Evidence map›Paper›PMID 22829669›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2012

Profibrogenic chemokines and viral evolution predict rapid progression of hepatitis C to cirrhosis.

Patrizia Farci, Kurt Wollenberg, Giacomo Diaz, Ronald E Engle, Maria Eliana Lai, Paul Klenerman, Robert H Purcell, Oliver G Pybus, Harvey J Alter

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

27 citing papers in PubMed, 46 citations in OpenAlex.

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  11. THE GORDON WILSON LECTURE: THE HEPATITIS C VIRUS: FROM HIPPOCRATES TO CURE.Transactions of the American Clinical and Climatological Association · 2019
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  17. Diminished viral replication and compartmentalization of hepatitis C virus in hepatocellular carcinoma tissue.Proceedings of the National Academy of Sciences of the United States of America · 2016
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Patrizia FarciHepatic Pathogenesis Section, Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA. pfarci@niaid.nih.gov
Kurt Wollenberg
Giacomo Diaz
Ronald E Engle
Maria Eliana Lai
Paul Klenerman
Robert H Purcell
Oliver G Pybus
Harvey J Alter
National Institutes of Health · USUniversity of Cagliari · ITUniversity of Oxford · GBNational Institute of Allergy and Infectious Diseases · US

Funding

Molecular Mechanisms of Pathogenesis of Acute and Chronic Liver DiseasesZIAAI000999 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI FARCI, PATRIZIA · 2009 to 2025
$25.3M
Pathogenesis of Parenteral Viral HepatitisZIAAI001015 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI PURCELL, ROBERT H. · 2009 to 2012
$3.0M
Viral And Immune Factors That Influence Recovery Or Progression Of Hepatitis CZIACL002078 · CLC · CLINICAL CENTER · PI DE GIORGI, VALERIA · 2009 to 2025
$0k
Intramural NIH HHSWellcome Trust 091663
6 · The paper itself

Abstract

Chronic hepatitis C may follow a mild and stable disease course or progress rapidly to cirrhosis and liver-related death. The mechanisms underlying the different rates of disease progression are unknown. Using serial, prospectively collected samples from cases of transfusion-associated hepatitis C, we identified outcome-specific features that predict long-term disease severity. Slowly progressing disease correlated with an early alanine aminotransferase peak and antibody seroconversion, transient control of viremia, and significant induction of IFN-γ and MIP-1β, all indicative of an effective, albeit insufficient, adaptive immune response. By contrast, rapidly progressive disease correlated with persistent and significant elevations of alanine aminotransferase and the profibrogenic chemokine MCP-1 (CCL-2), greater viral diversity and divergence, and a higher rate of synonymous substitution. This study suggests that the long-term course of chronic hepatitis C is determined early in infection and that disease severity is predicted by the evolutionary dynamics of hepatitis C virus and the level of MCP-1, a chemokine that appears critical to the induction of progressive fibrogenesis and, ultimately, the ominous complications of cirrhosis.

Indexed as

Evolution, MolecularAlanine TransaminaseBase SequenceChemokine CCL4ChemokinesCloning, MolecularDisease ProgressionHepacivirusHepatitis CInterferon-gammaLiver CirrhosisMolecular Sequence DataReverse Transcriptase Polymerase Chain ReactionRNA, ViralSequence Analysis, DNAStatistics, NonparametricAlanine TransaminaseCCL4 protein, humanChemokine CCL4ChemokinesInterferon-gammaRNA, Viral

Identifiers

PMID22829669
PMCPMC3437836
OpenAlexW2053073862

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.