Evidence map›Paper›PMID 40155379›Full record

ArticleNature communications2025

Targeting senescent hepatocytes for treatment of metabolic dysfunction-associated steatotic liver disease and multi-organ dysfunction.

Kuo Du, David S Umbaugh, Liuyang Wang, Ji Hye Jun, Rajesh K Dutta, Seh Hoon Oh, Niansheng Ren, Qiaojuan Zhang, Dennis C Ko, Ana Ferreira and 7 more

Erratum issuedAbstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

30 citing papers in PubMed.

  1. Article
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  9. Review
  10. Article
  11. Article
  12. Article
  13. Redefining senescence through hepatocyte fate changes in liver diseases.Trends in endocrinology and metabolism: TEM · 2026
    Review
  14. Article
  15. Article
  16. p16Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  17. Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Kuo DuDepartment of Medicine, Duke University, Durham, NC, USA. kuo.du@duke.edu.ORCID http://orcid.org/0000-0002-1446-4653
David S UmbaughDepartment of Medicine, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0002-5327-9020
Liuyang WangDepartment of Molecular Genetics and Microbiology, Duke University, Durham, NC, USA.
Ji Hye JunDepartment of Medicine, Duke University, Durham, NC, USA.
Rajesh K DuttaDepartment of Medicine, Duke University, Durham, NC, USA.
Seh Hoon OhDepartment of Medicine, Duke University, Durham, NC, USA.
Niansheng RenDepartment of Medicine, Duke University, Durham, NC, USA.
Qiaojuan ZhangDepartment of Neurology, Duke University, Durham, NC, USA.
Dennis C KoDepartment of Molecular Genetics and Microbiology, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0002-0113-5981
Ana FerreiraBoehringer Ingelheim Pharmaceuticals Inc, Ridgefield, CT, USA.
Jon HillBoehringer Ingelheim Pharmaceuticals Inc, Ridgefield, CT, USA.ORCID http://orcid.org/0000-0003-1592-6482
Guannan GaoBoehringer Ingelheim Pharmaceuticals Inc, Ridgefield, CT, USA.
Steven S PullenBoehringer Ingelheim Pharmaceuticals Inc, Ridgefield, CT, USA.
Vaibhav JainDuke Molecular Physiology Institute, Duke University, Durham, NC, USA.
Simon GregoryDuke Molecular Physiology Institute, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0002-7805-1743
Manal F AbdelmalekDepartment of Medicine, Mayo Clinic, Rochester, MN, USA.
Anna Mae DiehlDepartment of Medicine, Duke University, Durham, NC, USA. annamae.diehl@duke.edu.ORCID http://orcid.org/0000-0003-1859-089X

Funding

TNF ALPHA AND RECOVERY FROM ALCOHOLIC LIVER INJURYR01AA010154 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI ANNA MAE ELIZABETH DIEHL, Auinash Kalsotra · 1994 to 2026
$6.1M
Hedgehog Signaling and Adult Liver RegenerationR01DK077794 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2008 to 2020
$4.6M
Hepatic Lipotoxicity, Metabolic Homeostasis and NAFLD PathogenesisR56DK134334 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2023 to 2023
$493k
Targeting Hepatocyte Senescence to Improve NAFLDK01DK135793 · NIDDK · DUKE UNIVERSITY · PI Kuo Du · 2024 to 2026
$433k
NIAAA NIH HHS R01 AA010154NIDDK NIH HHS K01 DK135793NIDDK NIH HHS R01 DK077794NIDDK NIH HHS R56 DK134334
6 · The paper itself

Abstract

Senescent hepatocytes accumulate in metabolic dysfunction-associated steatotic liver disease (MASLD) and are linked to worse clinical outcomes. However, their heterogeneity and lack of specific markers have made them difficult to target therapeutically. Here, we define a senescent hepatocyte gene signature (SHGS) using in vitro and in vivo models and show that it tracks with MASLD progression/regression across mouse models and large human cohorts. Single-nucleus RNA-sequencing and functional studies reveal that SHGS+ hepatocytes originate from p21+ cells, lose key liver functions and release factors that drive disease progression. One such factor, GDF15, increases in circulation alongside SHGS+ burden and disease progression. Through chemical screening, we identify senolytics that selectively eliminate SHGS+ hepatocytes and improve MASLD in male mice. Notably, SHGS enrichment also correlates with dysfunction in other organs. These findings establish SHGS+ hepatocytes as key drivers of MASLD and highlight a potential therapeutic strategy for targeting senescent cells in liver disease and beyond.

Indexed as

Cellular SenescenceFatty LiverHepatocytesSenotherapeuticsAnimalsDisease Models, AnimalDisease ProgressionFemaleHumansLiverMaleMiceMice, Inbred C57BLSenotherapeutics

Identifiers

PMID40155379
PMCPMC11953480

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.