Evidence map›Paper›PMID 41881032›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2026

Hepatocyte BDNF Acts as a Novel Immune Checkpoint to Restrain TLR4-Mediated Acute Hepatitis.

Weiwei Zhu, Yaqian Cui, Yongqiang Zhou, Yihui Zheng, Lijiang Huang, Leiming Jin, Qianhui Zhang, Pan Chen, Mengsha Lin, Jiaxi Ye and 6 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

16 authors.

Weiwei ZhuDepartment of Cardiology and Medical Research Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yaqian CuiAffiliated Cangnan Hospital and Chemical Biology Research Center, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yongqiang ZhouDepartment of Chemoradiation Oncology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yihui ZhengThe Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Lijiang HuangJoint Research Center on Medicine, the Affiliated Xiangshan Hospital of Wenzhou Medical University, Ningbo, Zhejiang, China.
Leiming JinAffiliated Cangnan Hospital and Chemical Biology Research Center, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Qianhui ZhangAffiliated Cangnan Hospital and Chemical Biology Research Center, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Pan ChenDepartment of Cardiology and Medical Research Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Mengsha LinAffiliated Cangnan Hospital and Chemical Biology Research Center, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jiaxi YeAffiliated Cangnan Hospital and Chemical Biology Research Center, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yongqiang XiongDepartment of Cardiology and Medical Research Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Joo Young HuhCollege of Pharmacy, Chung-Ang University, Seoul, Republic of Korea.
Xiang HuDepartment of Cardiology and Medical Research Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xiaokun LiAffiliated Cangnan Hospital and Chemical Biology Research Center, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Wu LuoDepartment of Cardiology and Medical Research Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Guang LiangDepartment of Cardiology and Medical Research Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.ORCID https://orcid.org/0009-0005-1603-3223

Funding

China Postdoctoral Science Foundation 2024M752443Medical and Health Science and Technology Project of Zhejiang Province 2025KY322National Natural Science Foundation of China 82404637Postdoctoral Fellowship Program of CPSF GZC20231957Science and Technology Plan Project of Wenzhou Municipality Y20240374
6 · The paper itself

Abstract

Acute hepatitis is a major pathological process underlying acute liver injury (ALI) and acute liver failure (ALF), both of which are associated with high mortality. Yet, no effective treatment is currently available, underscoring the pressing need for novel therapeutic targets. By integrating multiple transcriptomic datasets, this study finds that the expression of brain-derived neurotrophic factor (BDNF) is consistently downregulated in hepatocytes across various ALI/ALF models. Mechanistically, this downregulation is attributed to transcriptional repression of BDNF by RE1-silencing transcription factor. Restoration of endogenous BDNF or exogenous administration of recombinant BDNF significantly alleviates LPS/DGal-induced ALI/ALF. Correlation analysis and proteomic profiling reveal that BDNF exerts potent anti-inflammatory effects by directly binding to and antagonizing Toll-like receptor 4 (TLR4) on macrophages. Structural analysis identifies amino acids 233-244 of BDNF as the key functional domain responsible for this effect. A synthetic 12-mer peptide derived from this region, termed BDP12, retains TLR4-antagonizing ability, demonstrating strong anti-inflammatory efficacy and a favorable safety profile in cultured macrophages and mouse ALI/ALF models. In conclusion, this study identifies hepatocyte-derived BDNF as an endogenous antagonist of TLR4 and a critical immune checkpoint in acute hepatitis. BDNF and its mimetic peptide BDP12 represent promising therapeutic candidates for treating acute hepatitis-mediated ALI/ALF.

Indexed as

Brain-Derived Neurotrophic FactorHepatitisHepatocytesLiver Failure, AcuteToll-Like Receptor 4AnimalsDisease Models, AnimalHumansMacrophagesMaleMiceMice, Inbred C57BLBrain-Derived Neurotrophic FactorTlr4 protein, mouseToll-Like Receptor 4Acute hepatitisAcute liver failureBDNFBDNF‐mimetic peptideTLR4

Identifiers

PMID41881032
PMCPMC13252628

What OpenQuestion holds

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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.