Evidence map›Paper›PMID 33051603›Full record

ReviewNature reviews. Gastroenterology & hepatology2021

Maladaptive regeneration - the reawakening of developmental pathways in NASH and fibrosis.

Changyu Zhu, Ira Tabas, Robert F Schwabe, Utpal B Pajvani

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Gastroenterology & hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
11.3field-weighted citation impact, top 1% of its field
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

56 citing papers in PubMed, 105 citations in OpenAlex.

  1. Article
  2. Review
  3. The dynamic spectrum of steatotic liver disease: the global perspective.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Molecular mechanisms in MASLD/MASH-related HCC.Hepatology (Baltimore, Md.) · 2025
    Review
  10. Article
  11. Review
  12. Inhibition of hedgehog signaling ameliorates severity of chronic pancreatitis in experimental mouse models.American journal of physiology. Gastrointestinal and liver physiology · 2025
    Article
  13. Liver-specific actions of GH and IGF1 that protect against MASLD.Nature reviews. Endocrinology · 2025 · on this map
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. 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

4 authors at 3 institutions in 1 country.

Changyu ZhuDepartment of Medicine, Columbia University, New York, NY, USA.ORCID http://orcid.org/0000-0003-3583-3638
Ira TabasDepartment of Medicine, Columbia University, New York, NY, USA.ORCID http://orcid.org/0000-0003-3429-1515
Robert F SchwabeDepartment of Medicine, Columbia University, New York, NY, USA.
Utpal B PajvaniDepartment of Medicine, Columbia University, New York, NY, USA. up2104@cumc.columbia.edu.ORCID http://orcid.org/0000-0001-5991-2723
Columbia University · USColumbia University Irving Medical Center · USMemorial Sloan Kettering Cancer Center · US

Funding

Jagged-Notch signaling in NASH/fibrosisR01DK119767 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Utpal Pajvani · 2019 to 2026
$4.7M
Notch, Type 2 Diabetes and NAFLDR01DK103818 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PAJVANI, UTPAL · 2015 to 2023
$4.1M
TAZ and YAP in Non-Alcoholic Steatohepatitis and its ComplicationsR01DK116620 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SCHWABE, ROBERT F., TABAS, IRA A · 2018 to 2021
$2.7M
NIDDK NIH HHS R01 DK103818NIDDK NIH HHS R01 DK116620NIDDK NIH HHS R01 DK119767
6 · The paper itself

Abstract

With the rapid expansion of the obesity epidemic, nonalcoholic fatty liver disease is now the most common chronic liver disease, with almost 25% global prevalence. Nonalcoholic fatty liver disease ranges in severity from simple steatosis, a benign 'pre-disease' state, to the liver injury and inflammation that characterize nonalcoholic steatohepatitis (NASH), which in turn predisposes individuals to liver fibrosis. Fibrosis is the major determinant of clinical outcomes in patients with NASH and is associated with increased risks of cirrhosis and hepatocellular carcinoma. NASH has no approved therapies, and liver fibrosis shows poor response to existing pharmacotherapy, in part due to an incomplete understanding of the underlying pathophysiology. Patient and mouse data have shown that NASH is associated with the activation of developmental pathways: Notch, Hedgehog and Hippo-YAP-TAZ. Although these evolutionarily conserved fundamental signals are known to determine liver morphogenesis during development, new data have shown a coordinated and causal role for these pathways in the liver injury response, which becomes maladaptive during obesity-associated chronic liver disease. In this Review, we discuss the aetiology of this reactivation of developmental pathways and review the cell-autonomous and cell-non-autonomous mechanisms by which developmental pathways influence disease progression. Finally, we discuss the potential prognostic and therapeutic implications of these data for NASH and liver fibrosis.

Indexed as

Liver RegenerationAdaptor Proteins, Signal TransducingAnimalsCarcinoma, HepatocellularCellular ReprogrammingDisease ProgressionHedgehog ProteinsHepatectomyHepatocytesHippo Signaling PathwayHumansInflammationLiverLiver CirrhosisLiver NeoplasmsNon-alcoholic Fatty Liver DiseaseAdaptor Proteins, Signal TransducingHedgehog ProteinsProtein Serine-Threonine KinasesReceptors, NotchTrans-ActivatorsTranscriptional Coactivator with PDZ-Binding Motif ProteinsTranscription FactorsWWTR1 protein, humanYAP1 protein, humanYAP-Signaling Proteins

Identifiers

PMID33051603
PMCPMC7854502
OpenAlexW3092623718

What Socratic 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 Socratic graph.