Evidence map›Paper›PMID 33559243›Full record

ArticleHepatology (Baltimore, Md.)2021

High Mobility Group Box 1 Release by Cholangiocytes Governs Biliary Atresia Pathogenesis and Correlates With Increases in Afflicted Infants.

Sujit K Mohanty, Bryan Donnelly, Haley Temple, Ana Ortiz-Perez, Sarah Mowery, Inna Lobeck, Phylicia Dupree, Holly M Poling, Monica McNeal, Reena Mourya and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 28 citations in OpenAlex.

  1. IL‑17AInternational journal of molecular medicine · 2026
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  16. The mechanism of HMGB1 secretion and release.Experimental & molecular medicine · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 2 countries.

Sujit K MohantyDepartment of Pediatric and Thoracic SurgeryCincinnati Children's Hospital Medical CenterCincinnatiOH.ORCID 0000-0002-8603-2876
Bryan DonnellyDepartment of Pediatric and Thoracic SurgeryCincinnati Children's Hospital Medical CenterCincinnatiOH.
Haley TempleDepartment of Pediatric and Thoracic SurgeryCincinnati Children's Hospital Medical CenterCincinnatiOH.
Ana Ortiz-PerezTranslational Liver ResearchDepartment of Medical Cell BiophysicsTechnical Medical CentreFaculty of Science and TechnologyUniversity of TwenteEnschedeThe Netherlands.
Sarah MoweryDepartment of Pediatric and Thoracic SurgeryCincinnati Children's Hospital Medical CenterCincinnatiOH.
Inna LobeckDepartment of Pediatric and Thoracic SurgeryCincinnati Children's Hospital Medical CenterCincinnatiOH.
Phylicia DupreeDepartment of Pediatric and Thoracic SurgeryCincinnati Children's Hospital Medical CenterCincinnatiOH.
Holly M PolingDepartment of Pediatric and Thoracic SurgeryCincinnati Children's Hospital Medical CenterCincinnatiOH.
Monica McNealDepartment of PediatricsUniversity of Cincinnati College of MedicineCincinnatiOH.
Reena MouryaDivision of Gastroenterology Hepatology & NutritionCincinnati Children's Hospital Medical CenterCincinnatiOH.
Todd JenkinsDepartment of Pediatric and Thoracic SurgeryCincinnati Children's Hospital Medical CenterCincinnatiOH.
Ruchi BansalTranslational Liver ResearchDepartment of Medical Cell BiophysicsTechnical Medical CentreFaculty of Science and TechnologyUniversity of TwenteEnschedeThe Netherlands.
Jorge BezerraDivision of Gastroenterology Hepatology & NutritionCincinnati Children's Hospital Medical CenterCincinnatiOH.ORCID 0000-0001-9667-7742
Greg TiaoDepartment of Pediatric and Thoracic SurgeryCincinnati Children's Hospital Medical CenterCincinnatiOH.
Cincinnati Children's Hospital Medical Center · USUniversity of Twente · NL

Funding

Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 2007 to 2026
$24.4M
The Molecular Determinants of Virus Induced Biliary AtresiaR01DK091566 · NIDDK · STANFORD UNIVERSITY · PI GREGORY M TIAO · 2011 to 2026
$4.9M
NIDDK NIH HHS P30 DK078392NIDDK NIH HHS R01 DK091566
6 · The paper itself

Abstract

BACKGROUND AND

aimsBiliary atresia (BA) is a devastating cholangiopathy of infancy. Upon diagnosis, surgical reconstruction by Kasai hepatoportoenterostomy (HPE) restores biliary drainage in a subset of patients, but most patients develop fibrosis and progress to end-stage liver disease requiring liver transplantation for survival. In the murine model of BA, rhesus rotavirus (RRV) infection of newborn pups results in a cholangiopathy paralleling that of human BA. High-mobility group box 1 (HMGB1) is an important member of the danger-associated molecular patterns capable of mediating inflammation during infection-associated responses. In this study, we investigated the role of HMGB1 in BA pathogenesis. APPROACH AND

resultsIn cholangiocytes, RRV induced the expression and release of HMGB1 through the p38 mitogen-activated protein kinase signaling pathway, and inhibition of p38 blocked HMGB1 release. Treatment of cholangiocytes with ethyl pyruvate suppressed the release of HMGB1. Administration of glycyrrhizin in vivo decreased symptoms and increased survival in the murine model of BA. HMGB1 levels were measured in serum obtained from infants with BA enrolled in the PROBE and START studies conducted by the Childhood Liver Disease Research Network. High HMGB1 levels were found in a subset of patients at the time of HPE. These patients had higher bilirubin levels 3 months post-HPE and a lower survival of their native liver at 2 years.

conclusionsThese results suggest that HMGB1 plays a role in virus induced BA pathogenesis and could be a target for therapeutic interventions in a subset of patients with BA and high HMGB1.

Indexed as

AnimalsAnimals, NewbornBile DuctsBiliary AtresiaBilirubinBiomarkersCell LineChild, PreschoolChlorocebus aethiopsDisease Models, AnimalEnd Stage Liver DiseaseEpithelial CellsHMGB1 ProteinHumansInfantInfant, NewbornBilirubinBiomarkersHMGB1 ProteinHMGB1 protein, humanHMGB1 protein, mouse

Identifiers

PMID33559243
PMCPMC8349381
OpenAlexW3128988005

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.