Evidence map›Paper›PMID 25622927›Full record

ArticleJournal of gastroenterology2015

Helicobacter pylori infection might have a potential role in hepatocyte ballooning in nonalcoholic fatty liver disease.

Yoshio Sumida, Kazuyuki Kanemasa, Shunsuke Imai, Kojiro Mori, Saiyu Tanaka, Hideto Shimokobe, Yoko Kitamura, Kohei Fukumoto, Akira Kakutani, Tomoyuki Ohno and 11 more

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In one paragraph

Article in Journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 4 pooled it
5.5field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Frontiers in medicine · 2026
    Pooled it
  2. Relationship ofCanadian journal of gastroenterology & hepatology · 2023
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. World journal of hepatology · 2025
    Article
  8. Metabolism open · 2025
    Review
  9. Frontiers in cellular and infection microbiology · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Impact ofJournal of clinical and translational hepatology · 2023
    Review
  17. The Effects ofBioMed research international · 2023
    Article
  18. Frontiers in nutrition · 2023
    Article
  19. Total Flavonoids fromFoods (Basel, Switzerland) · 2022
    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

21 authors at 2 institutions in 1 country.

Yoshio SumidaDepartment of Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan, sumida@koto.kpu-m.ac.jp.
Kazuyuki Kanemasa
Shunsuke Imai
Kojiro Mori
Saiyu Tanaka
Hideto Shimokobe
Yoko Kitamura
Kohei Fukumoto
Akira Kakutani
Tomoyuki Ohno
Hiroyoshi Taketani
Yuya Seko
Hiroshi Ishiba
Tasuku Hara
Akira Okajima
Kanji Yamaguchi
Michihisa Moriguchi
Hironori Mitsuyoshi
Kohichiroh Yasui
Masahito Minami
Yoshito Itoh
Kyoto Prefectural University of Medicine · JPNara City Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical data regarding Helicobacter pylori (H. pylori) infection in nonalcoholic fatty liver disease (NAFLD) are limited. The aim was to evaluate H. pylori infection in patients with NAFLD and its association with disease severity.

methodsOne hundred and thirty patients with biopsy-proven NAFLD [43 with nonalcoholic fatty liver (NAFL) and 87 with nonalcoholic steatohepatitis (NASH)] were recruited for blood samples for anti-H. pylori immunoglobulin G (IgG) and standard biochemical tests were obtained after overnight fasting. Glucose tolerance was evaluated by 75-g oral glucose tolerance test. Liver biopsies were scored for NAFLD activity score (NAS), fibrosis and iron deposits.

resultsH. pylori IgG seropositivity was found in 40 % of patients overall. The prevalence of NASH was significantly higher in the patients with H. pylori IgG seropositivity (81 %) than in those without (58 %, p = 0.008). Glucose intolerance was similar between the two groups. The total NAS and the grade of hepatocyte ballooning were higher in the patients with H. pylori IgG seropositivity than in those without, while the hepatic iron grade was lower in the patients with H. pylori IgG seropositivity than in those without. H. pylori infection (p = 0.030), female gender (p = 0.029), and NAFIC score ≥ 2 points (p < 0.001) could independently predict NASH in logistic regression analysis, independent of age, obesity and glucose tolerance.

conclusionThe association of H. pylori seropositivity with hepatocyte ballooning suggests that H. pylori infection may represent another contributing factor in the progression from NAFL to NASH. Eradicating H. pylori infection may have therapeutic prospects in NASH treatment.

Indexed as

AdultBiomarkersBiopsyDisease ProgressionFemaleGlucose Tolerance TestHelicobacter InfectionsHelicobacter pyloriHepatocytesHumansImmunoglobulin GLiverMaleMiddle AgedNon-alcoholic Fatty Liver DiseaseBiomarkersImmunoglobulin G

Identifiers

PMID25622927
OpenAlexW1981490181

What OpenQuestion holds

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Registered trials

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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.