Evidence map›Paper›PMID 32655894›Full record

ArticleCell death discovery2020

TGR5-HNF4α axis contributes to bile acid-induced gastric intestinal metaplasia markers expression.

Zhen Ni, Yali Min, Chuan Han, Ting Yuan, Wenquan Lu, Hassan Ashktorab, Duane T Smoot, Qiong Wu, Jian Wu, Weizheng Zeng and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cell death discovery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
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  6. Targetable pathways for drug repurposing in gastric cancer.World journal of gastroenterology · 2025
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  20. The role of bile acids in carcinogenesis.Cellular and molecular life sciences : CMLS · 2022
    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.

Zhen Ni *State Key Laboratory of Cancer Biology and Institute of Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032 China.ORCID 0000-0001-7263-5919
Yali Min *Department of Gastroenterology, Second Affiliated Hospital of Xi'an Medical College, Xi'an, Shaanxi 710038 China.
Chuan Han *Department of Endocrinology, General Hospital of Western Theater Command, Chengdu, Sichuan 610083 China.
Ting YuanDepartment of Gastroenterology, 989 Hospital of the People's Liberation Army, Luoyang, Henan 471003 China.
Wenquan LuDepartment of Gastroenterology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052 China.
Hassan AshktorabDepartment of Medicine and Cancer Center, Howard University, Washington, DC 20060 USA.
Duane T SmootDepartment of Internal Medicine, Meharry Medical College, Nashville, TN 37208 USA.
Qiong WuState Key Laboratory of Cancer Biology and Institute of Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032 China.
Jian WuState Key Laboratory of Cancer Biology and Institute of Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032 China.
Weizheng ZengDepartment of Gastroenterology, General Hospital of Western Theater Command, Chengdu, Sichuan 610083 China.
Yongquan ShiState Key Laboratory of Cancer Biology and Institute of Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032 China.ORCID 0000-0001-9515-7577
Chengdu Military General Hospital · CNXijing Hospital · CNFirst Affiliated Hospital of Zhengzhou University · CNHoward University · USMeharry Medical College · USPeople's Liberation Army No. 150 Hospital · CNXi'an Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intestinal metaplasia (IM) increases the risk of gastric cancer. Our previous results indicated that bile acids (BAs) reflux promotes gastric IM development through kruppel-like factor 4 (KLF4) and caudal-type homeobox 2 (CDX2) activation. However, the underlying mechanisms remain largely elusive. Herein, we verified that secondary BAs responsive G-protein-coupled bile acid receptor 1 (GPBAR1, also known as TGR5) was increased significantly in IM specimens. Moreover, TGR5 contributed to deoxycholic acid (DCA)-induced metaplastic phenotype through positively regulating KLF4 and CDX2 at transcriptional level. Then we employed PCR array and identified hepatocyte nuclear factor 4α (HNF4α) as a candidate mediator. Mechanically, DCA treatment could induce HNF4α expression through TGR5 and following ERK1/2 pathway activation. Furthermore, HNF4α mediated the effects of DCA treatment through directly regulating KLF4 and CDX2. Finally, high TGR5 levels were correlated with high HNF4α, KLF4, and CDX2 levels in IM tissues. These findings highlight the TGR5-ERK1/2-HNF4α axis during IM development in patients with BAs reflux, which may help to understand the mechanism underlying IM development and provide prospective strategies for IM treatment.

Indexed as

Cell signallingStomach diseases

Identifiers

PMID32655894
PMCPMC7338499
OpenAlexW3038693984

What OpenQuestion holds

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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.