Evidence map›Paper›PMID 33964370›Full record

ArticleJournal of hepatology2021

Dysregulation of the ESRP2-NF2-YAP/TAZ axis promotes hepatobiliary carcinogenesis in non-alcoholic fatty liver disease.

Jeongeun Hyun, Muthana Al Abo, Rajesh Kumar Dutta, Seh Hoon Oh, Kun Xiang, Xiyou Zhou, Raquel Maeso-Díaz, Rebecca Caffrey, Arun J Sanyal, Jennifer A Freedman and 4 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 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
4.8field-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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Research and development prospects of TRIM65.Journal of cancer research and clinical oncology · 2025
    Review
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  20. Complex roles of Hippo-YAP/TAZ signaling in hepatocellular carcinoma.Journal of cancer research and clinical oncology · 2023
    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

14 authors at 3 institutions in 2 countries.

Jeongeun HyunDepartment of Medicine, Duke University, Duke University Health System, Durham, NC, USA; Regeneration Next, Duke University School of Medicine, Durham, NC, USA; Institute of Tissue Regeneration Engineering (ITREN), Dankook University, Cheonan, South Korea; Department of Nanobiomedical Science and BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, Cheonan, South Korea; Department of Regenerative Dental Medicine, College of Dentistry, Dankook University, Cheonan, South Korea.
Muthana Al AboDuke Cancer Institute, Duke University School of Medicine, Durham, NC, USA.
Rajesh Kumar DuttaDepartment of Medicine, Duke University, Duke University Health System, Durham, NC, USA.
Seh Hoon OhDepartment of Medicine, Duke University, Duke University Health System, Durham, NC, USA.
Kun XiangDepartment of Biomedical Engineering, Pratt School of Engineering, Duke University, Durham, NC, USA.
Xiyou ZhouDepartment of Medicine, Duke University, Duke University Health System, Durham, NC, USA.
Raquel Maeso-DíazDepartment of Medicine, Duke University, Duke University Health System, Durham, NC, USA.
Rebecca CaffreySanyal Biotechnology LLC, Norfolk, VA, USA.
Arun J SanyalDivision of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA, USA.
Jennifer A FreedmanDepartment of Medicine, Duke University, Duke University Health System, Durham, NC, USA; Duke Cancer Institute, Duke University School of Medicine, Durham, NC, USA.
Steven R PatiernoDepartment of Medicine, Duke University, Duke University Health System, Durham, NC, USA; Duke Cancer Institute, Duke University School of Medicine, Durham, NC, USA.
Cynthia A MoylanDepartment of Medicine, Duke University, Duke University Health System, Durham, NC, USA.
Manal F AbdelmalekDepartment of Medicine, Duke University, Duke University Health System, Durham, NC, USA.
Anna Mae DiehlDepartment of Medicine, Duke University, Duke University Health System, Durham, NC, USA. Electronic address: annamae.diehl@duke.edu.
Duke University Health System · USDuke University · USVirginia Commonwealth University · US

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI DONNA NIEDZWIECKI · 1985 to 2026
$174.8M
Pathogenesis, prognosis, and treatment of NAFLD patientsU01DK061713 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI ANNA MAE ELIZABETH DIEHL · 2002 to 2026
$10.3M
TNF ALPHA AND RECOVERY FROM ALCOHOLIC LIVER INJURYR01AA010154 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI ANNA MAE ELIZABETH DIEHL, Auinash Kalsotra · 1994 to 2026
$6.1M
Hedgehog Signaling and Adult Liver RegenerationR01DK077794 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2008 to 2020
$4.6M
TNF Alpha and Recovery from Alchoholic Liver InjuryR37AA010154 · NIAAA · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2009 to 2018
$3.8M
Race-related alternative splicing: novel targets in prostate cancerR01CA220314 · NCI · DUKE UNIVERSITY · PI PATIERNO, STEVEN R · 2017 to 2021
$1.8M
Pilot Project 2P20CA202925 · NCI · DUKE UNIVERSITY · PI PATIERNO, STEVEN R, WILLIAMS, KEVIN PETER · 2016 to 2019
$1.3M
Pathogenesis of NASH CirrhosisR56DK106633 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2015 to 2015
$278k
NCI NIH HHS P20 CA202925NCI NIH HHS P30 CA014236NCI NIH HHS R01 CA220314NIAAA NIH HHS R01 AA010154NIAAA NIH HHS R37 AA010154NIDDK NIH HHS R01 DK077794NIDDK NIH HHS R56 DK106633NIDDK NIH HHS U01 DK061713
6 · The paper itself

Abstract

BACKGROUND &

aimsNon-alcoholic fatty liver disease (NAFLD), the hepatic correlate of the metabolic syndrome, is a major risk factor for hepatobiliary cancer (HBC). Although chronic inflammation is thought to be the root cause of all these diseases, the mechanism whereby it promotes HBC in NAFLD remains poorly understood. Herein, we aim to evaluate the hypothesis that inflammation-related dysregulation of the ESRP2-NF2-YAP/TAZ axis promotes HB carcinogenesis.

methodsWe use murine NAFLD models, liver biopsies from patients with NAFLD, human liver cancer registry data, and studies in liver cancer cell lines.

resultsOur results confirm the hypothesis that inflammation-related dysregulation of the ESRP2-NF2-YAP/TAZ axis promotes HB carcinogenesis, supporting a model whereby chronic inflammation suppresses hepatocyte expression of ESRP2, an RNA splicing factor that directly targets and activates NF2, a tumor suppressor that is necessary to constrain YAP/TAZ activation. The resultant loss of NF2 function permits sustained YAP/TAZ activity that drives hepatocyte proliferation and de-differentiation.

conclusionHerein, we report on a novel mechanism by which chronic inflammation leads to sustained activation of YAP/TAZ activity; this imposes a selection pressure that favors liver cells with mutations enabling survival during chronic oncogenic stress. LAY SUMMARY: Non-alcoholic fatty liver disease (NAFLD) increases the risk of hepatobiliary carcinogenesis. However, the underlying mechanism remains unknown. Our study demonstrates that chronic inflammation suppresses hepatocyte expression of ESRP2, an adult RNA splicing factor that activates NF2. Thus, inactive (fetal) NF2 loses the ability to activate Hippo kinases, leading to the increased activity of downstream YAP/TAZ and promoting hepatobiliary carcinogenesis in chronically injured livers.

Indexed as

AnimalsBrain-Gut AxisCarcinogenesisCell Cycle ProteinsDigestive System DiseasesDisease Models, AnimalHumansMiceNeurofibromin 2Non-alcoholic Fatty Liver DiseaseRNA-Binding ProteinsTranscription FactorsCell Cycle ProteinsESRP2 protein, humanNeurofibromin 2NF2 protein, humanRNA-Binding ProteinsTranscription FactorsYY1AP1 protein, humanalternative RNA splicingepithelial splicing regulatory protein-2 (ESRP2)hepatocellular carcinoma (HCC)hippo kinaseliver cancerneurofibromatosis-2 (NF2)nonalcoholic fatty liver disease (NAFLD)yes-associated protein (YAP)

Identifiers

PMID33964370
PMCPMC8380690
OpenAlexW3158266183

What OpenQuestion holds

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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.