Evidence map›Paper›PMID 32682051›Full record

ArticleJournal of hepatology2020

Inhibition of IRAK4 kinase activity improves ethanol-induced liver injury in mice.

Han Wang, Hao Zhou, Quanri Zhang, Kyle L Poulsen, Vanessa Taylor, Megan R McMullen, Doug Czarnecki, Dhweeja Dasarathy, Minjia Yu, Yun Liao and 7 more

Open access · greenAbstract read
In one paragraph

Article in Journal of hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. IL-1 family of cytokines in gastrointestinal and liver disorders.Nature reviews. Gastroenterology & hepatology · 2026
    Review
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  7. Unraveling Extremely DamagingJournal of personalized medicine · 2023
    Article
  8. Review
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  11. Review
  12. Article
  13. Article
  14. Article
  15. Drug Discovery in Liver Disease Using Kinome Profiling.International journal of molecular sciences · 2021
    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

17 authors at 6 institutions in 2 countries.

Han WangSchool of Life Sciences, Lanzhou University, Lanzhou, Gansu 730000, China; Inflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Northern Ohio Alcohol Center, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Hao ZhouInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Northern Ohio Alcohol Center, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Quanri ZhangInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Northern Ohio Alcohol Center, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Kyle L PoulsenInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Northern Ohio Alcohol Center, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Vanessa TaylorRigel Pharmaceuticals, South San Francisco, CA 94080, USA.
Megan R McMullenInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Northern Ohio Alcohol Center, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Doug CzarneckiInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Northern Ohio Alcohol Center, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Dhweeja DasarathyInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Harvard University, Massachusetts Hall, Cambridge, MA 02138, USA.
Minjia YuInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Department of Medicine, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA, 02138, USA.
Yun LiaoInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Daniela S AllendeInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Pathology Department, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Xing ChenInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Lingzi HongInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Junjie ZhaoInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Jinbo YangSchool of Life Sciences, Lanzhou University, Lanzhou, Gansu 730000, China. Electronic address: yangjb@lzu.edu.cn.
Laura E NagyInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Northern Ohio Alcohol Center, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA. Electronic address: nagyl3@ccf.org.
Xiaoxia LiInflammation and Immunity Department, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Northern Ohio Alcohol Center, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA. Electronic address: lix@ccf.org.
Cleveland Clinic Lerner College of Medicine · USCleveland Clinic · USHarvard University Press · USLanzhou University · CNMount Auburn Hospital · USRigel (United States) · US

Funding

TELOMERASE INACTIVATION BY RNASE L SIGNALS CELL DEATHP01CA062220 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI LI, XIAOXIA · 1994 to 2020
$35.6M
Vascular Cell function and AtherosclerosisP01HL029582 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI FOX, PAUL L · 1985 to 2019
$32.0M
Project Two - Exercise Training Decreases Alcohol Drinking by an FGF21-Dependent MechanismP50AA024333 · NIAAA · CLEVELAND CLINIC LERNER COM-CWRU · PI Thomas M McIntyre · 2016 to 2026
$19.6M
Molecular Mechanisms of IL-1R-TLR-Mediated SignalingR01GM060020 · NIGMS · CLEVELAND CLINIC LERNER COM-CWRU · PI LI, XIAOXIA · 1999 to 2008
$2.4M
IRAKM and Mincle in ALDR01AA023722 · NIAAA · CLEVELAND CLINIC LERNER COM-CWRU · PI LI, XIAOXIA, NAGY, LAURA E. · 2015 to 2019
$2.2M
Hepatocyte-derived MIF: a key contributor to Alcoholic Liver DiseaseK99AA026648 · NIAAA · CLEVELAND CLINIC LERNER COM-CWRU · PI POULSEN, KYLE · 2018 to 2019
$258k
NCI NIH HHS P01 CA062220NHLBI NIH HHS P01 HL029582NIAAA NIH HHS K99 AA026648NIAAA NIH HHS P50 AA024333NIAAA NIH HHS R01 AA023722NIGMS NIH HHS R01 GM060020
6 · The paper itself

Abstract

BACKGROUNDS &

aimsAlcohol-related liver disease (ALD) is a major cause of chronic liver disease worldwide with limited therapeutic options. Interleukin-1 receptor associated kinase 4 (IRAK4), the master kinase of Toll-like receptor (TLR)/IL-1R-mediated signalling activation, is considered a novel therapeutic target in inflammatory diseases, but has not been investigated in the context of ALD.

methodsIRAK4 phosphorylation and IRAK1 protein were analysed in liver from alcohol-related hepatitis patients and healthy controls. IRAK4 kinase activity-inactive knock-in (Irak4 KI) mice and bone marrow chimeric mice were exposed to chronic ethanol-induced liver injury. IL-1β-induced IRAK4-mediated signalling and acute phase response were investigated in cultured hepatocytes. IRAK1/4 inhibitor was used to test the therapeutic potential for ethanol-induced liver injury in mice.

resultsIncreased IRAK4 phosphorylation and reduced IRAK1 protein were found in livers of patients with alcoholic hepatitis. In the chronic ethanol-induced liver injury mouse model, hepatic inflammation and hepatocellular damage were attenuated in Irak4 KI mice. IRAK4 kinase activity promotes expression of acute phase proteins in response to ethanol exposure, including C-reactive protein and serum amyloid A1 (SAA1). SAA1 and IL-1β synergistically exacerbate ethanol-induced cell death ex vivo. Pharmacological blockage of IRAK4 kinase abrogated ethanol-induced liver injury, inflammation, steatosis, as well as acute phase gene expression and protein production in mice.

conclusionsOur data elucidate the critical role of IRAK4 kinase activity in the pathogenesis of ethanol-induced liver injury in mice and provide preclinical validation for use of an IRAK1/4 inhibitor as a new potential therapeutic strategy for the treatment of ALD. LAY SUMMARY: Herein, we have identified the role of IRAK4 kinase activity in the development of alcohol-induced liver injury in mice. Hepatocyte-specific IRAK4 is associated with an acute phase response and release of proinflammatory cytokines/chemokines, which synergistically exacerbate alcohol-induced hepatocyte cell death ex vivo. Pharmacological inhibition of IRAK4 kinase activity effectively attenuates alcohol-induced liver injury in mice and could have therapeutic implications.

Indexed as

Chemical and Drug Induced Liver InjuryAcute-Phase ProteinsAnimalsCells, CulturedHumansImmune Checkpoint InhibitorsInterleukin-1betaInterleukin-1 Receptor-Associated KinasesLiver Diseases, AlcoholicMiceMice, Inbred C57BLPeptide FragmentsPhosphorylationReceptors, Interleukin-1Signal TransductionToll-Like ReceptorsAcute-Phase ProteinsImmune Checkpoint InhibitorsInterleukin-1betainterleukin-1beta (163-171)Interleukin-1 Receptor-Associated KinasesIrak1 protein, mouseIRAK4 protein, humanIrak4 protein, mousePeptide FragmentsReceptors, Interleukin-1Toll-Like ReceptorsAcute phase proteinAlcoholic liver diseaseHepatocyteInflammationIRAK4

Identifiers

PMID32682051
PMCPMC8007112
OpenAlexW3042239956

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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.