Evidence map›Paper›PMID 34255741›Full record

ArticleThe Journal of clinical investigation2021

Hepatocyte-specific suppression of ANGPTL4 improves obesity-associated diabetes and mitigates atherosclerosis in mice.

Abhishek K Singh, Balkrishna Chaube, Xinbo Zhang, Jonathan Sun, Kathryn M Citrin, Alberto Canfrán-Duque, Binod Aryal, Noemi Rotllan, Luis Varela, Richard G Lee and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
12.1field-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

62 citing papers in PubMed, 108 citations in OpenAlex.

  1. Review
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  8. Gut fungi exacerbates gallstone formation by activating neutrophil extracellular traps in the liver.Apoptosis : an international journal on programmed cell death · 2026
    Article
  9. Review
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  11. From model to man: Understanding Tregs' dual role in MASLD.JHEP reports : innovation in hepatology · 2025
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  13. Review
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2 more citing papers are in PubMed but not listed here.

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 2 institutions in 1 country.

Abhishek K SinghDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, United States of America.
Balkrishna ChaubeDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, United States of America.
Xinbo ZhangDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, United States of America.
Jonathan SunDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, United States of America.
Kathryn M CitrinDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, United States of America.
Alberto Canfrán-DuqueDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, United States of America.
Binod AryalDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, United States of America.
Noemi RotllanVascular Biology and Therapeutics Program, Yale University School of Medicine, New Haven, United States of America.
Luis VarelaDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, United States of America.
Richard G LeeCardiovascular Group, Ionis Pharmaceuticals, Inc, Carlsbad, United States of America.
Tamas L HorvathDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, United States of America.
Nathan PriceDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, United States of America.
Yajaira SuárezDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, United States of America.
Carlos Fernandez-HernandoDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, United States of America.
Yale University · USIonis Pharmaceuticals (United States) · US

Funding

INSTITUTIONAL NATIONAL RESEARCH SERVICE AWARDT32GM007324 · NIGMS · YALE UNIVERSITY · PI BENNETT, ANTON M · 1987 to 2022
$6.2M
Novel insights into the molecular and cellular mechanism regulating lipid metabolism and atherosclerosisR35HL135820 · NHLBI · YALE UNIVERSITY · PI FERNANDEZ HERNANDO, CARLOS · 2017 to 2023
$6.0M
Insights into the molecular mechanisms regulating vascular and immune metabolism in vascular diseasesR35HL155988 · NHLBI · YALE UNIVERSITY · PI Yajaira Suarez · 2021 to 2026
$5.6M
Dual-specificity phosphatase action in muscle diseaseR01AR080152 · NIAMS · YALE UNIVERSITY · PI Anton M Bennett · 2022 to 2026
$2.5M
NHLBI NIH HHS R35 HL135820NHLBI NIH HHS R35 HL155988NIAMS NIH HHS R01 AR080152NIGMS NIH HHS T32 GM007324
6 · The paper itself

Abstract

Hepatic uptake and biosynthesis of fatty acids (FA), as well as the partitioning of FA into oxidative, storage, and secretory pathways are tightly regulated processes. Dysregulation of one or more of these processes can promote excess hepatic lipid accumulation, ultimately leading to systemic metabolic dysfunction. Angiopoietin-like-4 (ANGPTL4) is a secretory protein that inhibits lipoprotein lipase (LPL) and modulates triacylglycerol (TAG) homeostasis. To understand the role of ANGPTL4 in liver lipid metabolism under normal and high-fat fed conditions, we generated hepatocyte specific Angptl4 mutant mice (Hmut). Using metabolic turnover studies, we demonstrate that hepatic Angptl4 deficiency facilitates catabolism of TAG-rich lipoprotein (TRL) remnants in the liver via increased hepatic lipase (HL) activity, which results in a significant reduction in circulating TAG and cholesterol levels. Consequently, depletion of hepatocyte Angptl4 protects against diet-induce obesity, glucose intolerance, liver steatosis, and atherogenesis. Mechanistically, we demonstrate that loss of Angptl4 in hepatocytes promotes FA uptake which results in increased FA oxidation, ROS production, and AMPK activation. Finally, we demonstrate the utility of a targeted pharmacologic therapy that specifically inhibits Angptl4 gene expression in the liver and protects against diet-induced obesity, dyslipidemia, glucose intolerance, and liver damage, which likely occurs via increased HL activity. Notably, this novel inhibition strategy does not cause any of the deleterious effects previously observed with neutralizing antibodies.

Indexed as

AtherosclerosisHepatologyLipoproteinsMetabolismObesity

Identifiers

PMID34255741
PMCPMC8409581
OpenAlexW3182800692

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.