Evidence map›Paper›PMID 35845295›Full record

ArticleJHEP reports : innovation in hepatology2022

Hyperammonaemia induces mitochondrial dysfunction and neuronal cell death.

Plamena R Angelova, Annarein J C Kerbert, Abeba Habtesion, Andrew Hall, Andrey Y Abramov, Rajiv Jalan

Open access · goldAbstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
6.8field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 54 citations in OpenAlex.

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  8. Mechanistic insights into the liver-brain axis during chronic liver disease.Nature reviews. Gastroenterology & hepatology · 2026
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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

6 authors at 3 institutions in 2 countries.

Plamena R AngelovaQueen Square Institute of Neurology, University College London, London, UK.
Annarein J C KerbertInstitute for Liver and Digestive Health, University College London, Royal Free Campus, London, UK.
Abeba HabtesionInstitute for Liver and Digestive Health, University College London, Royal Free Campus, London, UK.
Andrew HallSheila Sherlock Liver Centre, Royal Free London NHS Foundation Trust, London, UK.
Andrey Y AbramovQueen Square Institute of Neurology, University College London, London, UK.
Rajiv JalanInstitute for Liver and Digestive Health, University College London, Royal Free Campus, London, UK.
The Royal Free Hospital · GBNational Hospital for Neurology and Neurosurgery · GBRoyal Free London NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & Aims: In cirrhosis, astrocytic swelling is believed to be the principal mechanism of ammonia neurotoxicity leading to hepatic encephalopathy (HE). The role of neuronal dysfunction in HE is not clear. We aimed to explore the impact of hyperammonaemia on mitochondrial function in primary co-cultures of neurons and astrocytes and in acute brain slices of cirrhotic rats using live cell imaging. Methods: To primary cocultures of astrocytes and neurons, low concentrations (1 and 5 μM) of NH Results: Neuronal cultures treated with NH Conclusions: Our results elucidate that low-grade hyperammonaemia in cirrhosis can severely impact on brain mitochondrial function. Profound neuronal injury was observed in hyperammonaemic conditions, which was partially reversible by OP. This points towards a novel mechanism of HE development. Lay summary: The impact of hyperammonaemia, a common finding in patients with liver cirrhosis, on brain mitochondrial function was investigated in this study. The results show that ammonia in concentrations commonly seen in patients induces severe mitochondrial dysfunction, overproduction of damaging oxygen molecules, and profound injury and death of neurons in rat brain cells. These findings point towards a novel mechanism of ammonia-induced brain injury in liver failure and potential novel therapeutic targets.

Indexed as

AmmoniaBDL, bile duct ligationCA1, cornu ammonis 1CA3, cornu ammonis 3Cell deathCNS, central nervous systemDG, dentate gyrusDIV, days in vitroETC, electron transport chainFCCP, carbonyl cyanide 4-(trifluoromethoxy) phenylhydrazoneGFAP, glial fibrillary acidic proteinHE, hepatic encephalopathyHepatic encephalopathyHEt, dihydroethidiumLiver cirrhosisLP, lipid peroxidationMitochondrial functionmPT, mitochondrial permeability transitionNaCN, sodium cyanideOP, ornithine phenylacetatePI, propidium iodideROI, region of interestROS, reactive oxygen speciesTCA, tricarboxylic acidTMRM, tetramethyl rhodamine, methyl esterΔψm, mitochondrial membrane potential

Identifiers

PMID35845295
PMCPMC9278080
OpenAlexW4281286561

What OpenQuestion holds

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LicenceCC BY
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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.