Evidence map›Paper›PMID 34706243›Full record

ArticleCell reports2021

Adenosine deaminase 2 produced by infiltrative monocytes promotes liver fibrosis in nonalcoholic fatty liver disease.

Shilpa Tiwari-Heckler, Eric U Yee, Yusuf Yalcin, Jiwoon Park, Duc-Huy T Nguyen, Wenda Gao, Eva Csizmadia, Nezam Afdhal, Kenneth J Mukamal, Simon C Robson and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Getting to know adenosine deaminase 2 deficiency inside and out.The Journal of allergy and clinical immunology · 2025
    Review
  5. Article
  6. Article
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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

13 authors at 4 institutions in 2 countries.

Shilpa Tiwari-HecklerDepartment of Gastroenterology, Hepatology and Nutrition, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA; Department of Gastroenterology, University Hospital Heidelberg, Heidelberg, Germany.
Eric U YeeDepartment of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR 11794, USA.
Yusuf YalcinDepartment of Gastroenterology, Hepatology and Nutrition, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
Jiwoon ParkDivision of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, NY, USA.
Duc-Huy T NguyenDivision of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, NY, USA.
Wenda GaoAntagen Institute for Biomedical Research, Boston, MA 02118, USA.
Eva CsizmadiaDepartment of Gastroenterology, Hepatology and Nutrition, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
Nezam AfdhalDepartment of Gastroenterology, Hepatology and Nutrition, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
Kenneth J MukamalDivision of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
Simon C RobsonDepartment of Gastroenterology, Hepatology and Nutrition, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA; Department of Anesthesia, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston MA 02215, USA.
Michelle LaiDepartment of Gastroenterology, Hepatology and Nutrition, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
Robert E SchwartzDivision of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, NY, USA. Electronic address: res2025@med.cornell.edu.
Z Gordon JiangDepartment of Gastroenterology, Hepatology and Nutrition, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA. Electronic address: zgjiang@bidmc.harvard.edu.
Beth Israel Deaconess Medical Center · USCornell University · USAntagen Pharmaceuticals (United States) · USUniversity of Arkansas for Medical Sciences · US

Funding

Therapeutic assessment of synthetic heparin sulfates in transplantation modelsP01HL107152 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI DESAI, UMESH RAMANLAL · 2011 to 2017
$15.8M
Genetic Viral and Host Adaptations to Breach Species Barriers of HCVR01AI107301 · NIAID · PRINCETON UNIVERSITY · PI Thomas Pietschmann, Alexander Ploss · 2013 to 2026
$6.0M
Optimization of the engineered 3D hepatic microenvironment enhances pluripotent stem cell derived hepatocyteR01DK121072 · NIDDK · WEILL MEDICAL COLL OF CORNELL UNIV · PI SCHWARTZ, ROBERT E · 2020 to 2024
$2.6M
Modeling alcohol toxicity in human hepatocytesR01AA027327 · NIAAA · WEILL MEDICAL COLL OF CORNELL UNIV · PI DE JONG, YPE PETER · 2019 to 2023
$1.9M
Modeling Hepatoblastoma using pluripotent stem cell derived hepatocyte-like cellsR01CA234614 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI SCHWARTZ, ROBERT E · 2019 to 2023
$1.9M
Non-invasive evaluation of Non-alcoholic SteatohepatitisK23DK083439 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI LAI, MICHELLE · 2010 to 2014
$887k
Adenosine deaminase 2 regulates macrophage phenotype and liver fibrosis in nonalcoholic fatty liver diseaseK08DK115883 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI JIANG, ZHENGHUI GORDON · 2018 to 2022
$839k
Engineering Inhibitory Antibodies to Ectoenzymes for Cancer TreatmentR21CA164970 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI ROBSON, SIMON C. · 2012 to 2013
$405k
NCI NIH HHS R01 CA234614NCI NIH HHS R21 CA164970NHLBI NIH HHS P01 HL107152NIAAA NIH HHS R01 AA027327NIAID NIH HHS R01 AI107301NIDDK NIH HHS K08 DK115883NIDDK NIH HHS K23 DK083439NIDDK NIH HHS L30 DK118655NIDDK NIH HHS R01 DK121072
6 · The paper itself

Abstract

Elevated circulating activity of adenosine deaminase 2 (ADA2) is associated with liver fibrosis in nonalcoholic fatty liver disease (NAFLD). In the liver of NAFLD patients, ADA2-positive portal macrophages are significantly associated with the degree of liver fibrosis. These liver macrophages are CD14- and CD16-positive and co-express chemokine receptors CCR2, CCR5, and CXCR3, indicating infiltrative monocyte origin. Human circulatory monocytes release ADA2 upon macrophage differentiation in vitro. When stimulated by recombinant human ADA2 (rhADA2), human monocyte-derived macrophages demonstrate upregulation of pro-inflammatory and pro-fibrotic genes, including PDGF-B, a key pro-fibrotic cytokine. This PDGF-B upregulation is reproduced by inosine, the enzymatic product of ADA2, but not adenosine, and is abolished by E359N, a loss-of-function mutation in ADA2. Finally, rhADA2 also stimulates PDGF-B production from Kupffer cells in primary human liver spheroids. Together, these data suggest that infiltrative monocytes promote fibrogenesis in NAFLD via ADA2-mediated autocrine/paracrine signaling culminating in enhanced PDGF-B production.

Indexed as

Autocrine CommunicationParacrine CommunicationAdenosine DeaminaseAdultAgedFemaleHumansIntercellular Signaling Peptides and ProteinsKupffer CellsLiverMaleMiddle AgedMonocytesNon-alcoholic Fatty Liver DiseaseProto-Oncogene Proteins c-sisADA2 protein, humanAdenosine DeaminaseIntercellular Signaling Peptides and ProteinsProto-Oncogene Proteins c-sisadenosine deaminase 2cat eye syndrome chromosome region 1Kupffer cellsliver fibrosisNonalcoholic fatty liver diseasenonalcoholic steatohepatitisplatelet derived growth factor Bportal macrophages

Identifiers

PMID34706243
PMCPMC8606247
OpenAlexW3210180537

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.