Evidence map›Paper›PMID 25732418›Full record

ArticleThe American journal of gastroenterology2015

Plasma cathepsin D levels: a novel tool to predict pediatric hepatic inflammation.

Sofie M A Walenbergh, Tom Houben, Tim Hendrikx, Mike L J Jeurissen, Patrick J van Gorp, Anita C E Vreugdenhil, Marlou P Adriaanse, Wim A Buurman, Marten H Hofker, Antonella Mosca and 7 more

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In one paragraph

Article in The American journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
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  8. [Diagnosis and therapeutic strategies for non-alcoholic fatty liver disease in children].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2020
    Review
  9. Article
  10. Article
  11. Review
  12. Limited applicability of cathepsin D for the diagnosis and monitoring of non-alcoholic steatohepatitis.JGH open : an open access journal of gastroenterology and hepatology · 2019
    Article
  13. Review
  14. Article
  15. Review
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  17. Noninvasive biomarkers in NAFLD and NASH - current progress and future promise.Nature reviews. Gastroenterology & hepatology · 2018
    Review
  18. Article
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  20. Review
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

17 authors at 5 institutions in 2 countries.

Sofie M A WalenberghDepartment of Molecular Genetics, Maastricht University Medical Centre, Maastricht, The Netherlands.
Tom HoubenDepartment of Molecular Genetics, Maastricht University Medical Centre, Maastricht, The Netherlands.
Tim HendrikxDepartment of Molecular Genetics, Maastricht University Medical Centre, Maastricht, The Netherlands.
Mike L J JeurissenDepartment of Molecular Genetics, Maastricht University Medical Centre, Maastricht, The Netherlands.
Patrick J van GorpDepartment of Molecular Genetics, Maastricht University Medical Centre, Maastricht, The Netherlands.
Anita C E VreugdenhilDepartment of Paediatrics and Nutrition, Maastricht University Medical Centre, Maastricht, The Netherlands.
Marlou P AdriaanseDepartment of Paediatrics and Nutrition, Maastricht University Medical Centre, Maastricht, The Netherlands.
Wim A BuurmanDepartment of Surgery and Toxicology Research Institute Maastricht (NUTRIM), Maastricht University Medical Centre, Maastricht, The Netherlands.
Marten H HofkerDepartment of Molecular Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Antonella Mosca1] Hepato-Metabolic Disease Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy [2] Liver Research Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Patrick J LindseyDepartment of Population Genetics, Maastricht University, Maastricht, The Netherlands.
Anna Alisi1] Hepato-Metabolic Disease Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy [2] Liver Research Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Daniela LiccardoHepato-Metabolic Disease Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Nadia PaneraLiver Research Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Ger H KoekInternal Medicine, Division of Gastroenterology and Hepatology, Maastricht University Medical Centre, Maastricht, The Netherlands.
Valerio Nobili1] Hepato-Metabolic Disease Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy [2] Liver Research Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Ronit Shiri-SverdlovDepartment of Molecular Genetics, Maastricht University Medical Centre, Maastricht, The Netherlands.
Maastricht University Medical Centre · NLIstituti di Ricovero e Cura a Carattere Scientifico · ITBambino Gesù Children's Hospital · ITMaastricht University · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNonalcoholic steatohepatitis (NASH) is the most severe form of a hepatic condition known as nonalcoholic fatty liver disease (NAFLD). NASH is histologically characterized by hepatic fat accumulation, inflammation, and ballooning, and eventually coupled with fibrosis that, in turn, may progress to end-stage liver disease even in young individuals. Hence, there is a critical need for specific noninvasive markers to predict hepatic inflammation at an early age. We investigated whether plasma levels of cathepsin D (CatD), a lysosomal protease, correlated with the severity of liver inflammation in pediatric NAFLD.

methodsLiver biopsies from children (n=96) with NAFLD were histologically evaluated according to the criteria of Kleiner (NAFLD activity score) and the Brunt's criteria. At the time of liver biopsy, blood was taken and levels of CatD, alanine aminotransferase (ALT), and cytokeratin-18 (CK-18) were measured in plasma.

resultsPlasma CatD levels were significantly lower in subjects with liver inflammation compared with steatotic subjects. Furthermore, we found that CatD levels were gradually reduced and corresponded with increasing severity of liver inflammation, steatosis, hepatocellular ballooning, and NAFLD activity score. CatD levels correlated with pediatric NAFLD disease progression better than ALT and CK-18. In particular, CatD showed a high diagnostic accuracy (area under receiver operating characteristic curve (ROC-AUC): 0.94) for the differentiation between steatosis and hepatic inflammation, and reached almost the maximum accuracy (ROC-AUC: 0.998) upon the addition of CK-18.

conclusionsPlasma CatD holds a high diagnostic value to distinguish pediatric patients with hepatic inflammation from children with steatosis.

Indexed as

InflammationNon-alcoholic Fatty Liver DiseaseAlanine TransaminaseAnalysis of VarianceArea Under CurveBiomarkersBiopsyCathepsin DChildChild, PreschoolDisease ProgressionFemaleHumansKeratin-18LiverMaleAlanine TransaminaseBiomarkersCathepsin DKeratin-18

Identifiers

PMID25732418
OpenAlexW2156464269

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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.