Evidence map›Paper›PMID 39309001›Full record

ArticleFrontiers in pharmacology2024

STA-9090 in combination with a statin exerts enhanced protective effects in rats fed a high-fat diet and exposed to diethylnitrosamine and thioacetamide.

Amir Mohamed Abdelhamid, Sameh Saber, Rabab S Hamad, Mustafa Ahmed Abdel-Reheim, Abousree T Ellethy, Maha M Amer, Mohamed R Abdel-Hamed, Enas A Mohamed, Syed Suhail Ahmed, Hossam A Elsisi and 7 more

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Role of cellular senescence in hepatic diseases (Review).International journal of molecular medicine · 2025
    Review
  3. Effects of wasabi (Toxicology research · 2025
    Article
  4. Review
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

17 authors.

Amir Mohamed AbdelhamidDepartment of Pharmacology, Faculty of Pharmacy, Delta University for Science and Technology, Gamasa, Egypt.
Sameh SaberDepartment of Pharmacology, Faculty of Pharmacy, Delta University for Science and Technology, Gamasa, Egypt.
Rabab S HamadBiological Sciences Department, College of Science, King Faisal University, Al Ahsa, Saudi Arabia.
Mustafa Ahmed Abdel-ReheimDepartment of Pharmaceutical Sciences, College of Pharmacy, Shaqra University, Shaqra, Saudi Arabia.
Abousree T EllethyDepartment of Oral and Medical Basic Sciences, Biochemistry Division, College of Dentistry, Qassim University, Buraidah, Saudi Arabia.
Maha M AmerDepartment of Anatomy, College of Medicine, Qassim University, Buraidah, Saudi Arabia.
Mohamed R Abdel-HamedDepartment of Anatomy, College of Medicine, Qassim University, Buraidah, Saudi Arabia.
Enas A MohamedDepartment of Anatomy, College of Medicine, Qassim University, Buraidah, Saudi Arabia.
Syed Suhail AhmedDepartment of Microbiology and Immunology, College of Medicine, Qassim University, Buraidah, Saudi Arabia.
Hossam A ElsisiDepartment of Pharmacology and Toxicology, College of Pharmacy, Qassim University, Buraidah, Saudi Arabia.
Mostafa M KhodeirDepartment of Pathology, College of Medicine, Qassim University, Buraidah, Saudi Arabia.
Abdullah S AlkhamissDepartment of Pathology, College of Medicine, Qassim University, Buraidah, Saudi Arabia.
AlSalloom A ADepartment of Pathology, College of Medicine, Qassim University, Buraidah, Saudi Arabia.
Mawahib Ahmed Elawad Abu ElgasimDepartment of Family and Community Medicine, College of Medicine, Qassim University, Buraidah, Saudi Arabia.
Zainab H AlmansourBiological Sciences Department, College of Science, King Faisal University, Hofuf, Saudi Arabia.
Basem H ElesawyDepartment of Pathology, College of Medicine, Taif University, Taif, Saudi Arabia.
Elsayed A ElmorsyDepartment of Pharmacology and Therapeutics, College of Medicine, Qassim University, Buraidah, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Liver fibrosis is a significant global health burden that lacks effective therapies. It can progress to cirrhosis and hepatocellular carcinoma (HCC). Aberrant hedgehog pathway activation is a key driver of fibrogenesis and cancer, making hedgehog inhibitors potential antifibrotic and anticancer agents. Methods: We evaluated simvastatin and STA-9090, alone and combined, in rats fed a high-fat diet (HFD) and exposed to diethylnitrosamine and thioacetamide (DENA/TAA). Simvastatin inhibits HMG-CoA reductase, depleting cellular cholesterol required for Sonic hedgehog (Shh) modification and signaling. STA-9090 directly inhibits HSP90 chaperone interactions essential for Shh function. We hypothesized combining these drugs may provide liver protective effects through complementary targeting of the hedgehog pathway. Endpoints assessed included liver function tests, oxidative stress markers, histopathology, extracellular matrix proteins, inflammatory cytokines, and hedgehog signaling components. Results: HFD and DENA/TAA caused aberrant hedgehog activation, contributing to fibrotic alterations with elevated liver enzymes, oxidative stress, dyslipidemia, inflammation, and collagen deposition. Monotherapies with simvastatin or STA-9090 improved these parameters, while the combination treatment provided further enhancements, including improved survival, near-normal liver histology, and compelling hedgehog pathway suppression. Discussion: Our findings demonstrate the enhanced protective potential of combined HMG CoA reductase and HSP90 inhibition in rats fed a HFD and exposed to DENA and TAA. This preclinical study could help translate hedgehog-targeted therapies to clinical evaluation for treating this major unmet need.

Indexed as

dyslipideamiahedgehog pathwayHMG-CoA reductaseHSP90inflammation/fibrosisSTA-9090

Identifiers

PMID39309001
PMCPMC11413491

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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.