Evidence map›Paper›PMID 12631673›Full record

ArticleGut2003

Hepatic osteodystrophy in rats results mainly from portasystemic shunting.

S W van der Merwe, J B van den Bogaerde, C Goosen, F F Maree, R J Milner, C M Schnitzler, A Biscardi, J M Mesquita, G Engelbrecht, D Kahn and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Gut, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Review
  3. Clinical manifestations of portal hypertension.International journal of hepatology · 2012
    Article
  4. Article
  5. Current understanding of osteoporosis associated with liver disease.Nature reviews. Gastroenterology & hepatology · 2009
    Review
  6. Article
  7. Article
  8. Article
  9. 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

11 authors at 4 institutions in 2 countries.

S W van der MerweDepartment of Internal Medicine and Gastroenterology, University of Pretoria, South Africa. svdm@intekom.co.za
J B van den Bogaerde
C Goosen
F F Maree
R J Milner
C M Schnitzler
A Biscardi
J M Mesquita
G Engelbrecht
D Kahn
J Fevery
University of Pretoria · ZAUniversity of the Witwatersrand · ZAUniversity of Cape Town · ZACatholic University of America · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsIn chronic liver disease, bone disease frequently develops. The contributions of the different features of liver disease such as parenchymal inflammation, portal hypertension, and portasystemic shunting on bone metabolism have not been systematically studied. The aim of this study was to identify the features of liver disease contributing to bone disease using rat models.

methodsParenchymal liver disease was induced by carbon tetrachloride administration, portal hypertension by partial portal vein ligation, and portasystemic shunting by end to side anastomosis of the portal vein to the inferior vena cava. Normal and sham operated surgical animals served as controls. Serum calcium, 25-hydroxy vitamin D (25-OH vit D), and osteocalcin levels, and urinary deoxypyridinoline excretion were analysed. Testosterone and oestradiol levels were determined in male and female rats, respectively. Interleukin 1, interleukin 6, and tumour necrosis factor alpha (TNF-alpha) were determined in serum. Bone density was measured in all groups and in addition, in the surgical groups, histomorphometry was performed on undecalcified specimens of the proximal tibia. The calcium content of the femurs, removed at termination and ashed, was determined.

resultsEarly parenchymal disease and portal hypertension did not affect bone metabolism or body mass. Portasystemic shunting increased bone resorption, decreased bone formation, bone density, and trabecular bone volume which were commensurate with a reduction in body mass. TNF-alpha levels were elevated and testosterone levels were low in male portasystemic shunted rats.

conclusionsPortasystemic shunting in the rat adversely affects bone metabolism as part of a generalised catabolic state where high TNF-alpha and low testosterone and 25-OH vit D levels may play a role.

Indexed as

Absorptiometry, PhotonAnimalsBone DensityCarbon TetrachlorideDisease Models, AnimalFemaleHypertension, PortalLiver Cirrhosis, ExperimentalMaleOsteoporosisPortasystemic Shunt, SurgicalRatsRats, Sprague-DawleyTibiaTumor Necrosis Factor-alphaCarbon TetrachlorideTumor Necrosis Factor-alpha

Identifiers

PMID12631673
PMCPMC1773583
OpenAlexW2095721510

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.