Evidence map›Paper›PMID 31997373›Full record

ArticleHepatology (Baltimore, Md.)2020

Immune-Responsive Gene 1/Itaconate Activates Nuclear Factor Erythroid 2-Related Factor 2 in Hepatocytes to Protect Against Liver Ischemia-Reperfusion Injury.

Zhongjie Yi, Meihong Deng, Melanie J Scott, Guang Fu, Patricia A Loughran, Zhao Lei, Shilai Li, Ping Sun, Chenxuan Yang, Wenbo Li and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed
10.8field-weighted citation impact, top 1% 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

120 citing papers in PubMed, 232 citations in OpenAlex.

  1. Article
  2. Review
  3. Itaconate metabolism in regulated cell death.Molecular and cellular biochemistry · 2026
    Review
  4. Itaconate and its derivatives in human health and diseases.Signal transduction and targeted therapy · 2026
    Review
  5. Article
  6. Article
  7. Rutin attenuates liver fibrosis via the IRG1-itaconate-Nrf2 axis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Reprogramming immunity with itaconate: metabolic mechanisms and therapeutic perspectives.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  20. Article

60 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

13 authors at 4 institutions in 2 countries.

Zhongjie YiDepartment of Hepatobiliary Surgery, The Third Xiangya Hospital, Central South University, Changsha, China.
Meihong DengDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA.ORCID 0000-0003-1901-347X
Melanie J ScottDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA.
Guang FuDepartment of Hepatobiliary Surgery, The Third Xiangya Hospital, Central South University, Changsha, China.
Patricia A LoughranDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA.
Zhao LeiDepartment of Hepatobiliary Surgery, The Third Xiangya Hospital, Central South University, Changsha, China.
Shilai LiDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA.
Ping SunDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA.
Chenxuan YangDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA.
Wenbo LiDepartment of Hepatobiliary Surgery, The Third Xiangya Hospital, Central South University, Changsha, China.
Hongbo XuDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA.
Feizhou HuangDepartment of Hepatobiliary Surgery, The Third Xiangya Hospital, Central South University, Changsha, China.
Timothy R BilliarDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA.
University of Pittsburgh · USCentral South University · CNGuangxi Medical University · CNUnion Hospital · CN

Funding

Pittsburgh Liver Research CenterP30DK120531 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Gavin E Arteel · 2019 to 2026
$10.9M
Inflammasome activation in trauma-hemorrhagic shockR01GM102146 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SCOTT, MELANIE J. · 2013 to 2025
$4.3M
NIDDK NIH HHS P30 DK120531NIGMS NIH HHS R01 GM102146
6 · The paper itself

Abstract

BACKGROUND AND

aimsItaconate, a metabolite of the tricarboxylic acid cycle, plays anti-inflammatory roles in macrophages during endotoxemia. The mechanisms underlying its anti-inflammatory roles have been shown to be mediated by the modulation of oxidative stress, an important mechanism of hepatic ischemia-reperfusion (I/R) injury. However, the role of itaconate in liver I/R injury is unknown. APPROACH AND

resultsWe found that deletion of immune-responsive gene 1 (IRG1), encoding for the enzyme producing itaconate, exacerbated liver injury and systemic inflammation. Furthermore, bone marrow adoptive transfer experiments indicated that deletion of IRG1 in both hematopoietic and nonhematopoietic compartments contributes to the protection mediated by IRG1 after I/R. Interestingly, the expression of IRG1 was up-regulated in hepatocytes after I/R and hypoxia/reoxygenation-induced oxidative stress. Modulation of the IRG1 expression levels in hepatocytes regulated hepatocyte cell death. Importantly, addition of 4-octyl itaconate significantly improved liver injury and hepatocyte cell death after I/R. Furthermore, our data indicated that nuclear factor erythroid 2-related factor 2 (Nrf2) is required for the protective effect of IRG1 on mouse and human hepatocytes against oxidative stress-induced injury. Our studies document the important role of IRG1 in the acute setting of sterile injury induced by I/R. Specifically, we provide evidence that the IRG1/itaconate pathway activates Nrf2-mediated antioxidative response in hepatocytes to protect liver from I/R injury.

conclusionsOur data expand on the importance of IRG1/itaconate in nonimmune cells and identify itaconate as a potential therapeutic strategy for this unfavorable postsurgical complication.

Indexed as

AnimalsAnti-Inflammatory AgentsCarboxy-LyasesHepatocytesHumansHydro-LyasesLiverMaleMiceMice, Inbred C57BLNF-E2-Related Factor 2Oxidative StressReperfusion InjurySignal TransductionSuccinatesACOD1 protein, humanAcod1 protein, mouseAnti-Inflammatory AgentsCarboxy-LyasesHydro-Lyasesitaconic acidNF-E2-Related Factor 2Succinates

Identifiers

PMID31997373
PMCPMC7702080
OpenAlexW3003652178

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.