Evidence map›Paper›PMID 20538000›Full record

ArticleGastroenterology2010

Keratin variants predispose to acute liver failure and adverse outcome: race and ethnic associations.

Pavel Strnad, Qin Zhou, Shinichiro Hanada, Laura C Lazzeroni, Bi Hui Zhong, Phillip So, Timothy J Davern, William M Lee, Acute Liver Failure Study Group, M Bishr Omary

Registry-linked trialOpen access · bronzeAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Gastroenterology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00518440 (A Multi-Center Trial to Study Acute Liver Failure in Adults), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.7field-weighted citation impact, top 6% 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.

NCT00518440 completednot on this map

A Multi-Center Trial to Study Acute Liver Failure in Adults

TypeobservationalSponsorWilliam LeeRan1998 to 2019Enrolled3,488ConditionsAcute Liver Failure, Fulminant Hepatic Failure, Acute Liver Injury
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 76 citations in OpenAlex.

  1. Article
  2. Review
  3. Liver disease-associated keratin 8 and 18 mutations modulate keratin acetylation and methylation.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Intermediate filament proteins of digestive organs: physiology and pathophysiology.American journal of physiology. Gastrointestinal and liver physiology · 2017
    Review
  9. Article
  10. Review
  11. Article
  12. Absence of keratin 8 or 18 promotes antimitochondrial autoantibody formation in aging male mice.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2015
    Article
  13. Article
  14. Article
  15. Article
  16. Pathological implications of cadherin zonation in mouse liver.Cellular and molecular life sciences : CMLS · 2015
    Article
  17. Article
  18. Review
  19. [Acute liver failure. Diagnosis and therapy].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2013
    Review
  20. Drug-induced acute liver failure.Clinics in liver disease · 2013
    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

10 authors at 7 institutions in 4 countries.

Pavel StrnadDepartment of Internal Medicine I, University Medical Center Ulm, Ulm, Germany. pavel.strnad@uniklinikulm.de
Qin Zhou
Shinichiro Hanada
Laura C Lazzeroni
Bi Hui Zhong
Phillip So
Timothy J Davern
William M Lee
Acute Liver Failure Study Group
M Bishr Omary
Stanford University · USCalifornia Pacific Medical Center · USKurume University · JPThe First Affiliated Hospital, Sun Yat-sen University · CNThe University of Texas Southwestern Medical Center · USUniversity Hospital Ulm · DEUniversity of Michigan–Ann Arbor · US

Funding

A Multi-Center Study of Acute Liver Failure in AdultsU01DK058369 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI DURKALSKI, VALERIE L, FONTANA, ROBERT J · 2005 to 2019
$27.4M
Keratin Biology and Disease Aspects in Simple EpitheliaR01DK047918 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI OMARY, BISHR · 1995 to 2018
$6.6M
A MULTI-CENTER THERAPY TRIAL FOR ACUTE LIVER FAILURER01DK058369 · NIDDK · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · PI LEE, WILLIAM M · 2000 to 2004
$4.2M
COMPLEX TRAIT MAPPING--MODELS AND SEMIPARAMETRIC METHODSR01GM062628 · NIGMS · STANFORD UNIVERSITY · PI LAZZERONI, LAURA C. · 2000 to 2005
$1.1M
MULTICENTER GROUP TO STUDY ACUTE LIVER FAILURER03DK052827 · NIDDK · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · PI LEE, WILLIAM M · 1997 to 1998
–
NIDDK NIH HHS DK47918NIDDK NIH HHS DK52827NIDDK NIH HHS DK58369NIDDK NIH HHS R01 DK047918NIDDK NIH HHS R01 DK058369NIDDK NIH HHS U01 DK058369NIGMS NIH HHS GM062628NIGMS NIH HHS R01 GM062628
6 · The paper itself

Abstract

BACKGROUND &

aimsKeratins 8 and 18 (K8/K18) provide anti-apoptotic functions upon liver injury. The cytoprotective function of keratins explains the overrepresentation of K8/K18 variants in patients with cirrhosis. However, K8/K18 variant-associated susceptibility to acute liver injury, which is well-described in animal models, has not been studied in humans.

methodsWe analyzed the entire coding regions of KRT8 and KRT18 genes (15 total exons and their exon-intron boundaries) to determine the frequency of K8/K18 variants in 344 acute liver failure (ALF) patients (49% acetaminophen-related) and 2 control groups (African-American [n = 245] and previously analyzed white [n = 727] subjects).

resultsForty-five ALF patients had significant amino-acid-altering K8/K18 variants, including 23 with K8 R341H and 11 with K8 G434S. K8 variants were significantly more common (total of 42 patients) than K18 variants (3 patients) (P < .001). We found increased frequency of variants in white ALF patients (9.1%) versus controls (3.7%) (P = .01). K8 R341H was more common in white (P = .01) and G434S was more common in African-American (P = .02) ALF patients versus controls. White patients with K8/K18 variants were less likely to survive ALF without transplantation (P = .02). K8 A333A and G434S variants associated exclusively with African Americans (23% combined frequency in African American but none in white controls; P < .0001), while overall, K18 variants were more common in non-white liver-disease subjects compared to whites (2.8% vs 0.6%, respectively; P = .008).

conclusionsKRT8 and KRT18 are important susceptibility genes for ALF development. Presence of K8/K18 variants predisposes to adverse ALF outcome, and some variants segregate with unique ethnic and race backgrounds.

Indexed as

AcetaminophenAdultAnalgesics, Non-NarcoticAsianBlack or African AmericanChemical and Drug Induced Liver InjuryChi-Square DistributionFemaleGene FrequencyGenetic Predisposition to DiseaseHispanic or LatinoHumansIndians, North AmericanKeratin-18Keratin-8Liver Failure, AcuteAcetaminophenAnalgesics, Non-NarcoticKeratin-18Keratin-8KRT18 protein, humanKRT8 protein, human

Identifiers

PMID20538000
PMCPMC3249217
OpenAlexW2117330936

What OpenQuestion holds

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Registered trials

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.