Evidence map›Paper›PMID 31881361›Full record

ArticleCellular and molecular gastroenterology and hepatology2020

Increased Glutaminolysis Marks Active Scarring in Nonalcoholic Steatohepatitis Progression.

Kuo Du, Satish K Chitneni, Ayako Suzuki, Ying Wang, Ricardo Henao, Jeongeun Hyun, Richard T Premont, Susanna Naggie, Cynthia A Moylan, Mustafa R Bashir and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cellular and molecular gastroenterology and hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

68 citing papers in PubMed, 97 citations in OpenAlex.

  1. Glutamine metabolism in health and disease.Signal transduction and targeted therapy · 2026
    Review
  2. Review
  3. Article
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  6. The pathogenesis of liver fibrosis in Wilson's disease: hepatocyte injury and regulation mediated by copper metabolism dysregulation.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Biliary atresia-related liver fibrosis.Frontiers in cell and developmental biology · 2026
    Review
  12. Targeting the Glutaminolysis Pathway in Glaucoma-Associated Fibrosis.International journal of molecular sciences · 2025
    Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

8 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 1 institution in 1 country.

Kuo DuDivision of Gastroenterology, Duke University, Durham, North Carolina.
Satish K ChitneniDepartment of Radiology, Duke University, Durham, North Carolina.
Ayako SuzukiDivision of Gastroenterology, Duke University, Durham, North Carolina.
Ying WangDivision of Gastroenterology, Duke University, Durham, North Carolina.
Ricardo HenaoDepartment of Electrical and Computer Engineering, Duke University, Durham, North Carolina.
Jeongeun HyunDivision of Gastroenterology, Duke University, Durham, North Carolina.
Richard T PremontDivision of Gastroenterology, Duke University, Durham, North Carolina.
Susanna NaggieDivision of Infectious Diseases, Department of Medicine, Duke University, Durham, North Carolina.
Cynthia A MoylanDivision of Gastroenterology, Duke University, Durham, North Carolina.
Mustafa R BashirDivision of Gastroenterology, Duke University, Durham, North Carolina; Department of Radiology, Duke University, Durham, North Carolina; Center for Advanced Magnetic Resonance Development, Duke University, Durham, North Carolina.
Manal F AbdelmalekDivision of Gastroenterology, Duke University, Durham, North Carolina.
Anna Mae DiehlDivision of Gastroenterology, Duke University, Durham, North Carolina. Electronic address: annamae.diehl@duke.edu.
Duke University · US

Funding

Hedgehog Signaling and Adult Liver RegenerationR01DK077794 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2008 to 2020
$4.6M
TNF Alpha and Recovery from Alchoholic Liver InjuryR37AA010154 · NIAAA · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2009 to 2018
$3.8M
Prediction and Prevention of Hepatic Decompensation in Patients with CirrhosisU01DK130177 · NIDDK · DUKE UNIVERSITY · PI MATTHEW R. KAPPUS, Cynthia A Moylan · 2021 to 2026
$2.0M
Pathogenesis of NASH CirrhosisR56DK106633 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2015 to 2015
$278k
NIAAA NIH HHS R37 AA010154NIDDK NIH HHS R01 DK077794NIDDK NIH HHS R56 DK106633NIDDK NIH HHS U01 DK130177
6 · The paper itself

Abstract

BACKGROUND &

aimsNonalcoholic steatohepatitis (NASH) occurs in the context of aberrant metabolism. Glutaminolysis is required for metabolic reprograming of hepatic stellate cells (HSCs) and liver fibrogenesis in mice. However, it is unclear how changes in HSC glutamine metabolism contribute to net changes in hepatic glutaminolytic activity during fibrosis progression, or whether this could be used to track fibrogenic activity in NASH. We postulated that increased HSC glutaminolysis marks active scarring in NASH.

methodsGlutaminolysis was assessed in mouse NASH fibrosis models and in NASH patients. Serum and liver levels of glutamine and glutamate and hepatic expression of glutamine transporter/metabolic enzymes were correlated with each other and with fibrosis severity. Glutaminolysis was disrupted in HSCs to examine if this directly influenced fibrogenesis.

resultsThe serum glutamate/glutamine ratio increased and correlated with its hepatic ratio, myofibroblast content, and fibrosis severity. Healthy livers almost exclusively expressed liver-type glutaminase (Gls2); Gls2 protein localized in zone 1 hepatocytes, whereas glutamine synthase was restricted to zone 3 hepatocytes. In fibrotic livers, Gls2 levels reduced and glutamine synthase zonality was lost, but both Slc1a5 (glutamine transporter) and kidney-type Gls1 were up-regulated; Gls1 protein was restricted to stromal cells and accumulated in fibrotic septa. Hepatocytes did not compensate for decreased Gls2 by inducing Gls1. Limiting glutamine or directly inhibiting GLS1 inhibited growth and fibrogenic activity in cultured human HSCs. Compared with healthy livers, fibrotic livers were

conclusionsGlutaminolysis is a potential diagnostic marker and therapeutic target during NASH fibrosis progression.

Indexed as

AdultAmino Acid Transport System ASCAnimalsBiomarkersCell LineCicatrixDisease Models, AnimalDisease ProgressionFemaleGlutaminaseGlutamineHepatic Stellate CellsHumansLiverLiver CirrhosisMaleAmino Acid Transport System ASCBiomarkersGLS1 protein, mouseGLS2 protein, humanGls2 protein, mouseGLS protein, humanGlutaminaseGlutamineMinor Histocompatibility AntigensSLC1A5 protein, humanSlc1a5 protein, mouseAmino AcidBiomarkerLiver DiseasesMetabolomics

Identifiers

PMID31881361
PMCPMC7215180
OpenAlexW2996767769

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.