Evidence map›Paper›PMID 24741616›Full record

Observational studyJournal of immunology research2014

Idiopathic non cirrhotic portal hypertension and spleno-portal axis abnormalities in patients with severe primary antibody deficiencies.

Federica Pulvirenti, Ilaria Pentassuglio, Cinzia Milito, Michele Valente, Adriano De Santis, Valentina Conti, Giulia d'Amati, Oliviero Riggio, Isabella Quinti

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of immunology research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

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  14. [Progress in the diagnosis and treatment of idiopathic non-cirrhotic portal hypertension].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2021
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  18. Idiopathic noncirrhotic portal hypertension: current perspectives.Hepatic medicine : evidence and research · 2016
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  19. 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

9 authors at 1 institution in 1 country.

Federica PulvirentiDepartment of Molecular Medicine, Sapienza University of Rome, Viale dell'Università 37, 00186 Rome, Italy.
Ilaria PentassuglioGastroenterology, Department of Clinical Medicine, Sapienza University of Rome, Rome, Italy.
Cinzia MilitoDepartment of Molecular Medicine, Sapienza University of Rome, Viale dell'Università 37, 00186 Rome, Italy.
Michele ValenteDepartment of Experimental Medicine and Pathology, Sapienza University of Rome, Rome, Italy.
Adriano De SantisGastroenterology, Department of Clinical Medicine, Sapienza University of Rome, Rome, Italy.
Valentina ContiDepartment of Molecular Medicine, Sapienza University of Rome, Viale dell'Università 37, 00186 Rome, Italy.
Giulia d'AmatiDepartment of Experimental Medicine and Pathology, Sapienza University of Rome, Rome, Italy.
Oliviero RiggioGastroenterology, Department of Clinical Medicine, Sapienza University of Rome, Rome, Italy.
Isabella QuintiDepartment of Molecular Medicine, Sapienza University of Rome, Viale dell'Università 37, 00186 Rome, Italy.
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimPortal hypertension has been reported in association with acquired and primary immune deficiencies without a comprehensive description of associated spleno-portal axis abnormalities. Pathological mechanisms are poorly defined.

methodsObservational, single centre study with the aim of assessing the prevalence of spleno-portal axis abnormalities in an unselected cohort of 123 patients with primary antibody deficiencies and without known causes of liver diseases regularly followed up for a mean time of 18 ± 14 years. A cumulative period of 1867 patients-year was analysed. Clinical and immunological data, abdominal ultrasounds, CT scans, and endoscopy features were included in the analysis.

resultsTwenty-five percent of patients with primary antibody deficiencies had signs of portal vein enlargement but only 4% of them had portal hypertension, with portal systemic collaterals. Liver biopsies showed liver sinusoids congestive dilatation, endothelization, and micronodularity fulfilling the criteria for noncirrhotic portal hypertension. Patients with portal vein enlargement had severe clinical and immunological phenotypes.

conclusionsIn primary antibody deficient patients, infections, inflammations, splenomegaly, increased blood venous flow, and lymphocyte abnormalities contribute to establishment of liver damage possibly leading to noncirrhotic portal hypertension. Patients with primary antibody deficiency should be considered a good model to give insight into the pathological mechanisms underlying noncirrhotic portal hypertension.

Indexed as

AdultAgammaglobulinemiaCommon Variable ImmunodeficiencyFemaleGenetic Diseases, X-LinkedHepatic VeinsHumansHypertension, PortalIdiopathic Noncirrhotic Portal HypertensionLiverLiver CirrhosisMaleMiddle AgedPancytopeniaPortal VeinProspective Studies

Identifiers

PMID24741616
PMCPMC3988706
OpenAlexW2153039806

What OpenQuestion holds

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LicenceCC BY
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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.