Evidence map›Paper›PMID 33991158›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2021

Inhibiting xCT/SLC7A11 induces ferroptosis of myofibroblastic hepatic stellate cells but exacerbates chronic liver injury.

Kuo Du, Seh Hoon Oh, Rajesh K Dutta, Tianai Sun, Wen-Hsuan Yang, Jen-Tsan Chi, Anna Mae Diehl

Open access · greenAbstract read
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
6.0field-weighted citation impact, top 3% 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

42 citing papers in PubMed, 54 citations in OpenAlex.

  1. Ferroptosis in liver biology and diseases.Hepatology communications · 2026
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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

7 authors at 1 institution in 1 country.

Kuo DuDepartment of Medicine, Duke University, Durham, NC, USA.ORCID 0000-0002-1446-4653
Seh Hoon OhDepartment of Medicine, Duke University, Durham, NC, USA.
Rajesh K DuttaDepartment of Medicine, Duke University, Durham, NC, USA.
Tianai SunDepartment of Molecular Genetics and Microbiology, Duke University, Durham, NC, USA.
Wen-Hsuan YangDepartment of Molecular Genetics and Microbiology, Duke University, Durham, NC, USA.
Jen-Tsan ChiDepartment of Molecular Genetics and Microbiology, Duke University, Durham, NC, USA.
Anna Mae DiehlDepartment of Medicine, Duke University, Durham, NC, USA.
Duke University · US

Funding

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
Biochemical and functional investigation of the novel enzymatic activities of MESH1R01GM124062 · NIGMS · DUKE UNIVERSITY · PI CHI, JEN-TSAN ASHLEY, ZHOU, PEI · 2018 to 2021
$2.0M
Pathogenesis of NASH CirrhosisR56DK106633 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2015 to 2015
$278k
NIAAA NIH HHS R37 AA010154NIDDK NIH HHS R01 DK077794NIDDK NIH HHS R56 DK106633NIGMS NIH HHS R01 GM124062NIH HHS R01 DK077794NIH HHS R37 AA010154NIH HHS R56 DK106633
6 · The paper itself

Abstract

BACKGROUND &

aimsThe outcome of liver injury is dictated by factors that control the accumulation of myofibroblastic (activated) hepatic stellate cells (MF-HSCs) but therapies that specifically block this process have not been discovered. We evaluated the hypothesis that MF-HSCs and liver fibrosis could be safely reduced by inhibiting the cysteine/glutamate antiporter xCT.

methodsxCT activity was disrupted in both HSC lines and primary mouse HSCs to determine its effect on HSC biology. For comparison, xCT expression and function were also determined in primary mouse hepatocytes. Finally, the roles of xCT were assessed in mouse models of liver fibrosis.

resultsWe found that xCT mRNA levels were almost a log-fold higher in primary mouse HSCs than in primary mouse hepatocytes. Further, primary mouse HSCs dramatically induced xCT as they became MF, and inhibiting xCT blocked GSH synthesis, reduced growth and fibrogenic gene expression and triggered HSC ferroptosis. Doses of xCT inhibitors that induced massive ferroptosis in HSCs had no effect on hepatocyte viability in vitro, and xCT inhibitors reduced liver fibrosis without worsening liver injury in mice with acute liver injury. However, TGFβ treatment up-regulated xCT and triggered ferroptosis in cultured primary mouse hepatocytes. During chronic liver injury, xCT inhibitors exacerbated injury, impaired regeneration and failed to improve fibrosis, confirming that HSCs and hepatocytes deploy similar mechanisms to survive chronic oxidative stress.

conclusionsInhibiting xCT can suppress myofibroblastic activity and induce ferroptosis of MF-HSCs. However, targeting xCT inhibition to MF-HSCs will be necessary to exploit ferroptosis as an anti-fibrotic strategy.

Indexed as

FerroptosisHepatic Stellate CellsAnimalsHepatocytesLiverLiver CirrhosisMicecirrhosisglutamatelipid peroxidationTGFβ

Identifiers

PMID33991158
PMCPMC8594404
OpenAlexW3163901389

What OpenQuestion holds

Textmetadata
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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.