Evidence map›Paper›PMID 32763266›Full record

ArticleJournal of hepatology2021

Hepatocyte pyroptosis and release of inflammasome particles induce stellate cell activation and liver fibrosis.

Susanne Gaul, Aleksandra Leszczynska, Fernando Alegre, Benedikt Kaufmann, Casey D Johnson, Leon A Adams, Alexander Wree, Georg Damm, Daniel Seehofer, Carolina J Calvente and 8 more

Open access · greenAbstract read
In one paragraph

Article in Journal of hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 304 papers.

0numbers the graph read from it
0cells of the map it votes in
304citing papers in PubMed
23.8field-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

304 citing papers in PubMed, 520 citations in OpenAlex.

  1. Trial
  2. Review
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  7. Targeting FAPActa pharmaceutica Sinica. B · 2026
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  8. Rutin attenuates liver fibrosis via the IRG1-itaconate-Nrf2 axis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  9. USP9X regulates copper-induced CASP9/CASP3/GSDME-dependent pyroptosis by deubiquitinating JAK1.Apoptosis : an international journal on programmed cell death · 2026
    Article
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  13. Review
  14. Review
  15. Advances in understanding mitophagy's role in lung injury.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026
    Review
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244 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

18 authors at 10 institutions in 5 countries.

Susanne GaulDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA; Universität Leipzig, Klinik und Poliklinik für Kardiologie, Leipzig, Germany.
Aleksandra LeszczynskaDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Fernando AlegreDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA; Department of Pharmacology, Faculty of Medicine, University of Valencia, Valencia, Spain.
Benedikt KaufmannDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Casey D JohnsonDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA; University of California Irvine, Irvine, CA, USA.
Leon A AdamsMedical School, University of Western Australia, Perth, Australia.
Alexander WreeDepartment of Hepatology and Gastroenterology, Charité, Campus Virchow Klinikum and Charité, Universitätsmedizin Berlin, Berlin, Germany.
Georg DammDepartment of Hepatobiliary Surgery and Visceral Transplantation, University Hospital, Leipzig University, Leipzig, Germany.
Daniel SeehoferDepartment of Hepatobiliary Surgery and Visceral Transplantation, University Hospital, Leipzig University, Leipzig, Germany.
Carolina J CalventeDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Davide PoveroDepartment of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, MN, USA.
Tatiana KisselevaDepartment of Surgery, University of California San Diego, La Jolla, CA, USA.
Akiko EguchiDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA; Department of Gastroenterology and Hepatology, Mie University, Tsu, Mie, Japan.
Matthew D McGeoughDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Hal M HoffmanDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Pablo PelegrinBiomedical Research Institute of Murcia, Clinical University Hospital Virgen de la Arrixaca (IMIB-Arrixaca), Murcia, Spain.
Ulrich LaufsUniversität Leipzig, Klinik und Poliklinik für Kardiologie, Leipzig, Germany.
Ariel E FeldsteinDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA. Electronic address: afeldstein@ucsd.edu.
University of California San Diego · USUniversity Hospital Leipzig · DECharité - Universitätsmedizin Berlin · DEInstituto Murciano de Investigación Biosanitaria · ESLeipzig University · DEMayo Clinic in Arizona · USMie University · JPThe University of Western Australia · AUUniversitat de València · ESUniversity of California, Irvine · US

Funding

USC RESEARCH CENTER FOR LIVER DISEASES: PILOT PROGRAMSP30DK048522 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI KAPLOWITZ, NEIL · 1995 to 2020
$21.8M
Inactivation of Hepatic Stellate Cells During Reversal of Liver FibrosisR01DK099205 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BRENNER, DAVID A., KISSELEVA, TATIANA · 2014 to 2025
$4.8M
Sterile inflammation and pyroptotic cell death in liver fibrosisR01DK113592 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Ariel Feldstein, HAROLD M HOFFMAN · 2017 to 2026
$4.8M
Innate Immune Activation and Endothelial Cell Dysfunction in Acute Kawasaki DiseaseR01HL140898 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BURNS, JANE C, HOFFMAN, HAROLD M · 2018 to 2022
$4.3M
The Role of Portal Fibroblasts in Cholestatic Liver FibrosisR01DK101737 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KISSELEVA, TATIANA · 2014 to 2025
$3.8M
Novel IL-23 inhibitor for the treatment of alcohol associated liver diseaseU01AA029019 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KISSELEVA, TATIANA, LOOMBA, ROHIT · 2020 to 2024
$3.7M
Hepatocyte-derived extracellular vesicles in alcoholic liver diseaseR01AA028134 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FELDSTEIN, ARIEL, TSUKAMOTO, HIDEKAZU · 2020 to 2024
$2.9M
The role of IL-17 signaling in alcohol-induced HCCR01AA028550 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BRENNER, DAVID A., KISSELEVA, TATIANA · 2021 to 2025
$2.3M
Fibrocytes regulate liver fibrosisR01DK111866 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KISSELEVA, TATIANA · 2017 to 2020
$1.4M
Gain of function mutations in inflammasome related genes in human and experimental alcoholic liver diseaseR01AA024206 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FELDSTEIN, ARIEL · 2019 to 2021
$988k
NHLBI NIH HHS R01 HL140898NIAAA NIH HHS R01 AA024206NIAAA NIH HHS R01 AA028134NIAAA NIH HHS R01 AA028550NIAAA NIH HHS U01 AA029019NIDDK NIH HHS P30 DK048522NIDDK NIH HHS R01 DK099205NIDDK NIH HHS R01 DK101737NIDDK NIH HHS R01 DK111866NIDDK NIH HHS R01 DK113592
6 · The paper itself

Abstract

BACKGROUND &

aimsIncreased hepatocyte death contributes to the pathology of acute and chronic liver diseases. However, the role of hepatocyte pyroptosis and extracellular inflammasome release in liver disease is unknown.

methodsWe used primary mouse and human hepatocytes, hepatocyte-specific leucine 351 to proline Nlrp3

resultsWe demonstrated that primary mouse and human hepatocytes can undergo pyroptosis upon NLRP3 inflammasome activation with subsequent release of NLRP3 inflammasome proteins that amplify and perpetuate inflammasome-driven fibrogenesis. Pyroptosis was inhibited by blocking caspase-1 and gasdermin D activation. The activated form of caspase-1 was detected in the livers and in serum from patients with non-alcoholic steatohepatitis and correlated with disease severity. Nlrp3

conclusionsThese results identify hepatocyte pyroptosis and release of inflammasome components as a novel mechanism to propagate liver injury and liver fibrosis development. LAY SUMMARY: Our findings identify a novel mechanism of inflammation in the liver. Experiments in cell cultures, mice, and human samples show that a specific form of cell death, called pyroptosis, leads to the release of complex inflammatory particles, the NLRP3 inflammasome, from inside hepatocytes into the extracellular space. From there they are taken up by other cells and thereby mediate inflammatory and pro-fibrogenic stress signals. The discovery of this mechanism may lead to novel treatments for chronic liver diseases in the future.

Indexed as

HepatocytesLiver CirrhosisAnimalsCaspase 1Hepatic Stellate CellsHumansInflammasomesInterleukin-1betaMiceMice, Inbred NODNLR Family, Pyrin Domain-Containing 3 ProteinNon-alcoholic Fatty Liver DiseaseProtein Translocation SystemsPyroptosisReactive Oxygen SpeciesCaspase 1InflammasomesInterleukin-1betaNLR Family, Pyrin Domain-Containing 3 ProteinProtein Translocation SystemsReactive Oxygen SpeciesASCFibrosisHepatocytesInflammasomeLiverNASHNLRP3PyroptosisSpecks

Identifiers

PMID32763266
PMCPMC7749849
OpenAlexW3047392456

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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.