Evidence map›Paper›PMID 33126224›Full record

ArticleAging2020

GDF11 induces mild hepatic fibrosis independent of metabolic health.

Jan Frohlich, Kristina Kovacovicova, Tommaso Mazza, Maria R Emma, Daniela Cabibi, Michelangelo Foti, Cyril Sobolewski, Jude A Oben, Marion Peyrou, Francesc Villarroya and 6 more

Open access · greenAbstract read
In one paragraph

Article in Aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. GDF11-secreting cell transplant efficiently ameliorates age-related pulmonary fibrosis.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  2. GDF11: An emerging therapeutic target for liver diseases and fibrosis.Journal of cellular and molecular medicine · 2024
    Review
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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

16 authors at 11 institutions in 5 countries.

Jan FrohlichInternational Clinical Research Center, St. Anne's University Hospital, Brno, Czech Republic.
Kristina KovacovicovaInternational Clinical Research Center, St. Anne's University Hospital, Brno, Czech Republic.
Tommaso MazzaBioinformatics Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.
Maria R EmmaInstitute for Biomedical Research and Innovation, National Research Council (CNR), Palermo, Italy.
Daniela CabibiDepartment of Health Promotion Sciences, Maternal and Infantile Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.
Michelangelo FotiDepartment of Cell Physiology and Metabolism, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Cyril SobolewskiDepartment of Cell Physiology and Metabolism, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Jude A ObenInstitute for Liver and Digestive Health, Division of Medicine, University College London (UCL), London, United Kingdom.
Marion PeyrouDepartment of Biochemistry and Molecular Biomedicine, Institute of Biomedicine of the University of Barcelona, Barcelona, Catalonia, Spain.
Francesc VillarroyaDepartment of Biochemistry and Molecular Biomedicine, Institute of Biomedicine of the University of Barcelona, Barcelona, Catalonia, Spain.
Maurizio SoresiDepartment of Health Promotion Sciences, Maternal and Infantile Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.
Rita RezzaniAnatomy and Physiopathology Division, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Melchiorre CervelloInstitute for Biomedical Research and Innovation, National Research Council (CNR), Palermo, Italy.
Francesca BonominiAnatomy and Physiopathology Division, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Anna AlisiResearch Area for Multifactorial Diseases, Research Unit of Molecular Genetics of Complex Phenotypes, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Manlio VinciguerraInternational Clinical Research Center, St. Anne's University Hospital, Brno, Czech Republic.
Institute for Biomedical Research and Innovation · ITSt. Anne's University Hospital Brno · CZUniversity of Brescia · ITUniversity of Geneva · CHUniversity of Palermo · ITBambino Gesù Children's Hospital · ITCasa Sollievo della Sofferenza · ITInstitut de Biomedicina de la Universitat de BarcelonaUniversitat de Barcelona · ESUniversity College London · GBUniversity Hospital Brno · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsGrowth Differentiation Factor 11 (GDF11) is an anti-aging factor, yet its role in liver diseases is not established. We evaluated the role of GDF11 in healthy conditions and in the transition from non-alcoholic fatty liver disease (NAFLD) to non-alcoholic steatohepatitis (NASH).

resultsGDF11 mRNA levels positively correlated with NAFLD activity score and with CPT1, SREBP, PPARγ and Col1A1 mRNA levels, and associated to portal fibrosis, in morbidly obese patients with NAFLD/NASH. GDF11-treated mice showed mildly exacerbated hepatic collagen deposition, accompanied by weight loss and without changes in liver steatosis or inflammation. GDF11 triggered ALK5-dependent SMAD2/3 nuclear translocation and the pro-fibrogenic activation of HSC.

conclusionsGDF11 supplementation promotes mild liver fibrosis. Even considering its beneficial metabolic effects, caution should be taken when considering therapeutics that regulate GDF11.

methodsWe analyzed liver biopsies from a cohort of 33 morbidly obese adults with NAFLD/NASH. We determined the correlations in mRNA expression levels between GDF11 and genes involved in NAFLD-to-NASH progression and with pathological features. We also exposed wild type or obese mice with NAFLD to recombinant GDF11 by daily intra-peritoneal injection and monitor the hepatic pathological changes. Finally, we analyzed GDF11-activated signaling pathways in hepatic stellate cells (HSC).

Indexed as

AdultAnimalsBone Morphogenetic ProteinsCase-Control StudiesCell LineDisease ProgressionFemaleGrowth Differentiation FactorsHepatic Stellate CellsHumansLiverLiver CirrhosisLiver Cirrhosis, ExperimentalMaleMice, Inbred C57BLMiddle AgedBone Morphogenetic ProteinsGDF11 protein, humanGrowth Differentiation Factorsfibrosisgrowth differentiation factor 11liverNAFLDNASH

Identifiers

PMID33126224
PMCPMC7655202
OpenAlexW3097825671

What OpenQuestion holds

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LicenceCC BY
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.