Evidence map›Paper›PMID 34051238›Full record

ArticleGastroenterology2021

The Role of Phosphate in Alcohol-Induced Experimental Pancreatitis.

Ahmad Farooq, Courtney M Richman, Sandip M Swain, Rafiq A Shahid, Steven R Vigna, Rodger A Liddle

Open access · bronzeAbstract read
In one paragraph

Article in Gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Acute pancreatitis: mechanisms and therapeutic approaches.Signal transduction and targeted therapy · 2026
    Review
  3. Review
  4. Article
  5. Observational
  6. Phosphate Improves Mitochondrial Function and Reduces Pancreatitis in Hypertriglyceridemia.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Observational
  12. Article
  13. Acute Pancreatitis Review.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Article
  14. Initiation and severity of experimental pancreatitis are modified by phosphate.American journal of physiology. Gastrointestinal and liver physiology · 2022
    Article
  15. Review
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Ahmad FarooqDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.
Courtney M RichmanSchool of Medicine, Duke University Medical Center, Durham, North Carolina.
Sandip M SwainDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.
Rafiq A ShahidDepartment of Pathology, Brown University, Providence, Rhode Island.
Steven R VignaDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.
Rodger A LiddleDepartment of Medicine, Duke University Medical Center, Durham, North Carolina; Department of Veterans Affairs Health Care System, Durham, North Carolina. Electronic address: rodger.liddle@duke.edu.
Duke Medical Center · USBrown University · USDurham VA Health Care System · US

Funding

DUKE TRAINING GRANT IN DIGESTIVE DISEASES AND NUTRITIONT32DK007568 · NIDDK · DUKE UNIVERSITY · PI Katherine Garman, Rodger A. Liddle · 1988 to 2026
$5.6M
Mechanisms of mechanically-induced acute pancreatitisR01DK120555 · NIDDK · DUKE UNIVERSITY · PI LIDDLE, RODGER A. · 2019 to 2023
$1.8M
Mechanisms of Pancreatic FibrosisR01DK124474 · NIDDK · DUKE UNIVERSITY · PI LIDDLE, RODGER A. · 2020 to 2024
$1.8M
Metabolic regulation of pancreatitisR01DK125308 · NIDDK · DUKE UNIVERSITY · PI LIDDLE, RODGER A. · 2020 to 2023
$1.4M
The role of gut endocrine cells in Parkinson's DiseaseR01DK109368 · NIDDK · DUKE UNIVERSITY · PI LIDDLE, RODGER A. · 2016 to 2019
$1.4M
NIDDK NIH HHS R01 DK109368NIDDK NIH HHS R01 DK120555NIDDK NIH HHS R01 DK124474NIDDK NIH HHS R01 DK125308NIDDK NIH HHS T32 DK007568
6 · The paper itself

Abstract

BACKGROUND &

aimsHeavy alcohol consumption is a common cause of acute pancreatitis; however, alcohol abuse does not always result in clinical pancreatitis. As a consequence, the factors responsible for alcohol-induced pancreatitis are not well understood. In experimental animals, it has been difficult to produce pancreatitis with alcohol. Clinically, alcohol use predisposes to hypophosphatemia, and hypophosphatemia has been observed in some patients with acute pancreatitis. Because of abundant protein synthesis, the pancreas has high metabolic demands, and reduced mitochondrial function leads to organelle dysfunction and pancreatitis. We proposed, therefore, that phosphate deficiency might limit adenosine triphosphate synthesis and thereby contribute to alcohol-induced pancreatitis.

methodsMice were fed a low-phosphate diet (LPD) before orogastric administration of ethanol. Direct effects of phosphate and ethanol were evaluated in vitro in isolated mouse pancreatic acini.

resultsLPD reduced serum phosphate levels. Intragastric administration of ethanol to animals maintained on an LPD caused severe pancreatitis that was ameliorated by phosphate repletion. In pancreatic acinar cells, low-phosphate conditions increased susceptibility to ethanol-induced cellular dysfunction through decreased bioenergetic stores, specifically affecting total cellular adenosine triphosphate and mitochondrial function. Phosphate supplementation prevented ethanol-associated cellular injury.

conclusionsPhosphate status plays a critical role in predisposition to and protection from alcohol-induced acinar cell dysfunction and the development of acute alcohol-induced pancreatitis. This finding may explain why pancreatitis develops in only some individuals with heavy alcohol use and suggests a potential novel therapeutic approach to pancreatitis. Finally, an LPD plus ethanol provides a new model for studying alcohol-associated pancreatic injury.

Indexed as

Energy MetabolismAdenosine TriphosphateAnimalsDisease Models, AnimalEthanolHypophosphatemiaMaleMiceMice, Inbred C57BLMitochondriaPancreasPancreatitis, AlcoholicPhosphatesSeverity of Illness IndexTissue Culture TechniquesAdenosine TriphosphateEthanolPhosphatesAcinar CellEthanolHypophosphatemiaMitochondriaModel

Identifiers

PMID34051238
PMCPMC8380702
OpenAlexW3164886869

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.