Evidence map›Paper›PMID 42117838›Full record

ArticleBiology2026

Phosphatidylserine-Dependent Clearance of Damaged Red Blood Cells by Liver Sinusoidal Endothelial Cells in Alcohol-Related Liver Disease.

Siyuan Li, Chaowen Zheng, Xiaowei Zha, Johannes Mueller, Anne Dropmann, Seddik Hammad, Steven Dooley, Sebastian Mueller

Abstract read
In one paragraph

Article in Biology, 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

8 authors.

Siyuan LiCenter for Alcohol Research, University of Heidelberg, 69120 Heidelberg, Germany.ORCID 0009-0006-4893-7208
Chaowen ZhengCenter for Alcohol Research, University of Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0001-6165-4647
Xiaowei ZhaDepartment of Neurosurgery, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Johannes MuellerCenter for Alcohol Research, University of Heidelberg, 69120 Heidelberg, Germany.
Anne DropmannMolecular Hepatology Section, Medical Faculty Mannheim, Heidelberg University, 68167 Mannheim, Germany.ORCID 0000-0002-9633-9097
Seddik HammadMolecular Hepatology Section, Medical Faculty Mannheim, Heidelberg University, 68167 Mannheim, Germany.ORCID 0000-0003-0571-4208
Steven DooleyMolecular Hepatology Section, Medical Faculty Mannheim, Heidelberg University, 68167 Mannheim, Germany.ORCID 0000-0002-4840-6240
Sebastian MuellerCenter for Alcohol Research, University of Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0001-5655-6778

Funding

Bundesministerium für Forschung, Technologie und Raumfahrt PTJ-031L0257AChina Scholarship Council D17011Deutsche Forschungsgemeinschaft RA 2677/1-2
6 · The paper itself

Abstract

Alcohol-related liver disease (ALD) and ALD-related mortality are associated with hemolysis, increased erythrophagocytosis, and disturbed iron homeostasis. While macrophage-mediated erythrophagocytosis is well established, we investigated the contribution of liver sinusoidal endothelial cells (LSECs) to handling oxidatively damaged or ethanol-primed red blood cells (RBCs) in ALD. Live-cell imaging demonstrated that damaged RBCs were rapidly taken up by SK-HEP1 cells, an endothelial cell line with LSEC-like characteristics, and RBC uptake was associated with induction of heme oxygenase-1 (HO-1) and activation of its upstream regulator Nrf2. siRNA-mediated knockdown of the scavenger receptor Stabilin-1 attenuated RBC-induced HO-1 expression, supporting a role for Stabilin-1 in efferocytic signaling. Exposure of RBCs to ethanol concentrations as low as 25 mM induced phosphatidylserine externalization and rendered erythrocytes efferocytosis-competent. Lysed RBCs and free hemin elicited comparable oxidative stress responses. In murine models of hemolysis and chronic ethanol feeding, hemoglobin-derived signals were detected within sinusoidal structures showing a diffuse CD206-positive distribution pattern consistent with the sinusoidal scavenger compartment. Similar signals were observed in sinusoidal endothelial regions in human heavy drinkers with clinical signs of hemolysis. Together, these data suggest that LSECs may represent an additional component of RBC clearance in ALD, alongside macrophages and hepatocytes, with implications for hepatic iron handling.

Indexed as

alcohol-related liver diseaseCD206efferocytosiseryptosisheme oxygenase-1hemolysisiron metabolismiron regulationliver sinusoidal endothelial cellsphosphatidylserinered blood cellsstabilin-1

Identifiers

PMID42117838
PMCPMC13163024

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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.