Evidence map›Paper›PMID 23954649›Full record

ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2014

Circulating inflammatory cytokines and adipokines are associated with increased risk of Barrett's esophagus: a case-control study.

Jose M Garcia, Andres E Splenser, Jennifer Kramer, Abeer Alsarraj, Stephanie Fitzgerald, David Ramsey, Hashem B El-Serag

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 47 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 6 pooled it
12.8field-weighted citation impact, top 1% 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

47 citing papers in PubMed, 6 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Association of Serum Levels of Adipokines and Insulin With Risk of Barrett's Esophagus: A Systematic Review and Meta-Analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2015
    Pooled it
  6. Pooled it
  7. Metformin does not reduce markers of cell proliferation in esophageal tissues of patients with Barrett's esophagus.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2015
    Trial
  8. Article
  9. [Gastroesophageal Reflux Disease].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025
    Review
  10. Review
  11. Article
  12. Review
  13. Practical Considerations in Diagnosing and Managing Early-Onset GI Cancers.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Article
  14. Review
  15. Article
  16. Article
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4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Jose M GarciaDepartment of Medicine, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas; Department of Medicine, Baylor College of Medicine, Houston, Texas; Huffington Center on Aging, Baylor College of Medicine, Houston, Texas.
Andres E SplenserDepartment of Medicine, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas; Department of Medicine, Baylor College of Medicine, Houston, Texas.
Jennifer KramerDepartment of Medicine, Baylor College of Medicine, Houston, Texas; VA Health Services Research and Development Center of Excellence, Houston, Texas.
Abeer AlsarrajDepartment of Medicine, Baylor College of Medicine, Houston, Texas; VA Health Services Research and Development Center of Excellence, Houston, Texas.
Stephanie FitzgeraldDepartment of Medicine, Baylor College of Medicine, Houston, Texas; VA Health Services Research and Development Center of Excellence, Houston, Texas.
David RamseyDepartment of Medicine, Baylor College of Medicine, Houston, Texas; VA Health Services Research and Development Center of Excellence, Houston, Texas.
Hashem B El-SeragDepartment of Medicine, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas; Department of Medicine, Baylor College of Medicine, Houston, Texas; VA Health Services Research and Development Center of Excellence, Houston, Texas. Electronic address: hasheme@bcm.edu.
Baylor College of Medicine · USHealth Services Research & Development · USMichael E. DeBakey VA Medical Center · US

Funding

Tissue Analysis & Molecular Imaging CoreP30DK056338 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI Hashem B El-Serag · 2001 to 2026
$28.3M
Obesity, H pylori and Risk of Barrett's EsophagusR01CA116845 · NCI · BAYLOR COLLEGE OF MEDICINE · PI EL-SERAG, HASHEM B · 2007 to 2011
$2.8M
Epidemiology and Outcomes of Digestive and Liver Diseases: A Mentoring ProgramK24DK078154 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI EL-SERAG, HASHEM B · 2007 to 2016
$1.1M
The role of ghrelin and the ghrelin receptor GHSR1a in sarcopenia of agingR03AG040583 · NIA · BAYLOR COLLEGE OF MEDICINE · PI GARCIA, JOSE M. · 2011 to 2012
$157k
BLRD VA I01 BX000507CSRD VA I01 CX000174NCI NIH HHS CA116845NCI NIH HHS R01 CA116845NIA NIH HHS AG040583NIA NIH HHS R03 AG040583NIDDK NIH HHS K24 DK078154NIDDK NIH HHS P30 DK056338PHS HHS PHS56338
6 · The paper itself

Abstract

BACKGROUND &

aimsObesity is associated with Barrett's esophagus (BE) and with changes in circulating levels of adipokines (leptin and adiponectin) and cytokines. Although studies have reported that adipokines and inflammatory cytokines are necessary for the development of BE, their role is controversial.

methodsWe performed a case-control study; cases (n = 141) were patients who underwent esophagogastroduodenoscopy and were found to have BE, which was based on endoscopy and histology, and controls (n = 139) were primary care patients eligible for screening colonoscopies who agreed to undergo esophagogastroduodenoscopy. We examined the association between BE and circulating levels of adipokines and cytokines (interleukin [IL]-1β, IL-6, IL-8, IL-10, and IL-12p70; tumor necrosis factor-α; and interferon-γ). Cases and controls were compared by calculating odds ratios (ORs) and 95% confidence intervals (CIs) and using unadjusted and multiple logistic regression, adjusting for age, sex, race, waist-hip ratio, use of proton pump inhibitors and nonsteroidal anti-inflammatory drugs, and Helicobacter pylori infection.

resultsThe adjusted ORs for BE were 2.62 (95% CI, 1.0-6.8), 5.18 (95% CI, 1.7-15.7), and 8.02 (95% CI, 2.79-23.07) for the highest quintile vs the lowest quintile of levels of IL-12p70, IL-8, and leptin, respectively, but the OR was not significant for IL-6 (2.39; 95% CI, 0.84-6.79). The adjusted OR for BE was 0.14 for highest quintile of IL-10 compared with lowest quintile (95% CI, 0.05-0.35) and 0.03 for IL-1β ≥ median vs none detected (95% CI, 0.006-0.13). Higher levels of IL-8 and leptin and lower levels of IL-10 and IL-1β were associated with the presence of long-segment (≥3 cm) and short-segment BE. There were no differences between cases and controls in levels of interferon-γ, tumor necrosis factor-α, adiponectin, or insulin.

conclusionsBE is associated with circulating inflammatory cytokines and leptin and low levels of anti-inflammatory cytokines. These findings could partly explain the effect of obesity on BE.

Indexed as

AdipokinesAgedBarrett EsophagusCase-Control StudiesCytokinesFemaleHumansInterleukinsLeptinMaleMiddle AgedObesityRisk AssessmentTumor Necrosis Factor-alphaAdipokinesCytokinesInterleukinsLeptinTumor Necrosis Factor-alphaAdipokinesAdiponectinBarrett's esophagusBEBMIbody mass indexCIconfidence intervalEGDesophagogastroduodenoscopygastroesophageal reflux diseaseGERDH2RAhistamine 2 receptor antagonistIFNILInsulininterferoninterleukinJNKjun N-terminal protein kinaseLeptinMEDVAMCMichael E. DeBakey VA Medical Centernonsteroidal anti-inflammatory drugNSAIDObesityodds ratioORPCPPPIprimary care providerproton pump inhibitorTNFtumor necrosis factorwaist/hipW/H

Identifiers

PMID23954649
PMCPMC3899092
OpenAlexW1979954889

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.