Evidence map›Paper›PMID 31945016›Full record

ArticleThe Journal of clinical investigation2020

Epithelial splicing regulatory protein 2-mediated alternative splicing reprograms hepatocytes in severe alcoholic hepatitis.

Jeongeun Hyun, Zhaoli Sun, Ali Reza Ahmadi, Sushant Bangru, Ullas V Chembazhi, Kuo Du, Tianyi Chen, Hidekazu Tsukamoto, Ivan Rusyn, Auinash Kalsotra and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
6.8field-weighted citation impact, top 2% 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

49 citing papers in PubMed, 77 citations in OpenAlex.

  1. Autophagy in the liver.Autophagy reports · 2026
    Review
  2. Review
  3. Review
  4. Article
  5. Identification of an IRF-ZBP1-caspase-8-NINJ1 axis in driving PANoptosis and pathology during alcohol-associated liver disease.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Alcohol-associated liver disease.The Journal of clinical investigation · 2024
    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

11 authors at 7 institutions in 2 countries.

Jeongeun HyunDepartment of Medicine, Duke University Health System, Durham, North Carolina, USA.
Zhaoli SunDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Ali Reza AhmadiDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Sushant BangruDepartment of Biochemistry, School of Molecular and Cellular Biology, and.
Ullas V ChembazhiDepartment of Biochemistry, School of Molecular and Cellular Biology, and.
Kuo DuDepartment of Medicine, Duke University Health System, Durham, North Carolina, USA.
Tianyi ChenDepartment of Molecular Genetics and Microbiology, Duke University, Durham, North Carolina, USA.
Hidekazu TsukamotoSouthern California Research Center for ALPD and Cirrhosis and Department of Pathology, Keck School of Medicine, University of Southern California, Los Angeles, USA.
Ivan RusynDepartment of Veterinary Integrative Biosciences, Texas A&M University, College Station, Texas, USA.
Auinash KalsotraDepartment of Biochemistry, School of Molecular and Cellular Biology, and.
Anna Mae DiehlDepartment of Medicine, Duke University Health System, Durham, North Carolina, USA.
Duke University · USDuke University Health System · USJohns Hopkins University · USUniversity of Illinois Urbana-Champaign · USCellular Research (United States) · USTexas A&M University · USUniversity of Southern California · US

Funding

Clinical Resources for Alcoholic Hepatitis InvestigationsR24AA025017 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI ZHAOLI SUN · 2016 to 2026
$6.6M
TNF ALPHA AND RECOVERY FROM ALCOHOLIC LIVER INJURYR01AA010154 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI ANNA MAE ELIZABETH DIEHL, Auinash Kalsotra · 1994 to 2026
$6.1M
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
Post-transcriptional mechanisms of gene regulation in cardiac cell growth and developmentR01HL126845 · NHLBI · UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN · PI KALSOTRA, AUINASH · 2015 to 2023
$3.5M
Tissue microenvironment (TIMe) training programT32EB019944 · NIBIB · UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN · PI BHARGAVA, ROHIT, GASKINS, REX · 2016 to 2025
$1.9M
Pathogenesis of NASH CirrhosisR56DK106633 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2015 to 2015
$278k
NHLBI NIH HHS R01 HL126845NIAAA NIH HHS R01 AA010154NIAAA NIH HHS R24 AA025017NIAAA NIH HHS R37 AA010154NIBIB NIH HHS T32 EB019944NIDDK NIH HHS R01 DK077794NIDDK NIH HHS R56 DK106633
6 · The paper itself

Abstract

Severe alcoholic hepatitis (SAH) is a deadly liver disease without an effective medical therapy. Although SAH mortality is known to correlate with hepatic accumulation of immature liver cells, why this occurs and how it causes death are unclear. Here, we demonstrate that expression of epithelial splicing regulatory protein 2 (ESRP2), an RNA-splicing factor that maintains the nonproliferative, mature phenotype of adult hepatocytes, was suppressed in both human SAH and various mouse models of SAH in parallel with the severity of alcohol consumption and liver damage. Inflammatory cytokines released by excessive alcohol ingestion reprogrammed adult hepatocytes into proliferative, fetal-like cells by suppressing ESRP2. Sustained loss of ESRP2 permitted reemergence of a fetal RNA-splicing program that attenuates the Hippo signaling pathway and thus allows fetal transcriptional regulators to accumulate in adult liver. We further showed that depleting ESRP2 in mice exacerbated alcohol-induced steatohepatitis, enabling surviving hepatocytes to shed adult hepatocyte functions and become more regenerative, but threatening overall survival by populating the liver with functionally immature hepatocytes. Our findings revealed a mechanism that explains why liver failure develops in patients with the clinical syndrome of SAH, suggesting that recovery from SAH might be improved by limiting adult-to-fetal reprogramming in hepatocytes.

Indexed as

Alternative SplicingCellular ReprogrammingSignal TransductionAnimalsCell LineCell SurvivalDisease Models, AnimalFemaleHepatitis, AlcoholicHepatocytesHumansMaleMiceMice, KnockoutRNA-Binding ProteinsSeverity of Illness IndexESRP2 protein, humanESRP2 protein, mouseRNA-Binding ProteinsCell BiologyCytokinesHepatologyMolecular pathologyRNA processing

Identifiers

PMID31945016
PMCPMC7108908
OpenAlexW3000151207

What OpenQuestion holds

Textmetadata
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.