Evidence map›Paper›PMID 41565157›Full record

ArticleCellular and molecular gastroenterology and hepatology2026

Hepatic Arterial Flow-Induced Portal Tract Fibrosis in Portal Hypertension: The Role of VCAM-1 and Osteopontin-Expressing Macrophages.

Ruixue Ma, Li Gong, Chao Dong, Teruo Utsumi, Jiewen Qi, Zhen W Zhuang, Xuchen Zhang, Yilin Yang, Matthew J McConnell, Hui-Chun Huang and 1 more

Abstract read
In one paragraph

Article in Cellular and molecular gastroenterology and hepatology, 2026. 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. Article
  2. Article
  3. Review
  4. VCAM-1 and Osteopontin Link Hemodynamic Alteration to Fibrosis in Portal Hypertension.Cellular and molecular gastroenterology and hepatology · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Ruixue MaSection of Digestive Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut; Department of Gastroenterology, Xiangya Hospital, Central South University, Changsha, Hunan, China; Department of Gastroenterology, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China.
Li GongSection of Digestive Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut; Department of Anesthesiology, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Chao DongSection of Digestive Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut; Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Teruo UtsumiSection of Digestive Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
Jiewen QiResearch Center of Oral and Maxillofacial Development and Regeneration, Xiangya Hospital, Central South University, Changsha, China.
Zhen W ZhuangSection of Cardiovascular Medicine and Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut.
Xuchen ZhangDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut.
Yilin YangSection of Digestive Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
Matthew J McConnellSection of Digestive Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
Hui-Chun HuangSection of Digestive Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut; Division of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital and School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Yasuko IwakiriSection of Digestive Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut. Electronic address: yasuko.iwakiri@yale.edu.

Funding

Lymphatics in the liverR01DK121511 · NIDDK · YALE UNIVERSITY · PI YASUKO IWAKIRI · 2022 to 2026
$3.0M
The role of lymphatics in cholestatic liver diseaseR01DK138584 · NIDDK · YALE UNIVERSITY · PI YASUKO IWAKIRI · 2024 to 2026
$2.8M
Hemodynamics and hepatic remodelingR01DK117597 · NIDDK · YALE UNIVERSITY · PI IWAKIRI, YASUKO · 2018 to 2021
$1.5M
NIDDK NIH HHS R01 DK117597NIDDK NIH HHS R01 DK121511NIDDK NIH HHS R01 DK138584
6 · The paper itself

Abstract

BACKGROUND &

aimsThe liver undergoes significant hemodynamic changes during surgery, transplantation, or cirrhosis with portal hypertension (PH). The hepatic artery buffer response (HABR), which compensates for reduced portal venous flow by increasing hepatic artery (HA) flow, is hypothesized to induce pathological portal tract remodeling. This study investigates the molecular mechanisms underlying this process.

methodsPH was induced in Sprague-Dawley rats via partial portal vein ligation (PPVL). Structural evaluation (micro computed tomography [microCT]), immune cell profiling, hemodynamic measurements, and transcriptomic analysis in macrophages from sham or PPVL rats were conducted.

resultsMicroCT revealed decreased portal vein flow and increased HA flow correlated with portal pressure (r = 0.799; P < .01). A 2-fold increase in portal tract fibrosis (P < .001) was observed with increased alpha smooth muscle actin (α-SMA)+ myofibroblasts in PPVL rats. CD68

conclusionsIncreased VCAM-1 in arterial endothelial cells and PFs facilitates the recruitment of Spp1

Indexed as

Hepatic ArteryHypertension, PortalLiver CirrhosisMacrophagesOsteopontinVascular Cell Adhesion Molecule-1AnimalsDisease Models, AnimalLiverMalePortal VeinRatsRats, Sprague-DawleyOsteopontinSpp1 protein, ratVascular Cell Adhesion Molecule-1Hepatic artery buffer responseNon-cirrhotic portal hypertensionPortal fibroblastsPortal vein thrombosis

Identifiers

PMID41565157
PMCPMC13090736

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.