Evidence map›Paper›PMID 40601300›Full record

ReviewHepatology (Baltimore, Md.)2025

Benefits and challenges to therapeutic targeting of bile acid circulation in cholestatic liver disease.

Michael Trauner, Saul J Karpen, Paul A Dawson

Abstract readReview
In one paragraph

Review in Hepatology (Baltimore, Md.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. The Polysaccharides fromNutrients · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Dysbiosis in the Gut-Liver Axis Is Associated With Low Bone Mass During Murine Cholestasis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  10. Review
  11. Article
  12. 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

3 authors.

Michael TraunerDepartment of Internal Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-1275-6425
Saul J KarpenStravitz-Sanyal Institute for Liver Disease and Metabolic Health, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.ORCID 0000-0002-3379-7592
Paul A DawsonDepartment of Pediatrics, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, Georgia, USA.ORCID 0000-0001-9760-4422

Funding

Modeling genetic contributions to biliary atresiaR01DK135815 · NIDDK · VIRGINIA COMMONWEALTH UNIVERSITY · PI SAUL J. KARPEN · 2023 to 2026
$2.4M
Hepatoprotective Mechanisms of Systemic Bile Acid Transporter InhibitorsR01DK140485 · NIDDK · EMORY UNIVERSITY · PI PAUL A DAWSON · 2024 to 2026
$1.9M
NIDDK NIH HHS R01 DK135815NIDDK NIH HHS R01 DK140485
6 · The paper itself

Abstract

Progress in our understanding of the molecular basis of bile acid (BA) transport in the liver, bile ducts, intestine, and kidney has not only advanced our understanding of the pathophysiology of cholestasis and metabolic dysfunction-associated liver disease but also led to novel therapeutic approaches targeting BA transport and signaling within the entero-nephro-hepatic circulation. This includes BA transport modulators such as inhibitors of the apical BA-transport system in the terminal ileum and proximal renal tubule (IBAT/ASBT inhibitors) and basolateral (sinusoidal) BA uptake in hepatocytes (NTCP inhibitors). In addition to altering membrane transporter function by targeting IBAT/ASBT and NTCP, there is an array of potentially additive therapeutic approaches which include receptor agonists acting via nuclear receptor (FXR, PPAR)-mediated transcriptional modification of BA synthesis and transport genes and BA analogs such as norucholic acid (previously known as norUDCA) that undergo cholehepatic shunting. This article reviews established and emerging molecular and clinical rationales for therapeutic targeting of BA circulation and signaling in liver diseases with a specific focus on cholestatic disorders.

Indexed as

Bile Acids and SaltsCholestasisLiver DiseasesAnimalsHumansOrganic Anion Transporters, Sodium-DependentBile Acids and SaltsOrganic Anion Transporters, Sodium-Dependententerohepatic circulationileumnuclear receptorproximal renal tubuletransport

Identifiers

PMID40601300
PMCPMC12440292

What OpenQuestion holds

Textmetadata
LicenceTDM
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.