Evidence map›Paper›PMID 36521495›Full record

ArticleImmunity2023

Prolonged hypernutrition impairs TREM2-dependent efferocytosis to license chronic liver inflammation and NASH development.

Xiaochen Wang, Qifeng He, Chuanli Zhou, Yueyuan Xu, Danhui Liu, Naoto Fujiwara, Naoto Kubota, Arielle Click, Polly Henderson, Janiece Vancil and 11 more

Open access · greenAbstract read
In one paragraph

Article in Immunity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 167 papers.

0numbers the graph read from it
0cells of the map it votes in
167citing papers in PubMed
28.2field-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

167 citing papers in PubMed, 203 citations in OpenAlex.

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  11. TREM2-Targeting peptide tracer for neuroinflammation PET imaging.European journal of nuclear medicine and molecular imaging · 2026
    Article
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107 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 6 institutions in 2 countries.

Xiaochen WangDepartment of Immunology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Qifeng HeDepartment of General Surgery, Nanjing First Hospital, The Affiliated Nanjing Hospital of Nanjing Medical University, Nanjing 210006, Jiangsu, China.
Chuanli ZhouDepartment of Immunology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Yueyuan XuDepartment of Cell Biology, Duke University Medical Center, Durham, NC 27710, USA; Duke Regeneration Center, Center for Advanced Genomic Technologies, Duke University Medical Center, Durham, NC 27710, USA.
Danhui LiuDepartment of Immunology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Naoto FujiwaraDivision of Digestive and Liver Diseases, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Naoto KubotaDivision of Digestive and Liver Diseases, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Arielle ClickDepartment of Immunology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Polly HendersonDepartment of Immunology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Janiece VancilDepartment of Immunology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Cesia Ammi MarquezDivision of Digestive and Liver Diseases, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Ganesh GunasekaranDepartment of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Myron E SchwartzDepartment of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Parissa TabrizianDepartment of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Umut SarpelDepartment of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Maria Isabel FielDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Yarui DiaoDepartment of Cell Biology, Duke University Medical Center, Durham, NC 27710, USA; Duke Regeneration Center, Center for Advanced Genomic Technologies, Duke University Medical Center, Durham, NC 27710, USA.
Beicheng SunDepartment of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China.
Yujin HoshidaDivision of Digestive and Liver Diseases, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Shuang LiangDepartment of Immunology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA. Electronic address: shuang.liang@utsouthwestern.edu.
Zhenyu ZhongDepartment of Immunology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA. Electronic address: zhenyu.zhong@utsouthwestern.edu.
The University of Texas Southwestern Medical Center · USIcahn School of Medicine at Mount Sinai · USDuke University · USSouthwestern Medical Center · USNanjing Drum Tower Hospital · CNNanjing Medical University · CN

Funding

UT Southwestern NORCP30DK127984 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Jeff G McDonald · 2022 to 2026
$7.4M
Trial of Statins for Chemoprevention in Hepatocellular CarcinomaR01CA255621 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI CHUNG, RAYMOND T, HOSHIDA, YUJIN · 2021 to 2025
$3.6M
Reverse-engineering precision liver cancer chemopreventionR01CA233794 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI HOSHIDA, YUJIN · 2019 to 2023
$3.5M
Molecular Prognostic Indicators in Liver Cirrhosis and CancerR01DK099558 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HOSHIDA, YUJIN · 2013 to 2016
$2.6M
Deciphering the Role of dNTP Metabolism in Innate ImmunityR35GM142654 · NIGMS · UT SOUTHWESTERN MEDICAL CENTER · PI ZHONG, ZHENYU · 2021 to 2025
$2.2M
NCI NIH HHS R01 CA233794NCI NIH HHS R01 CA255621NIDDK NIH HHS P30 DK127984NIDDK NIH HHS R01 DK099558NIGMS NIH HHS R35 GM142654
6 · The paper itself

Abstract

Obesity-induced chronic liver inflammation is a hallmark of nonalcoholic steatohepatitis (NASH)-an aggressive form of nonalcoholic fatty liver disease. However, it remains unclear how such a low-grade, yet persistent, inflammation is sustained in the liver. Here, we show that the macrophage phagocytic receptor TREM2, induced by hepatocyte-derived sphingosine-1-phosphate, was required for efferocytosis of lipid-laden apoptotic hepatocytes and thereby maintained liver immune homeostasis. However, prolonged hypernutrition led to the production of proinflammatory cytokines TNF and IL-1β in the liver to induce TREM2 shedding through ADAM17-dependent proteolytic cleavage. Loss of TREM2 resulted in aberrant accumulation of dying hepatocytes, thereby further augmenting proinflammatory cytokine production. This ultimately precipitated a vicious cycle that licensed chronic inflammation to drive simple steatosis transition to NASH. Therefore, impaired macrophage efferocytosis is a previously unrecognized key pathogenic event that enables chronic liver inflammation in obesity. Blocking TREM2 cleavage to restore efferocytosis may represent an effective strategy to treat NASH.

Indexed as

Non-alcoholic Fatty Liver DiseaseOvernutritionHumansInflammationLiverMembrane GlycoproteinsObesityReceptors, ImmunologicMembrane GlycoproteinsReceptors, ImmunologicTREM2 protein, humanchronic inflammationefferocytosisnonalcoholic steatohepatitisproinflammatory cytokinesTREM2

Identifiers

PMID36521495
PMCPMC9839616
OpenAlexW4311468925

What OpenQuestion holds

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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.