Evidence map›Paper›PMID 34686668›Full record

ArticleNature communications2021

A human multi-lineage hepatic organoid model for liver fibrosis.

Yuan Guan, Annika Enejder, Meiyue Wang, Zhuoqing Fang, Lu Cui, Shih-Yu Chen, Jingxiao Wang, Yalun Tan, Manhong Wu, Xinyu Chen and 6 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 2 pooled it
9.2field-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

93 citing papers in PubMed, 2 syntheses or guidelines pooled it, 133 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. A practical toolbox for modelling fibrosis in vitro.Nature biomedical engineering · 2026
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  15. [Advances in the construction and application of a novel liver organoid model for hepatitis B virus infection].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
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33 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

16 authors at 4 institutions in 2 countries.

Yuan GuanDepartment of Anesthesiology, Pain and Perioperative Medicine, Stanford, CA, 94305, USA.
Annika EnejderDepartment of Materials Science and Engineering, Stanford University, Stanford, CA, 94305, USA.ORCID 0000-0003-2000-1353
Meiyue WangDepartment of Anesthesiology, Pain and Perioperative Medicine, Stanford, CA, 94305, USA.
Zhuoqing FangDepartment of Anesthesiology, Pain and Perioperative Medicine, Stanford, CA, 94305, USA.ORCID 0000-0002-7418-1313
Lu CuiDepartment of Pathology, Institute of Stem Cell Biology and Regenerative Medicine (ISCBRM), Stanford University School of Medicine, Stanford, CA, 94305, USA.ORCID 0000-0002-3531-8102
Shih-Yu ChenShih-Yu Chen, Institute of Biomedical Sciences, Academia Sinica, Taipei, 11529, Taiwan.
Jingxiao WangDepartment of Anesthesiology, Pain and Perioperative Medicine, Stanford, CA, 94305, USA.
Yalun TanDepartment of Anesthesiology, Pain and Perioperative Medicine, Stanford, CA, 94305, USA.
Manhong WuDepartment of Anesthesiology, Pain and Perioperative Medicine, Stanford, CA, 94305, USA.
Xinyu ChenDepartment of Anesthesiology, Pain and Perioperative Medicine, Stanford, CA, 94305, USA.
Patrik K JohanssonDepartment of Materials Science and Engineering, Stanford University, Stanford, CA, 94305, USA.
Issra OsmanDepartment of Anesthesiology, Pain and Perioperative Medicine, Stanford, CA, 94305, USA.ORCID 0000-0001-5918-4543
Koshi KunimotoDepartment of Pathology, Institute of Stem Cell Biology and Regenerative Medicine (ISCBRM), Stanford University School of Medicine, Stanford, CA, 94305, USA.
Pierre RussoPerelman School of Medicine at The University of Pennsylvania, Philadelphia, PA, 19104, USA.
Sarah C HeilshornDepartment of Materials Science and Engineering, Stanford University, Stanford, CA, 94305, USA.
Gary PeltzDepartment of Anesthesiology, Pain and Perioperative Medicine, Stanford, CA, 94305, USA. gpeltz@stanford.edu.ORCID 0000-0001-6191-7697
Stanford Medicine · USStanford University · USInstitute of Biomedical Sciences, Academia Sinica · TWUniversity of Pennsylvania · US

Funding

Stem Cell-Based In vivo Models of Human Genetic Liver DiseasesR01DK102182 · NIDDK · STANFORD UNIVERSITY · PI PELTZ, GARY A · 2015 to 2017
$1.7M
Engineered matrix microarrays to enhance the regenerative potential of iPSC-derived endothelial cellsR01HL142718 · NHLBI · STANFORD UNIVERSITY · PI HEILSHORN, SARAH C, HUANG, NGAN F. · 2018 to 2021
$1.6M
Engineered biomaterials to modulate cell-cell signaling for the robust expansion of stem cellsR01EB027171 · NIBIB · STANFORD UNIVERSITY · PI HEILSHORN, SARAH C · 2019 to 2022
$1.4M
NHLBI NIH HHS R01 HL142718NIBIB NIH HHS R01 EB027171NIDDK NIH HHS R01 DK102182
6 · The paper itself

Abstract

To investigate the pathogenesis of a congenital form of hepatic fibrosis, human hepatic organoids were engineered to express the most common causative mutation for Autosomal Recessive Polycystic Kidney Disease (ARPKD). Here we show that these hepatic organoids develop the key features of ARPKD liver pathology (abnormal bile ducts and fibrosis) in only 21 days. The ARPKD mutation increases collagen abundance and thick collagen fiber production in hepatic organoids, which mirrors ARPKD liver tissue pathology. Transcriptomic and other analyses indicate that the ARPKD mutation generates cholangiocytes with increased TGFβ pathway activation, which are actively involved stimulating myofibroblasts to form collagen fibers. There is also an expansion of collagen-producing myofibroblasts with markedly increased PDGFRB protein expression and an activated STAT3 signaling pathway. Moreover, the transcriptome of ARPKD organoid myofibroblasts resemble those present in commonly occurring forms of liver fibrosis. PDGFRB pathway involvement was confirmed by the anti-fibrotic effect observed when ARPKD organoids were treated with PDGFRB inhibitors. Besides providing insight into the pathogenesis of congenital (and possibly acquired) forms of liver fibrosis, ARPKD organoids could also be used to test the anti-fibrotic efficacy of potential anti-fibrotic therapies.

Indexed as

Models, BiologicalBile Duct DiseasesCollagenEpithelial CellsHumansInduced Pluripotent Stem CellsLiverLiver CirrhosisMutationMyofibroblastsOrganoidsPolycystic Kidney, Autosomal RecessiveReceptor, Platelet-Derived Growth Factor betaSignal TransductionSTAT3 Transcription FactorTransforming Growth Factor betaCollagenPDGFRB protein, humanReceptor, Platelet-Derived Growth Factor betaSTAT3 protein, humanSTAT3 Transcription FactorTransforming Growth Factor beta

Identifiers

PMID34686668
PMCPMC8536785
OpenAlexW3205254301

What OpenQuestion holds

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LicenceCC BY
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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.