Evidence map›Paper›PMID 39211986›Full record

ArticleJournal of Crohn's & colitis2025

Pharmacological Inhibition of N-Acylethanolamine Acid Amidase (NAAA) Mitigates Intestinal Fibrosis Through Modulation of Macrophage Activity.

Maria Francesca Nanì, Ester Pagano, Paola De Cicco, Giuseppe Lucariello, Fabio Cattaneo, Francesca Paola Tropeano, Donatella Cicia, Rebecca Amico, Federica Raucci, Giuseppe Ercolano and 11 more

Abstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

21 authors.

Maria Francesca NanìDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Ester PaganoDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Paola De CiccoDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Giuseppe LucarielloDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Fabio CattaneoDepartment of Molecular Medicine and Medical Biotechnology, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Francesca Paola TropeanoDepartment of Clinical Medicine and Surgery, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Donatella CiciaDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Rebecca AmicoDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Federica RaucciDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Giuseppe ErcolanoDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Francesco MaioneDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Maria Michela RinaldiDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Fabiana EspositoDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Rosario AmmendolaDepartment of Molecular Medicine and Medical Biotechnology, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Gaetano LuglioDepartment of Clinical Medicine and Surgery, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Raffaele CapassoDepartment of Agricultural Sciences, University of Naples Federico II, Portici, Italy.
Alexandros MakriyannisCenter for Drug Discovery and Department of Pharmaceutical Sciences, Northeastern University, Boston, MA, USA.
Stefania PetrosinoInstitute of Biomolecular Chemistry, National Research Council, Pozzuoli, Italy.
Francesca BorrelliDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Barbara RomanoDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.ORCID 0000-0003-2772-5231
Angelo A IzzoDepartment of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.

Funding

Project 3 - In vivo pharmacology of cannabinoid receptor probesP01DA009158 · NIDA · UNIVERSITY OF CONNECTICUT STORRS · PI Alexandros Makriyannis · 1994 to 2026
$26.0M
European Union-NextGenerationEU PNRR M4C2-Investimento 1.4-CN00000041-PNRR_CN3RNA_SPOKE9Italian Ministry of Health 2022NLLBWTNIDA NIH HHS P01 DA009158NIH HHS
6 · The paper itself

Abstract

BACKGROUND AND

aimsIntestinal fibrosis, a frequent complication of inflammatory bowel disease, is characterized by stricture formation with no pharmacological treatment to date. N-acylethanolamine acid amidase (NAAA) is responsible for the hydrolysis of acylethanolamides (AEs, eg, palmitoylethanolamide and oleoylethanolamide). Here, we investigated NAAA and AE signaling in gut fibrosis.

methodsNAAA and AE signaling were evaluated in human intestinal specimens from patients with stenotic Crohn's disease (CD). Gut fibrosis was induced by 2,4,6-trinitrobenzenesulfonic acid, monitored by colonoscopy, and assessed by qRT-PCR, histological analyses, and confocal microscopy. Immune cells in mesenteric lymph nodes were analyzed by FACS. Colonic fibroblasts were cultured in conditioned media derived from polarized or non-polarized bone marrow-derived macrophages (BMDMs). IL-23 signaling was evaluated by qRT-PCR, ELISA, FACS, and western blot in BMDMs and in lamina propria CX3CR1+ cells.

resultsIn ileocolonic human CD strictures, increased transcript expression of NAAA was observed with a decrease in its substrates oleoylethanolamide and palmitoylethanolamide. NAAA inhibition reduced intestinal fibrosis in vivo, as indicated by a decrease in inflammatory parameters, collagen deposition, and fibrosis-related genes, including those involved in epithelial-to-mesenchymal transition. More in-depth studies revealed modulation of the immune response related to IL-23 following NAAA inhibition. The antifibrotic actions of NAAA inhibition are mediated by Mφ and M2 macrophages that indirectly affect fibroblast collagenogenesis. NAAA inhibitor AM9053 normalized IL-23 signaling in BMDMs and in lamina propria CX3CR1+ cells.

conclusionsOur findings provide new insights into the pathophysiological mechanism of intestinal fibrosis and identify NAAA as a promising target for the development of therapeutic treatments to alleviate CD-related fibrosis.

Indexed as

AmidohydrolasesCrohn DiseaseMacrophagesAmidesAnimalsColonConstriction, PathologicEndocannabinoidsEthanolaminesFemaleFibroblastsFibrosisHumansInterleukin-23MaleMiceAmidesAmidohydrolasesEndocannabinoidsEthanolaminesInterleukin-23NAAA protein, humanOleic AcidsoleoylethanolamidepalmidrolPalmitic AcidsTrinitrobenzenesulfonic AcidAcylethanolamidesIL-23intestinal fibrosis

Identifiers

PMID39211986
PMCPMC11836880

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.