Evidence map›Paper›PMID 33106666›Full record

ArticleNature medicine2020

Acute liver failure is regulated by MYC- and microbiome-dependent programs.

Aleksandra A Kolodziejczyk, Sara Federici, Niv Zmora, Gayatree Mohapatra, Mally Dori-Bachash, Shanni Hornstein, Avner Leshem, Debby Reuveni, Ehud Zigmond, Ana Tobar and 6 more

Abstract read
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In one paragraph

Article in Nature medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 1 pooled it
15.8field-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

86 citing papers in PubMed, 1 synthesis or guideline pooled it, 142 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. Animal models accurately representing acute liver failure (Review).International journal of molecular medicine · 2026
    Review
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  15. Target neutrophil heterogeneity and plasticity in cancer.Journal of hematology & oncology · 2025
    Review
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  18. Article
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  20. Article

26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 2 countries.

Aleksandra A KolodziejczykImmunology Department, Weizmann Institute of Science, Rehovot, Israel.
Sara FedericiImmunology Department, Weizmann Institute of Science, Rehovot, Israel.ORCID http://orcid.org/0000-0002-3663-5142
Niv ZmoraImmunology Department, Weizmann Institute of Science, Rehovot, Israel.
Gayatree MohapatraImmunology Department, Weizmann Institute of Science, Rehovot, Israel.
Mally Dori-BachashImmunology Department, Weizmann Institute of Science, Rehovot, Israel.
Shanni HornsteinImmunology Department, Weizmann Institute of Science, Rehovot, Israel.
Avner LeshemImmunology Department, Weizmann Institute of Science, Rehovot, Israel.
Debby ReuveniThe Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ehud ZigmondThe Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ana TobarThe Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Tomer Meir SalameDepartment of Biological Services, Weizmann Institute of Science, Rehovot, Israel.
Alon HarmelinDepartment of Veterinary Resources, Weizmann Institute of Science, Rehovot, Israel.
Amir ShlomaiThe Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0001-7437-9381
Hagit ShapiroImmunology Department, Weizmann Institute of Science, Rehovot, Israel.
Ido AmitImmunology Department, Weizmann Institute of Science, Rehovot, Israel. ido.amit@weizmann.ac.il.ORCID http://orcid.org/0000-0003-2968-877X
Eran ElinavImmunology Department, Weizmann Institute of Science, Rehovot, Israel. eran.elinav@weizmann.ac.il.ORCID http://orcid.org/0000-0002-5775-2110
Weizmann Institute of Science · ILTel Aviv University · ILGerman Cancer Research Center · DETel Aviv Sourasky Medical Center · IL

Funding

Howard Hughes Medical Institute
6 · The paper itself

Abstract

Acute liver failure (ALF) is a fulminant complication of multiple etiologies, characterized by rapid hepatic destruction, multi-organ failure and mortality. ALF treatment is mainly limited to supportive care and liver transplantation. Here we utilize the acetaminophen (APAP) and thioacetamide (TAA) ALF models in characterizing 56,527 single-cell transcriptomes to define the mouse ALF cellular atlas. We demonstrate that unique, previously uncharacterized stellate cell, endothelial cell, Kupffer cell, monocyte and neutrophil subsets, and their intricate intercellular crosstalk, drive ALF. We unravel a common MYC-dependent transcriptional program orchestrating stellate, endothelial and Kupffer cell activation during ALF, which is regulated by the gut microbiome through Toll-like receptor (TLR) signaling. Pharmacological inhibition of MYC, upstream TLR signaling checkpoints or microbiome depletion suppress this cell-specific, MYC-dependent program, thereby attenuating ALF. In humans, we demonstrate upregulated hepatic MYC expression in ALF transplant recipients compared to healthy donors. Collectively we demonstrate that detailed cellular/genetic decoding may enable pathway-specific ALF therapeutic intervention.

Indexed as

AcetaminophenAnimalsHepatic Stellate CellsHumansKupffer CellsLiverLiver Failure, AcuteLiver TransplantationMiceMicrobiotaNeutrophilsProto-Oncogene Proteins c-mycSingle-Cell AnalysisThioacetamideToll-Like ReceptorsTranscriptomeAcetaminophenMyc protein, mouseProto-Oncogene Proteins c-mycThioacetamideToll-Like Receptors

Identifiers

PMID33106666
OpenAlexW3094005756

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.