Evidence map›Paper›PMID 36266427›Full record

ArticleScientific reports2022

A mouse model of hepatic encephalopathy: bile duct ligation induces brain ammonia overload, glial cell activation and neuroinflammation.

Wouter Claeys, Lien Van Hoecke, Anja Geerts, Hans Van Vlierberghe, Sander Lefere, Griet Van Imschoot, Elien Van Wonterghem, Bart Ghesquière, Roosmarijn E Vandenbroucke, Christophe Van Steenkiste

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  4. Combining sorafenib andIranian journal of basic medical sciences · 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

10 authors at 5 institutions in 1 country.

Wouter ClaeysBarriers in Inflammation, VIB Center for Inflammation Research, VIB, 9052, Ghent, Belgium.
Lien Van HoeckeBarriers in Inflammation, VIB Center for Inflammation Research, VIB, 9052, Ghent, Belgium.
Anja GeertsLiver Research Center Ghent, Hepatology Research Unit, Department of Internal Medicine and Pediatrics, Ghent University, 9000, Ghent, Belgium.
Hans Van VlierbergheLiver Research Center Ghent, Hepatology Research Unit, Department of Internal Medicine and Pediatrics, Ghent University, 9000, Ghent, Belgium.
Sander LefereLiver Research Center Ghent, Hepatology Research Unit, Department of Internal Medicine and Pediatrics, Ghent University, 9000, Ghent, Belgium.
Griet Van ImschootBarriers in Inflammation, VIB Center for Inflammation Research, VIB, 9052, Ghent, Belgium.
Elien Van WonterghemBarriers in Inflammation, VIB Center for Inflammation Research, VIB, 9052, Ghent, Belgium.
Bart GhesquièreMetabolomics Expertise Center, Center for Cancer Biology, VIB Center for Cancer Biology, Leuven, Belgium.
Roosmarijn E Vandenbroucke *Barriers in Inflammation, VIB Center for Inflammation Research, VIB, 9052, Ghent, Belgium.
Christophe Van Steenkiste *Department of Gastroenterology and Hepatology, Antwerp University, Antwerp, Belgium. christophe.vansteenkiste@azmmsj.be.
Ghent University Hospital · BEVIB-UGent Center for Inflammation Research · BEGhent University · BEKU Leuven · BEUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatic encephalopathy (HE) is a common complication of chronic liver disease, characterized by an altered mental state and hyperammonemia. Insight into the brain pathophysiology of HE is limited due to a paucity of well-characterized HE models beyond the rat bile duct ligation (BDL) model. Here, we assess the presence of HE characteristics in the mouse BDL model. We show that BDL in C57Bl/6j mice induces motor dysfunction, progressive liver fibrosis, liver function failure and hyperammonemia, all hallmarks of HE. Swiss mice however fail to replicate the same phenotype, underscoring the importance of careful strain selection. Next, in-depth characterisation of metabolic disturbances in the cerebrospinal fluid of BDL mice shows glutamine accumulation and transient decreases in taurine and choline, indicative of brain ammonia overload. Moreover, mouse BDL induces glial cell dysfunction, namely microglial morphological changes with neuroinflammation and astrocyte reactivity with blood-brain barrier (BBB) disruption. Finally, we identify putative novel mechanisms involved in central HE pathophysiology, like bile acid accumulation and tryptophan-kynurenine pathway alterations. Our study provides the first comprehensive evaluation of a mouse model of HE in chronic liver disease. Additionally, this study further underscores the importance of neuroinflammation in the central effects of chronic liver disease.

Indexed as

Hepatic EncephalopathyHyperammonemiaLiver DiseasesAmmoniaAnimalsBile Acids and SaltsBile DuctsBrainCholineDisease Models, AnimalGlutamineKynurenineMiceMicrogliaNeuroinflammatory DiseasesRatsAmmoniaBile Acids and SaltsCholineGlutamineKynurenineTaurineTryptophan

Identifiers

PMID36266427
PMCPMC9585018
OpenAlexW4306879423

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.