Evidence map›Paper›PMID 34523155›Full record

ArticleAlcoholism, clinical and experimental research2021

A Western diet with alcohol in drinking water recapitulates features of alcohol-associated liver disease in mice.

Michael Schonfeld, Maura O'Neil, Maria T Villar, Antonio Artigues, Janice Averilla, Sumedha Gunewardena, Steven A Weinman, Irina Tikhanovich

Open access · greenAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 38 citations in OpenAlex.

  1. Ethanol reshapes FFC-driven steatohepatitis through time-dependent fibrosis and lipid-droplet remodeling.American journal of physiology. Gastrointestinal and liver physiology · 2026
    Article
  2. Precision pathophysiology in steatotic liver disease.Clinical and molecular hepatology · 2026
    Review
  3. Therapeutics for Alcohol-Associated Liver Disease.Annual review of pharmacology and toxicology · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Lipid Droplet Dynamics in Alcoholic Steatohepatitis.The American journal of pathology · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Alcohol-associated liver disease.The Journal of clinical investigation · 2024
    Review
  20. Article
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

8 authors at 1 institution in 1 country.

Michael SchonfeldDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Maura O'NeilDepartment of Pathology, University of Kansas Medical Center, Kansas City, Kansas, USA.
Maria T VillarDepartment of Biochemistry, University of Kansas Medical Center, Kansas City, Kansas, USA.
Antonio ArtiguesDepartment of Biochemistry, University of Kansas Medical Center, Kansas City, Kansas, USA.
Janice AverillaDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Sumedha GunewardenaDepartment of Molecular and Integrative Physiology, University of Kansas Medical Center, Kansas City, Kansas, USA.
Steven A WeinmanDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Irina TikhanovichDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.ORCID 0000-0003-1041-8032
University of Kansas Medical Center · US

Funding

longitudinal assessment of stress and stress-related concepts across a behavioral weight loss interventionP20GM144269 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI John P Thyfault, STEVEN A WEINMAN · 2022 to 2026
$14.9M
Role of alcohol adapted Kupffer cells in the progression and resolution of ALDR01AA012863 · NIAAA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI STEVEN A WEINMAN · 2000 to 2026
$10.2M
Using PCORnet to Expand the DS-CONNECT Cohort Through Healthcare System Recruitment, Incorporating Electronic Health Records, and Assessing Self-DeterminationU54HD090216 · NICHD · UNIVERSITY OF KANSAS LAWRENCE · PI COLOMBO, JOHN A. · 2016 to 2020
$6.2M
Role of Arginine Methylation in Alcohol PathogenesisR01AA027586 · NIAAA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI TIKHANOVICH, IRINA · 2019 to 2023
$2.1M
BLRD VA I01 BX004694NIAAA NIH HHS AA012863NIAAA NIH HHS AA027586NIAAA NIH HHS R01 AA012863NIAAA NIH HHS R01 AA027586NICHD NIH HHS U54 HD090216NIGMS NIH HHS P20 GM144269
6 · The paper itself

Abstract

backgroundMouse models of alcohol-associated liver disease vary greatly in their ease of implementation and the pathology they produce. Effects range from steatosis and mild inflammation with the Lieber-DeCarli liquid diet to severe inflammation, fibrosis, and pyroptosis seen with the Tsukamoto-French intragastric feeding model. Implementation of all of these models is limited by the labor-intensive nature of the protocols and the specialized skills necessary for successful intragastric feeding. We thus sought to develop a new model to reproduce features of alcohol-induced inflammation and fibrosis with minimal operational requirements.

methodsOver a 16-week period, mice were fed ad libitum with a pelleted high-fat Western diet (WD; 40% calories from fat) and alcohol added to the drinking water. We found the optimal alcohol consumption to be that at which the alcohol concentration was 20% for 4 days and 10% for 3 days per week. Control mice received WD pellets with water alone.

resultsAlcohol consumption was 18 to 20 g/kg/day in males and 20 to 22 g/kg/day in females. Mice in the alcohol groups developed elevated serum transaminase levels after 12 weeks in males and 10 weeks in females. At 16 weeks, both males and females developed liver inflammation, steatosis, and pericellular fibrosis. Control mice on WD without alcohol had mild steatosis only. Alcohol-fed mice showed reduced HNF4α mRNA and protein expression. HNF4α is a master regulator of hepatocyte differentiation, down-regulation of which is a known driver of hepatocellular failure in alcoholic hepatitis.

conclusionA simple-to-administer, 16-week WD alcohol model recapitulates the inflammatory, fibrotic, and gene expression aspects of human alcohol-associated steatohepatitis.

Indexed as

Diet, WesternDisease Models, AnimalAnimalsEthanolFatty Liver, AlcoholicFemaleFibrosisHepatocyte Nuclear Factor 4LiverMaleMiceMice, Inbred C57BLEthanolHepatocyte Nuclear Factor 4Hnf4a protein, mousefibrosisgender differencesHNF4αliver inflammationsteatohepatitis

Identifiers

PMID34523155
PMCPMC9006178
OpenAlexW3201387363

What OpenQuestion holds

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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.