Evidence map›Paper›PMID 38589357›Full record

ArticleNature communications2024

p53 promotes revival stem cells in the regenerating intestine after severe radiation injury.

Clara Morral, Arshad Ayyaz, Hsuan-Cheng Kuo, Mardi Fink, Ioannis I Verginadis, Andrea R Daniel, Danielle N Burner, Lucy M Driver, Sloane Satow, Stephanie Hasapis and 9 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
12.7field-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

37 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Ghrelin Induces CluInternational journal of molecular sciences · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Fasting primes small intestinal regeneration after damage via a microbiome-metabolite-chromatin axis.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  10. Proton FLASH Exposure Preserves Gut Commensal Microbiomes and Spares Intestinal Stem Cells.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Activation of Angiotensin-Converting Enzyme 2 Mitigates Gastrointestinal Acute Radiation Syndrome.International journal of radiation oncology, biology, physics · 2026
    Article
  17. Review
  18. Frontiers in immunology · 2026
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 6 institutions in 2 countries.

Clara Morral *Department of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Arshad Ayyaz *Centre for Systems Biology, Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, Canada.
Hsuan-Cheng Kuo *Department of Pharmacology and Cancer Biology, Duke University, Durham, NC, USA.
Mardi FinkCentre for Systems Biology, Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, Canada.
Ioannis I VerginadisDepartment of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Andrea R DanielDepartment of Radiation Oncology, Duke University, Durham, NC, USA.
Danielle N BurnerDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC, USA.
Lucy M DriverDepartment of Radiation Oncology, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0002-8868-3242
Sloane SatowDepartment of Radiation Oncology, Duke University, Durham, NC, USA.
Stephanie HasapisDepartment of Radiation Oncology, Duke University, Durham, NC, USA.
Reem GhinnagowDepartment of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Lixia LuoDepartment of Radiation Oncology, Duke University, Durham, NC, USA.
Yan MaDepartment of Radiation Oncology, Duke University, Durham, NC, USA.
Laura D AttardiDepartments of Radiation Oncology and Genetics, Stanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0003-1782-9045
Constantinos KoumenisDepartment of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Andy J MinnDepartment of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-1418-0906
Jeffrey L WranaCentre for Systems Biology, Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, Canada. wrana@lunenfeld.ca.ORCID http://orcid.org/0000-0003-0932-0644
Chang-Lung LeeDepartment of Radiation Oncology, Duke University, Durham, NC, USA. chang-lung.lee@duke.edu.ORCID http://orcid.org/0000-0002-0673-633X
David G KirschDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC, USA. david.kirsch@uhn.ca.ORCID http://orcid.org/0000-0002-2086-205X
Duke University · USUniversity of Pennsylvania · USMount Sinai Hospital · CACancer Research Institute · USStanford University · USUniversity of Toronto · CA

Funding

Sample Engineering CoreU19AI067773 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FORNACE, ALBERT J · 2005 to 2024
$105.4M
Somatostatin analogues as countermeasures against intestinal radiation toxicityU19AI067798 · NIAID · DUKE UNIVERSITY · PI CHAO, NELSON J. · 2005 to 2024
$82.1M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007171 · NIGMS · DUKE UNIVERSITY · PI KONTOS, CHRISTOPHER D · 1985 to 2021
$31.2M
Translational Studies in FLASH Particle RadiotherapyP01CA257904 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Mary E. Putt · 2022 to 2026
$14.2M
Advancing Cancer Therapy through Ground Breaking Research in Radiation BiologyR35CA197616 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI David Guy Kirsch · 2016 to 2026
$10.7M
NCI NIH HHS P01 CA257904NCI NIH HHS R35 CA197616NIAID NIH HHS U19 AI067773NIAID NIH HHS U19 AI067798NIGMS NIH HHS T32 GM007171
6 · The paper itself

Abstract

Ionizing radiation induces cell death in the gastrointestinal (GI) epithelium by activating p53. However, p53 also prevents animal lethality caused by radiation-induced acute GI syndrome. Through single-cell RNA-sequencing of the irradiated mouse small intestine, we find that p53 target genes are specifically enriched in regenerating epithelial cells that undergo fetal-like reversion, including revival stem cells (revSCs) that promote animal survival after severe damage of the GI tract. Accordingly, in mice with p53 deleted specifically in the GI epithelium, ionizing radiation fails to induce fetal-like revSCs. Using intestinal organoids, we show that transient p53 expression is required for the induction of revival stem cells and is controlled by an Mdm2-mediated negative feedback loop. Together, our findings reveal that p53 suppresses severe radiation-induced GI injury by promoting fetal-like reprogramming of irradiated intestinal epithelial cells.

Indexed as

Radiation InjuriesTumor Suppressor Protein p53AnimalsApoptosisGastrointestinal TractIntestinesMiceStem CellsTumor Suppressor Protein p53

Identifiers

PMID38589357
PMCPMC11001929
OpenAlexW4394570486

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.