Evidence map›Paper›PMID 42883397›Full record

ArticleBiology2026

Pharmacological TLR4 Activation Promotes Hepatocyte Proliferation and Liver Repair Through Coordinated IL-6 and TCDCA Signaling.

Xinlu Yu, Haoxin Ma, Chao Wang, Ke Feng, Pingxin Sun, Jiqianzhu Zhang, Junyu Lu, Hongxia Zhang, Chao Wang, Chunyan Wang and 2 more

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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Xinlu YuDepartment of Cell Biology, College of Basic Medical Science, Naval Medical University, Shanghai 200433, China.ORCID 0009-0006-7737-0423
Haoxin MaDepartment of Cell Biology, College of Basic Medical Science, Naval Medical University, Shanghai 200433, China.
Chao WangDepartment of Cell Biology, College of Basic Medical Science, Naval Medical University, Shanghai 200433, China.
Ke FengDepartment of Cell Biology, College of Basic Medical Science, Naval Medical University, Shanghai 200433, China.
Pingxin SunDepartment of Cell Biology, College of Basic Medical Science, Naval Medical University, Shanghai 200433, China.
Jiqianzhu ZhangDepartment of Cell Biology, College of Basic Medical Science, Naval Medical University, Shanghai 200433, China.
Junyu LuDepartment of Cell Biology, College of Basic Medical Science, Naval Medical University, Shanghai 200433, China.
Hongxia ZhangDepartment of Cell Biology, College of Basic Medical Science, Naval Medical University, Shanghai 200433, China.
Chao WangDepartment of Cell Biology, College of Basic Medical Science, Naval Medical University, Shanghai 200433, China.
Chunyan WangDepartment of Cell Biology, College of Basic Medical Science, Naval Medical University, Shanghai 200433, China.
Haiying ZhuDepartment of Cell Biology, College of Basic Medical Science, Naval Medical University, Shanghai 200433, China.
Wenlin LiDepartment of Cell Biology, College of Basic Medical Science, Naval Medical University, Shanghai 200433, China.ORCID 0000-0002-0842-222X

Funding

National Natural Science Foundation of China 32571334, 92168118, 32170851, 32171387, 32370890, and 32100642The Yizhang Talent Cultivation Program of the School of Basic Medicine, Naval Medical University JCYZRC-D-005
6 · The paper itself

Abstract

The regenerative capacity of the liver is frequently insufficient following severe injury, and effective therapeutic strategies remain limited. Here, we identify CRX-527, a TLR4 agonist, as a novel inducer of hepatocyte proliferation in both healthy mice and a model of acetaminophen (APAP)-induced acute liver injury. Immunofluorescence analysis revealed that CRX-527-induced proliferative activity was predominantly observed in zone 2. Mechanistically, CRX-527 acts via TLR4 to induce transient IL-6 secretion, which subsequently activates the JAK2/STAT3 signaling pathway. In addition, metabolomic profiling identified taurochenodeoxycholic acid (TCDCA) as a synergistic partner of IL-6 in promoting hepatocyte proliferation. In APAP-injured mice, treatment with CRX-527 alone or in combination with IL-6 and TCDCA significantly reduced hepatic necrosis, accelerated tissue repair, and improved survival. Collectively, our findings uncover a previously unrecognized combined effect between IL-6/JAK2/STAT3 signaling and TCDCA in promoting hepatocyte proliferation and highlight CRX-527 and the IL-6/TCDCA combination as potential regenerative targets that warrant further preclinical evaluation for drug-induced liver injury, particularly in the setting of APAP overdose.

Indexed as

acute liver injuryCRX-527hepatocyte proliferationJAK2/STAT3 signalingTLR4

Identifiers

PMID42883397
PMCPMC13663612

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.