoidsRNA-seqSERPINA1

Identifiers

PMID31832977
PMCPMC6994530
OpenAlexW2996327684

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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.