Evidence map›Paper›PMID 23419155›Full record

ReviewEuropean journal of clinical investigation2013

Prevention of cholesterol gallstones by inhibiting hepatic biosynthesis and intestinal absorption of cholesterol.

Helen H Wang, Piero Portincasa, Ornella de Bari, Kristina J Liu, Gabriella Garruti, Brent A Neuschwander-Tetri, David Q-H Wang

Abstract readReview
In one paragraph

Review in European journal of clinical investigation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% 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, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Effect of cholesterol metabolism on hepatolithiasis.World journal of gastroenterology · 2025
    Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Advances in Risk Factors for Recurrence of Common Bile Duct Stones.International journal of medical sciences · 2021
    Review
  14. Review
  15. Article
  16. An update on the pathogenesis of cholesterol gallstone disease.Current opinion in gastroenterology · 2018
    Review
  17. Review
  18. New insights into the role ofLiver research (Beijing, China) · 2017
    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

7 authors at 3 institutions in 2 countries.

Helen H WangDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, MO 63104, USA.
Piero Portincasa
Ornella de Bari
Kristina J Liu
Gabriella Garruti
Brent A Neuschwander-Tetri
David Q-H Wang
Saint Louis University · USUniversity of Bari Aldo Moro · ITYale University · US

Funding

The Role of Dysfunctional CCK-1R in CholelithogenesisR01DK073917 · NIDDK · SAINT LOUIS UNIVERSITY · PI WANG, DAVID Q · 2008 to 2011
$1.4M
GPR30 and Hepatic Cholesterol HomeostasisR01DK106249 · NIDDK · SAINT LOUIS UNIVERSITY · PI WANG, DAVID Q · 2015 to 2017
$1.0M
NIDDK NIH HHS DK73917NIDDK NIH HHS R01 DK073917NIDDK NIH HHS R01 DK106249
6 · The paper itself

Abstract

backgroundCholesterol cholelithiasis is a multifactorial disease influenced by a complex interaction of genetic and environmental factors and represents a failure of biliary cholesterol homoeostasis in which the physical-chemical balance of cholesterol solubility in bile is disturbed.

designThe primary pathophysiologic event is persistent hepatic hypersecretion of biliary cholesterol, which has both hepatic and small intestinal components. The majority of the environmental factors are probably related to Western-type dietary habits, including excess cholesterol consumption.

resultsLaparoscopic cholecystectomy, one of the most commonly performed surgical procedures in the United States, is nowadays a major treatment for gallstones. However, it is invasive and can cause surgical complications, and not all patients with symptomatic gallstones are candidates for surgery. The hydrophilic bile acid, ursodeoxycholic acid (UDCA), has been employed as first-line pharmacological therapy in a subgroup of symptomatic patients with small, radiolucent cholesterol gallstones. Long-term administration of UDCA can promote the dissolution of cholesterol gallstones. However, the optimal use of UDCA is not always achieved in clinical practice because of failure to titrate the dose adequately.

conclusionsTherefore, the development of novel, effective and noninvasive therapies is crucial for reducing the costs of health care associated with gallstones. In this review, we summarize recent progress in investigating the inhibitory effects of ezetimibe and statins on intestinal absorption and hepatic biosynthesis of cholesterol, respectively, for the treatment of gallstones, as well as in elucidating their molecular mechanisms by which combination therapy could prevent this very common liver disease worldwide.

Indexed as

Anticholesteremic AgentsAzetidinesCholagogues and CholereticsCholesterolEzetimibeGallstonesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsIntestinal AbsorptionLipid MetabolismLiverUrsodeoxycholic AcidAnticholesteremic AgentsAzetidinesCholagogues and CholereticsCholesterolEzetimibeHydroxymethylglutaryl-CoA Reductase InhibitorsUrsodeoxycholic Acid

Identifiers

PMID23419155
PMCPMC3996849
OpenAlexW2015184105

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.