Evidence map›Paper›PMID 34914893›Full record

ArticleCell metabolism2022

TOX4, an insulin receptor-independent regulator of hepatic glucose production, is activated in diabetic liver.

Liheng Wang, Junjie Yu, Qiuzhong Zhou, Xiaobo Wang, Maria Mukhanova, Wen Du, Lei Sun, Utpal B Pajvani, Domenico Accili

Open access · bronzeAbstract read
In one paragraph

Article in Cell metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

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  6. Review
  7. Insulin resistance in type 2 diabetes mellitus.Nature reviews. Endocrinology · 2025
    Review
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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

9 authors at 3 institutions in 2 countries.

Liheng WangDepartment of Medicine, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA; Naomi Berrie Diabetes Center, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA. Electronic address: lw2381@cumc.columbia.edu.
Junjie YuDepartment of Medicine, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA; Naomi Berrie Diabetes Center, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA.
Qiuzhong ZhouCardiovascular and Metabolic Disorders Program, Duke-NUS Medical School, 8 College Road, Singapore 169857, Singapore.
Xiaobo WangDepartment of Medicine, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA.
Maria MukhanovaInstitute of Human Nutrition, Columbia University, New York, NY 10032, USA.
Wen DuDepartment of Medicine, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA; Naomi Berrie Diabetes Center, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA.
Lei SunCardiovascular and Metabolic Disorders Program, Duke-NUS Medical School, 8 College Road, Singapore 169857, Singapore; Institute of Molecular and Cell Biology, 61 Biopolis Drive, Proteos, Singapore 138673, Singapore.
Utpal B PajvaniDepartment of Medicine, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA; Naomi Berrie Diabetes Center, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA.
Domenico AcciliDepartment of Medicine, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA; Naomi Berrie Diabetes Center, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA. Electronic address: da230@cumc.columbia.edu.
Columbia University · USDuke-NUS Medical School · SGInstitute of Molecular and Cell Biology · SG

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Anil K Rustgi · 1985 to 2026
$115.3M
Translational Biomarker Analytical Core (TBAC)P30DK063608 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Rebecca Anne Haeusler, Utpal Pajvani · 2003 to 2026
$36.7M
TTC39B in obesity and atherosclerosisP01HL087123 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ACCILI, DOMENICO · 2007 to 2022
$31.2M
MECHANISMS OF BETA CELL FAILURER01DK064819 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ACCILI, DOMENICO · 2003 to 2025
$10.5M
MOUSE MODELS OF INSULIN RESISTANCER01DK058282 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ACCILI, DOMENICO · 2000 to 2023
$6.2M
MOUSE MODELS OF INSULIN RESISTANCER37DK058282 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ACCILI, DOMENICO · 2010 to 2019
$4.4M
Studies of Esophageal Metaplasia Using a Novel AntibodyR01DK063618 · NIDDK · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI DAS, KIRON M · 2002 to 2006
$1.7M
TOX4 integrates hormone signaling on hepatic glucose and lipid metabolismK01DK123199 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI WANG, LIHENG · 2019 to 2022
$525k
NCI NIH HHS P30 CA013696NHLBI NIH HHS P01 HL087123NIDDK NIH HHS K01 DK123199NIDDK NIH HHS P30 DK063608NIDDK NIH HHS R01 DK058282NIDDK NIH HHS R01 DK063618NIDDK NIH HHS R01 DK064819NIDDK NIH HHS R37 DK058282NLM NIH HHS HHSN276201200017C
6 · The paper itself

Abstract

Increased hepatic glucose production (HGP) contributes to hyperglycemia in type 2 diabetes. Hormonal regulation of this process is primarily, but not exclusively, mediated by the AKT-FoxO1 pathway. Here, we show that cAMP and dexamethasone regulate the high-mobility group superfamily member TOX4 to mediate HGP, independent of the insulin receptor/FoxO1 pathway. TOX4 inhibition decreases glucose production in primary hepatocytes and liver and increases glucose tolerance. Combined genetic ablation of TOX4 and FoxO1 in liver has additive effects on glucose tolerance and gluconeogenesis. Moreover, TOX4 ablation fails to reverse the metabolic derangement brought by insulin receptor knockout. TOX4 expression is increased in livers of patients with steatosis and diabetes and in diet-induced obese and db/db mice. In the latter two murine models, knockdown Tox4 decreases glycemia and improves glucose tolerance. We conclude that TOX4 is an insulin receptor-independent regulator of HGP and a candidate contributor to the pathophysiology of diabetes.

Indexed as

Diabetes Mellitus, Type 2GlucoseLiverNeoplasm ProteinsAnimalsForkhead Box Protein O1GluconeogenesisHumansInsulinMiceMice, Inbred C57BLReceptor, InsulinForkhead Box Protein O1GlucoseInsulinNeoplasm ProteinsReceptor, InsulinTOX4 protein, humanTOX2, transcription regulation, HGP, type 2 diabetes

Identifiers

PMID34914893
PMCPMC8732315
OpenAlexW4200367338

What OpenQuestion holds

Textmetadata
LicenceTDM
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.