Evidence map›Paper›PMID 39101776›Full record

ArticleHepatology communications2024

Neutrophil extracellular traps induce intrahepatic thrombotic tendency and liver damage in cholestatic liver disease.

Muxin Yu, Xiaowen Li, Long Xu, Chuwei Zheng, Weiwei Pan, Hui Chen, Xiaoyu Liu, Xianshan Zhang, Jinming Zhang

Abstract read
In one paragraph

Article in Hepatology communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
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  6. Review
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  11. Frontiers in immunology · 2024
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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

9 authors.

Muxin YuDepartment of Clinical Medical Sciences, College of Medicine, Jiaxing University, Jiaxing, China.
Xiaowen LiDepartment of Pathology, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China.
Long XuDepartment of Clinical Medical Sciences, College of Medicine, Jiaxing University, Jiaxing, China.
Chuwei ZhengDepartment of Gastroenterology, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China.
Weiwei PanDepartment of Clinical Medical Sciences, College of Medicine, Jiaxing University, Jiaxing, China.
Hui ChenDepartment of Clinical Medical Sciences, College of Medicine, Jiaxing University, Jiaxing, China.
Xiaoyu LiuDepartment of Clinical Medical Sciences, College of Medicine, Jiaxing University, Jiaxing, China.
Xianshan ZhangDepartment of Clinical Medical Sciences, College of Medicine, Jiaxing University, Jiaxing, China.
Jinming ZhangDepartment of Gastroenterology, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China.ORCID 0000-0003-2719-5269

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCholestatic liver diseases induce local and systemic hypercoagulation, with neutrophil extracellular traps (NETs) serving as major drivers. These NETs have been linked to decreased liver function in patients with obstructive jaundice. However, the impact of NETs on liver hypercoagulation in cholestatic liver disease remains unknown.

methodsWe utilized bile duct ligation to create experimental mice and analyzed NETs formation in the liver. Fibrin deposition, tissue factor expression, and inflammation in the liver were visualized through western blot and immunohistochemical techniques. LSECs were incubated with isolated NETs, and we detected endothelial procoagulant activity using coagulation protein production assays and measuring endothelial permeability. In both in vivo and in vitro settings, DNase I was applied to clarify the effect of NETs on intrahepatic hypercoagulability, hepatotoxicity, LSEC, and macrophage activation or injury.

resultsBile duct ligation mice exhibited significantly increased levels of NETs in liver tissue, accompanied by neutrophil infiltration, tissue necrosis, fibrin deposition, and thrombophilia compared to sham mice. Notably, NETs resulted in phosphatidylserine and tissue factor exposure on LSEC, enhancing coagulation Factor Xa and thrombin production. The enhanced procoagulant activity could be reversed by degrading NETs with DNase I. Additionally, NETs-induced permeability changes in LSECs, characterized by increased VE-cadherin expression and F-actin retraction, which could be rescued by DNase I. Meanwhile, NET formation is associated with KC activation and the formation of inflammatory factors.

conclusionsNETs promote intrahepatic activation of coagulation and inflammation, leading to liver tissue injury. Strategies targeting NET formation may offer a potential therapeutic approach for treating cholestatic liver disease.

Indexed as

Extracellular TrapsLiverThrombosisAnimalsCholestasisDisease Models, AnimalFactor XaFibrinHumansMaleMiceMice, Inbred C57BLNeutrophil InfiltrationNeutrophilsThrombinThrombophiliaFactor XaFibrinThrombinThromboplastin

Identifiers

PMID39101776
PMCPMC11299992

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.