<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD 2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="letter">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">EXCLI J</journal-id>
      <journal-title>EXCLI Journal</journal-title>
      <issn pub-type="epub">1611-2156</issn>
      <publisher>
        <publisher-name>Leibniz Research Centre for Working Environment and Human Factors</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">2020-1056</article-id>
      <article-id pub-id-type="doi">10.17179/excli2020-1056</article-id>
      <article-id pub-id-type="pii">Doc183</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Letter to the editor</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Concomitant inflammation&#x2F;metabolism transcriptional regulatory networks in liver disease</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Abbas</surname>
            <given-names>Tahany</given-names>
          </name>
          <xref ref-type="aff" rid="A1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Murad</surname>
            <given-names>Walaa</given-names>
          </name>
          <xref ref-type="aff" rid="A1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Hassan</surname>
            <given-names>Reham</given-names>
          </name>
          <xref ref-type="corresp" rid="COR1">&#x0002a;</xref>
          <xref ref-type="aff" rid="A2">2</xref>
        </contrib>
      </contrib-group>
      <aff id="A1">
        <label>1</label>Histology Department, Faculty of Medicine, South Valley University, Qena 83523, Egypt</aff>
      <aff id="A2">
        <label>2</label>Department of Forensic Medicine and Toxicology, Faculty of Veterinary Medicine, South Valley University, Qena 83523, Egypt</aff>
      <author-notes>
        <corresp id="COR1">*To whom correspondence should be addressed: Reham Hassan, Department of Forensic Medicine and Toxicology, Faculty of Veterinary Medicine, South Valley University, Qena 83523, Egypt, E-mail: <email>reham_hassan@vet.svu.edu.eg</email></corresp>
      </author-notes>
      <pub-date pub-type="epub">
        <day>27</day>
        <month>01</month>
        <year>2020</year>
      </pub-date>
      <pub-date pub-type="collection">
        <year>2020</year>
      </pub-date>
      <volume>19</volume>
      <fpage>183</fpage>
      <lpage>184</lpage>
      <history>
        <date date-type="received">
          <day>20</day>
          <month>01</month>
          <year>2020</year>
        </date>
        <date date-type="accepted">
          <day>25</day>
          <month>01</month>
          <year>2020</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright &#xA9; 2020 Abbas et al.</copyright-statement>
        <copyright-year>2020</copyright-year>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
          <p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Licence (http://creativecommons.org/licenses/by/4.0/) You are free to copy, distribute and transmit the work, provided the original author and source are credited.</p>
        </license>
      </permissions>
      <self-uri xlink:href="https://www.excli.de/vol19/Hassan_27012020_proof.pdf">This article is available from https://www.excli.de/vol19/Hassan_27012020_proof.pdf</self-uri>
    </article-meta>
  </front>
  <body>
    <sec>
      <title>⁯⁯⁯</title><p><bold><italic>Dear Editor, </italic></bold></p><p>Recently, Campos and colleagues published a comprehensive study about transcriptional regulatory networks in liver disease (Campos et al., 2020[<xref ref-type="bibr" rid="R1">1</xref>]). The authors performed a comprehensive genome-wide study including data of mouse liver tissue at eight time periods after acute CCl<sub>4</sub> injury. Moreover, acute damage after lipopolysaccharide as well as tunicamycin exposure were studied and the translational relevance was examined by comparing the findings to expression changes in human liver disease (Campos et al., 2020[<xref ref-type="bibr" rid="R1">1</xref>]). A key observation made in all mouse and human liver diseases was the concomitant regulation of inflammatory and metabolic genes, where inflammation-associated factors are up and metabolism-associated genes downregulated. Importantly, the same upstream regulators are involved in this response so that increased inflammation and suppressed metabolism occur within one intertwined regulatory network (Campos et al., 2020[<xref ref-type="bibr" rid="R1">1</xref>]).</p><p>Upon severe damage, the liver is able to regenerate more than 70 &#x25; of its mass (Godoy et al., 2013[<xref ref-type="bibr" rid="R5">5</xref>]). However, this regenerative process represents a major challenge that requires architectural reorganization (Hoehme et al., 2010[<xref ref-type="bibr" rid="R8">8</xref>]; Schliess et al., 2014[<xref ref-type="bibr" rid="R13">13</xref>]; Vartak et al., 2016[<xref ref-type="bibr" rid="R14">14</xref>]) as well as the activation of massive transcriptional programs (Godoy et al., 2016[<xref ref-type="bibr" rid="R6">6</xref>]; Zellmer et al., 2010[<xref ref-type="bibr" rid="R15">15</xref>]; Ghallab et al., 2019[<xref ref-type="bibr" rid="R4">4</xref>]; Grinberg et al., 2014[<xref ref-type="bibr" rid="R7">7</xref>]; Leist et al., 2017[<xref ref-type="bibr" rid="R11">11</xref>]). Inflammation is known to support tissue repair by elimination of the causes of injury (Karin and Clevers, 2016[<xref ref-type="bibr" rid="R10">10</xref>]; Campos et al., 2014[<xref ref-type="bibr" rid="R2">2</xref>]) and a link between inflammatory and regenerative responses has already been described (Michalopoulos, 2013[<xref ref-type="bibr" rid="R12">12</xref>]; Hwang et al., 2019[<xref ref-type="bibr" rid="R9">9</xref>]; Fortier et al., 2019[<xref ref-type="bibr" rid="R3">3</xref>]). The relevance of suppressing mature liver functions, such as metabolism during inflammation, is not yet understood but a possibility is that this response helps to focus more cellular resources on regeneration. It will be interesting to learn in future if the inflammation-associated suppression of mature organ functions occurs only in liver or represents a general feature of tissue regeneration. </p></sec>
    <sec>
      <title>Conflicts of interest</title><p>The authors declare no conflict of interest.</p></sec>
  </body>
  <back>
    <ref-list>
      <ref id="R1">
        <label>1</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Campos</surname>
              <given-names>G</given-names>
            </name>
            <name>
              <surname>Schmidt-Heck</surname>
              <given-names>W</given-names>
            </name>
            <name>
              <surname>De Smedt</surname>
              <given-names>J</given-names>
            </name>
            <name>
              <surname>Widera</surname>
              <given-names>A</given-names>
            </name>
            <name>
              <surname>Ghallab</surname>
              <given-names>A</given-names>
            </name>
            <name>
              <surname>P&#xFC;tter</surname>
              <given-names>L</given-names>
            </name>
            <etal />
          </person-group>
          <article-title>Inflammation-associated suppression of metabolic gene networks in acute and chronic liver disease</article-title>
          <source>Arch Toxicol</source>
          <day>9</day>
          <month>Jan</month>
          <year>2020</year>
          <volume>Epub ahead of print</volume>
          <pub-id pub-id-type="doi">10.1007/s00204-019-02630-3</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1007/s00204-019-02630-3">http://dx.doi.org/10.1007/s00204-019-02630-3</ext-link></comment>
        </citation>
      </ref>
      <ref id="R2">
        <label>2</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Campos</surname>
              <given-names>G</given-names>
            </name>
            <name>
              <surname>Schmidt-Heck</surname>
              <given-names>W</given-names>
            </name>
            <name>
              <surname>Ghallab</surname>
              <given-names>A</given-names>
            </name>
            <name>
              <surname>Rochlitz</surname>
              <given-names>K</given-names>
            </name>
            <name>
              <surname>Putter</surname>
              <given-names>L</given-names>
            </name>
            <name>
              <surname>Medinas</surname>
              <given-names>DB</given-names>
            </name>
            <etal />
          </person-group>
          <article-title>The transcription factor CHOP, a central component of the transcriptional regulatory network induced upon CCl4 intoxication in mouse liver, is not a critical mediator of hepatotoxicity</article-title>
          <source>Arch Toxicol</source>
          <year>2014</year>
          <volume>88</volume>
          <fpage>1267</fpage>
          <lpage>1280</lpage>
          <pub-id pub-id-type="doi">10.1007/s00204-014-1240-8</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1007/s00204-014-1240-8">http://dx.doi.org/10.1007/s00204-014-1240-8</ext-link></comment>
        </citation>
      </ref>
      <ref id="R3">
        <label>3</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Fortier</surname>
              <given-names>M</given-names>
            </name>
            <name>
              <surname>Cadoux</surname>
              <given-names>M</given-names>
            </name>
            <name>
              <surname>Boussetta</surname>
              <given-names>N</given-names>
            </name>
            <name>
              <surname>Pham</surname>
              <given-names>S</given-names>
            </name>
            <name>
              <surname>Donn&#xE9;</surname>
              <given-names>R</given-names>
            </name>
            <name>
              <surname>Couty</surname>
              <given-names>JP</given-names>
            </name>
            <etal />
          </person-group>
          <article-title>Hepatospecific ablation of p38&#x3B1; MAPK governs liver regeneration through modulation of inflammatory response to CCl4-induced acute injury</article-title>
          <source>Sci Rep</source>
          <year>2019</year>
          <volume>9</volume>
          <fpage>14614</fpage>
          <pub-id pub-id-type="doi">10.1038/s41598-019-51175-z</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1038/s41598-019-51175-z">http://dx.doi.org/10.1038/s41598-019-51175-z</ext-link></comment>
        </citation>
      </ref>
      <ref id="R4">
        <label>4</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Ghallab</surname>
              <given-names>A</given-names>
            </name>
            <name>
              <surname>Myllys</surname>
              <given-names>M</given-names>
            </name>
            <name>
              <surname>Holland</surname>
              <given-names>CH</given-names>
            </name>
            <name>
              <surname>Zaza</surname>
              <given-names>A</given-names>
            </name>
            <name>
              <surname>Murad</surname>
              <given-names>W</given-names>
            </name>
            <name>
              <surname>Hassan</surname>
              <given-names>R</given-names>
            </name>
            <etal />
          </person-group>
          <article-title>Influence of liver fibrosis on lobular zonation</article-title>
          <source>Cells</source>
          <year>2019</year>
          <volume>8</volume>
          <fpage>E1556</fpage>
          <pub-id pub-id-type="doi">10.3390/cells8121556</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.3390/cells8121556">http://dx.doi.org/10.3390/cells8121556</ext-link></comment>
        </citation>
      </ref>
      <ref id="R5">
        <label>5</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Godoy</surname>
              <given-names>P</given-names>
            </name>
            <name>
              <surname>Hewitt</surname>
              <given-names>NJ</given-names>
            </name>
            <name>
              <surname>Albrecht</surname>
              <given-names>U</given-names>
            </name>
            <name>
              <surname>Andersen</surname>
              <given-names>ME</given-names>
            </name>
            <name>
              <surname>Ansari</surname>
              <given-names>N</given-names>
            </name>
            <name>
              <surname>Bhattacharya</surname>
              <given-names>S</given-names>
            </name>
            <etal />
          </person-group>
          <article-title>Recent advances in 2D and 3D in vitro systems using primary hepatocytes, alternative hepatocyte sources and non-parenchymal liver cells and their use in investigating mechanisms of hepatotoxicity, cell signaling and ADME</article-title>
          <source>Arch Toxicol</source>
          <year>2013</year>
          <volume>87</volume>
          <fpage>1315</fpage>
          <lpage>1530</lpage>
          <pub-id pub-id-type="doi">10.1007/s00204-013-1078-5</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1007/s00204-013-1078-5">http://dx.doi.org/10.1007/s00204-013-1078-5</ext-link></comment>
        </citation>
      </ref>
      <ref id="R6">
        <label>6</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Godoy</surname>
              <given-names>P</given-names>
            </name>
            <name>
              <surname>Widera</surname>
              <given-names>A</given-names>
            </name>
            <name>
              <surname>Schmidt-Heck</surname>
              <given-names>W</given-names>
            </name>
            <name>
              <surname>Campos</surname>
              <given-names>G</given-names>
            </name>
            <name>
              <surname>Meyer</surname>
              <given-names>C</given-names>
            </name>
            <name>
              <surname>Cadenas</surname>
              <given-names>C</given-names>
            </name>
            <etal />
          </person-group>
          <article-title>Gene network activity in cultivated primary hepatocytes is highly similar to diseased mammalian liver tissue</article-title>
          <source>Arch Toxicol</source>
          <year>2016</year>
          <volume>90</volume>
          <fpage>2513</fpage>
          <lpage>2529</lpage>
          <pub-id pub-id-type="doi">10.1007/s00204-016-1761-4</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1007/s00204-016-1761-4">http://dx.doi.org/10.1007/s00204-016-1761-4</ext-link></comment>
        </citation>
      </ref>
      <ref id="R7">
        <label>7</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Grinberg</surname>
              <given-names>M</given-names>
            </name>
            <name>
              <surname>St&#xF6;ber</surname>
              <given-names>RM</given-names>
            </name>
            <name>
              <surname>Edlund</surname>
              <given-names>K</given-names>
            </name>
            <name>
              <surname>Rempel</surname>
              <given-names>E</given-names>
            </name>
            <name>
              <surname>Godoy</surname>
              <given-names>P</given-names>
            </name>
            <name>
              <surname>Reif</surname>
              <given-names>R</given-names>
            </name>
            <etal />
          </person-group>
          <article-title>Toxicogenomics directory of chemically exposed human hepatocytes</article-title>
          <source>Arch Toxicol</source>
          <year>2014</year>
          <volume>88</volume>
          <fpage>2261</fpage>
          <lpage>2287</lpage>
          <pub-id pub-id-type="doi">10.1007/s00204-014-1400-x</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1007/s00204-014-1400-x">http://dx.doi.org/10.1007/s00204-014-1400-x</ext-link></comment>
        </citation>
      </ref>
      <ref id="R8">
        <label>8</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Hoehme</surname>
              <given-names>S</given-names>
            </name>
            <name>
              <surname>Brulport</surname>
              <given-names>M</given-names>
            </name>
            <name>
              <surname>Bauer</surname>
              <given-names>A</given-names>
            </name>
            <name>
              <surname>Bedawy</surname>
              <given-names>E</given-names>
            </name>
            <name>
              <surname>Schormann</surname>
              <given-names>W</given-names>
            </name>
            <name>
              <surname>Hermes</surname>
              <given-names>M</given-names>
            </name>
            <etal />
          </person-group>
          <article-title>Prediction and validation of cell alignment along microvessels as order principle to restore tissue architecture in liver regeneration</article-title>
          <source>Proc Natl Acad Sci U S A</source>
          <year>2010</year>
          <volume>107</volume>
          <fpage>10371</fpage>
          <lpage>10376</lpage>
          <pub-id pub-id-type="doi">10.1073/pnas.0909374107</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1073/pnas.0909374107">http://dx.doi.org/10.1073/pnas.0909374107</ext-link></comment>
        </citation>
      </ref>
      <ref id="R9">
        <label>9</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Hwang</surname>
              <given-names>SM</given-names>
            </name>
            <name>
              <surname>Chung</surname>
              <given-names>G</given-names>
            </name>
            <name>
              <surname>Kim</surname>
              <given-names>YH</given-names>
            </name>
            <name>
              <surname>Park</surname>
              <given-names>CK</given-names>
            </name>
          </person-group>
          <article-title>The role of maresins in inflammatory pain: Function of macrophages in wound regeneration</article-title>
          <source>Int J Mol Sci</source>
          <year>2019</year>
          <volume>20</volume>
          <fpage>E5849</fpage>
          <pub-id pub-id-type="doi">10.3390/ijms20235849</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.3390/ijms20235849">http://dx.doi.org/10.3390/ijms20235849</ext-link></comment>
        </citation>
      </ref>
      <ref id="R10">
        <label>10</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Karin</surname>
              <given-names>M</given-names>
            </name>
            <name>
              <surname>Clevers</surname>
              <given-names>H</given-names>
            </name>
          </person-group>
          <article-title>Reparative inflammation takes charge of tissue regeneration</article-title>
          <source>Nature</source>
          <year>2016</year>
          <volume>529</volume>
          <fpage>307</fpage>
          <lpage>315</lpage>
          <pub-id pub-id-type="doi">10.1038/nature17039</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1038/nature17039">http://dx.doi.org/10.1038/nature17039</ext-link></comment>
        </citation>
      </ref>
      <ref id="R11">
        <label>11</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Leist</surname>
              <given-names>M</given-names>
            </name>
            <name>
              <surname>Ghallab</surname>
              <given-names>A</given-names>
            </name>
            <name>
              <surname>Graepel</surname>
              <given-names>R</given-names>
            </name>
            <name>
              <surname>Marchan</surname>
              <given-names>R</given-names>
            </name>
            <name>
              <surname>Hassan</surname>
              <given-names>R</given-names>
            </name>
            <name>
              <surname>Bennekou</surname>
              <given-names>SH</given-names>
            </name>
            <etal />
          </person-group>
          <article-title>Adverse outcome pathways: opportunities, limitations and open questions</article-title>
          <source>Arch Toxicol</source>
          <year>2017</year>
          <volume>91</volume>
          <fpage>3477</fpage>
          <lpage>3505</lpage>
          <pub-id pub-id-type="doi">10.1007/s00204-017-2045-3</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1007/s00204-017-2045-3">http://dx.doi.org/10.1007/s00204-017-2045-3</ext-link></comment>
        </citation>
      </ref>
      <ref id="R12">
        <label>12</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Michalopoulos</surname>
              <given-names>GK</given-names>
            </name>
          </person-group>
          <article-title>Principles of liver regeneration and growth homeostasis</article-title>
          <source>Compr Physiol</source>
          <year>2013</year>
          <volume>3</volume>
          <fpage>485</fpage>
          <lpage>513</lpage>
          <pub-id pub-id-type="doi">10.1002/cphy.c120014</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1002/cphy.c120014">http://dx.doi.org/10.1002/cphy.c120014</ext-link></comment>
        </citation>
      </ref>
      <ref id="R13">
        <label>13</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Schliess</surname>
              <given-names>F</given-names>
            </name>
            <name>
              <surname>Hoehme</surname>
              <given-names>S</given-names>
            </name>
            <name>
              <surname>Henkel</surname>
              <given-names>SG</given-names>
            </name>
            <name>
              <surname>Ghallab</surname>
              <given-names>A</given-names>
            </name>
            <name>
              <surname>Driesch</surname>
              <given-names>D</given-names>
            </name>
            <name>
              <surname>B&#xF6;ttger</surname>
              <given-names>J</given-names>
            </name>
            <etal />
          </person-group>
          <article-title>Integrated metabolic spatial-temporal model for the prediction of ammonia detoxification during liver damage and regeneration</article-title>
          <source>Hepatology</source>
          <year>2014</year>
          <volume>60</volume>
          <fpage>2040</fpage>
          <lpage>2051</lpage>
          <pub-id pub-id-type="doi">10.1002/hep.27136</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1002/hep.27136">http://dx.doi.org/10.1002/hep.27136</ext-link></comment>
        </citation>
      </ref>
      <ref id="R14">
        <label>14</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Vartak</surname>
              <given-names>N</given-names>
            </name>
            <name>
              <surname>Damle-Vartak</surname>
              <given-names>A</given-names>
            </name>
            <name>
              <surname>Richter</surname>
              <given-names>B</given-names>
            </name>
            <name>
              <surname>Dirsch</surname>
              <given-names>O</given-names>
            </name>
            <name>
              <surname>Dahmen</surname>
              <given-names>U</given-names>
            </name>
            <name>
              <surname>Hammad</surname>
              <given-names>S</given-names>
            </name>
            <etal />
          </person-group>
          <article-title>Cholestasis-induced adaptive remodeling of interlobular bile ducts</article-title>
          <source>Hepatology</source>
          <year>2016</year>
          <volume>63</volume>
          <fpage>951</fpage>
          <lpage>964</lpage>
          <pub-id pub-id-type="doi">10.1002/hep.28373</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1002/hep.28373">http://dx.doi.org/10.1002/hep.28373</ext-link></comment>
        </citation>
      </ref>
      <ref id="R15">
        <label>15</label>
        <citation citation-type="journal">
          <person-group>
            <name>
              <surname>Zellmer</surname>
              <given-names>S</given-names>
            </name>
            <name>
              <surname>Schmidt-Heck</surname>
              <given-names>W</given-names>
            </name>
            <name>
              <surname>Godoy</surname>
              <given-names>P</given-names>
            </name>
            <name>
              <surname>Weng</surname>
              <given-names>H</given-names>
            </name>
            <name>
              <surname>Meyer</surname>
              <given-names>C</given-names>
            </name>
            <name>
              <surname>Lehmann</surname>
              <given-names>T</given-names>
            </name>
            <etal />
          </person-group>
          <article-title>Transcription factors ETF, E2F, and SP-1 are involved in cytokine-independent proliferation of murine hepatocytes</article-title>
          <source>Hepatology</source>
          <year>2010</year>
          <volume>52</volume>
          <fpage>2127</fpage>
          <lpage>2136</lpage>
          <pub-id pub-id-type="doi">10.1002/hep.23930</pub-id>
          <comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1002/hep.23930">http://dx.doi.org/10.1002/hep.23930</ext-link></comment>
        </citation>
      </ref>
    </ref-list>
  </back>
</article>