Evidence map›Paper›PMID 21915069›Full record

ArticleJournal of occupational and environmental medicine2011

Serum cytokeratin 18 and cytokine elevations suggest a high prevalence of occupational liver disease in highly exposed elastomer/polymer workers.

Matt Cave, Keith Cameron Falkner, Latasha Henry, Brittany Costello, Bonnie Gregory, Craig J McClain

Open access · greenAbstract read
In one paragraph

Article in Journal of occupational and environmental medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

24 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
  2. MASLD In Children - A Distinct Phenotype?Current obesity reports · 2026
    Review
  3. Obesogenic polystyrene microplastic exposures disrupt the gut-liver-adipose axis.Toxicological sciences : an official journal of the Society of Toxicology · 2024
    Article
  4. Review
  5. Review
  6. Article
  7. Associations Between Residential Exposure to Volatile Organic Compounds and Liver Injury Markers.Toxicological sciences : an official journal of the Society of Toxicology · 2021
    Article
  8. Blood BTEXS and heavy metal levels are associated with liver injury and systemic inflammation in Gulf states residents.Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association · 2020
    Article
  9. Article
  10. Article
  11. Article
  12. Urinary acrolein metabolite levels in severe acute alcoholic hepatitis patients.American journal of physiology. Gastrointestinal and liver physiology · 2019
    Article
  13. Review
  14. Liver Disease in a Residential Cohort With Elevated Polychlorinated Biphenyl Exposures.Toxicological sciences : an official journal of the Society of Toxicology · 2018
    Article
  15. Epidermal Growth Factor Receptor Signaling Disruption by Endocrine and Metabolic Disrupting Chemicals.Toxicological sciences : an official journal of the Society of Toxicology · 2018
    Article
  16. Article
  17. Article
  18. Vinyl Chloride Metabolites Potentiate Inflammatory Liver Injury Caused by LPS in Mice.Toxicological sciences : an official journal of the Society of Toxicology · 2016
    Article
  19. Article
  20. 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

6 authors at 1 institution in 1 country.

Matt CaveDepartment of Medicine Division of Gastroenterology, Hepatology, and Nutrition, University of Louisville, Louisville, KY 40202, USA. matt.cave@louisville.edu
Keith Cameron Falkner
Latasha Henry
Brittany Costello
Bonnie Gregory
Craig J McClain
University of Louisville · US

Funding

STEM CELLS AND DIABETIC CARDIOMYOPATHY PROJ 2 2009P20RR024489 · NCRR · UNIVERSITY OF LOUISVILLE · PI BHATNAGAR, ARUNI · 2008 to 2011
$10.0M
Strategic Vision & Impact on Environmental HealthP30ES014443 · NIEHS · UNIVERSITY OF LOUISVILLE · PI PROUGH, RUSSELL ALLEN · 2007 to 2010
$4.4M
PCBs worsen obesity/metabolic syndrome through 'toxic metabolic endotoxemia'R01ES021375 · NIEHS · UNIVERSITY OF LOUISVILLE · PI CAVE, MATTHEW C · 2012 to 2016
$1.7M
Alcohol Liver Disease and Alcohol-Nutrient InteractionsP01AA017103 · NIAAA · UNIVERSITY OF LOUISVILLE · PI MCCLAIN, CRAIG J. · 2008 to 2010
$1.3M
Zinc supplementation in alcoholic cirrhosisK23AA018399 · NIAAA · UNIVERSITY OF LOUISVILLE · PI CAVE, MATTHEW C · 2010 to 2014
$1.0M
Summer Environmental Health Sciences Training ProgramT35ES014559 · NIEHS · UNIVERSITY OF LOUISVILLE · PI Matthew C Cave, Daniel Joseph Conklin · 2006 to 2026
$751k
NCRR NIH HHS 5P20RR024489-02NCRR NIH HHS P20 RR024489NIAAA NIH HHS 1P01AA017103-01NIAAA NIH HHS K23 AA018399NIAAA NIH HHS K23AA18399-01ANIAAA NIH HHS P01 AA017103NIEHS NIH HHS P30 ES014443NIEHS NIH HHS P30ES014443-01A1NIEHS NIH HHS R01 ES021375NIEHS NIH HHS T35 ES014559NIEHS NIH HHS T35ES014559
6 · The paper itself

Abstract

objectiveCytokeratin 18 (CK18) is a novel serologic biomarker for occupational liver disease. The purpose of this study is to determine the prevalence of CK18 elevation in elastomer/polymer workers exposed to acrylonitrile, 1,3-butadiene, and styrene.

methodsA total of 82 chemical workers were evaluated. Cytokeratin 18 was determined by enzyme-linked immunosorbent assay and proinflammatory cytokines were measured by multi-analyte chemiluminescent detection.

resultsThirty-nine percent (32 of 82) had elevated CK18 levels, which were not explained by alcohol or obesity, except in potentially four cases. The pattern of CK18 elevation was consistent with toxicant-associated steatohepatitis (TASH) in the majority of cases (78%). Tumor necrosis factor α, interleukin-6, interleukin-8, monocyte chemotactic protein-1, and plasminogen activator inhibitor-1 were increased in these workers compared with those with normal CK18 levels.

conclusionsThese results suggest a high prevalence of occupational liver disease and TASH in elastomer/polymer workers with elevated proinflammatory cytokines.

Indexed as

AcrylonitrileAdultButadienesChemical and Drug Induced Liver InjuryChemokine CCL2CytokinesElastomersFatty LiverHumansInterleukin-1Interleukin-6Keratin-18Linear ModelsLiver Function TestsMaleMiddle Aged1,3-butadieneAcrylonitrileButadienesChemokine CCL2CytokinesElastomersInterleukin-1Interleukin-6Keratin-18Plasminogen Activator Inhibitor 1PolymersStyreneTumor Necrosis Factor-alpha

Identifiers

PMID21915069
PMCPMC3190062
OpenAlexW2019912556

What OpenQuestion holds

Textmetadata
LicenceTDM
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.