Evidence map›Paper›PMID 26386081›Full record

ArticleAmerican journal of clinical pathology2015

The Significance of Autoantibody Changes Over Time in Primary Biliary Cirrhosis.

Michele M Tana, Zakera Shums, Jay Milo, Gary L Norman, Patrick S Leung, M Eric Gershwin, Mazen Noureddin, David E Kleiner, Xiongce Zhao, Theo Heller and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of clinical pathology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Risk Stratification in Primary Biliary Cholangitis.Journal of clinical medicine · 2023
    Review
  10. Review
  11. Article
  12. [Research progress of autoantibodies in primary biliary cholangitis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2021
    Article
  13. Article
  14. [Is autoimmune cholangitis-anti-mitochondrial antibody-negative primary biliary cholangitis still an independent disease?]Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2019
    Review
  15. SP100B Expression Indexed Hemorrhage in Mouse Models of Cerebral Hemorrhage.Indian journal of clinical biochemistry : IJCB · 2018
    Article
  16. Article
  17. Article
  18. Review
  19. Biomarkers for primary biliary cholangitis: current perspectives.Hepatic medicine : evidence and research · 2018
    Review
  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

11 authors at 4 institutions in 1 country.

Michele M TanaFrom the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD; michele.tana@ucsf.edu.
Zakera ShumsInova Diagnostics, San Diego, CA; and.
Jay MiloInova Diagnostics, San Diego, CA; and.
Gary L NormanInova Diagnostics, San Diego, CA; and.
Patrick S LeungDivision of Rheumatology, Allergy and Clinical Immunology, University of California, Davis, CA.
M Eric GershwinDivision of Rheumatology, Allergy and Clinical Immunology, University of California, Davis, CA.
Mazen NoureddinFrom the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD;
David E KleinerFrom the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD;
Xiongce ZhaoFrom the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD;
Theo HellerFrom the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD;
Jay H HoofnagleFrom the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD;
National Institute of Diabetes and Digestive and Kidney Diseases · USNational Institutes of Health · USNova Medical (United States) · USUniversity of California, Davis · US

Funding

UCSF Liver Core CenterP30DK026743 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Holger Willenbring · 1986 to 2026
$30.7M
Training Grant in GastroenterologyT32DK007202 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GHOSH, PRADIPTA · 1985 to 2022
$7.7M
Intramural NIH HHS Z99 DK999999NIDDK NIH HHS P30 DK026743NIDDK NIH HHS T32 DK007202
6 · The paper itself

Abstract

objectivesIn primary biliary cirrhosis (PBC), the antimitochondrial antibody is a cornerstone of diagnosis, but there have been conflicting reports about the correlation of autoantibodies with disease stage and prognosis. We studied whether autoantibody levels changed over time and sought correlations with clinical outcomes in a cohort of patients with PBC.

methodsWe tested serial serum samples from patients with PBC at a research institution for several autoantibodies. Long-term clinical follow-up data were used to calculate the slopes (change over time) for autoantibodies, platelet count, Ishak fibrosis score, biopsy copper, and number of portal areas with bile ducts. An adverse clinical outcome was defined as hepatic decompensation, development of hepatocellular carcinoma, liver transplantation, or liver-related death. We performed linear or logistic regression or Fisher exact test as appropriate, adjusting for multiple comparisons.

resultsTwenty-seven patients with PBC with 145 serum samples were studied. Of the cohort, 85% was white, 81% was female, and median follow-up time was 20 years. Of the autoantibodies tested, only sp100 changed significantly over time. The sp100 slope was inversely associated with the Ishak fibrosis slope (parameter estimate, -0.05; P = .0003).

conclusionsWhile changes in most autoantibodies over time do not seem to correlate with clinical outcomes in PBC, a change in the sp100 autoantibody level may have prognostic utility with respect to the development of fibrosis on liver biopsy.

Indexed as

AdultAgedAntigens, NuclearAutoantibodiesAutoantigensBiomarkersCohort StudiesEnzyme-Linked Immunosorbent AssayFemaleFibrosisHumansLiver Cirrhosis, BiliaryMaleMiddle AgedPrognosisAntigens, NuclearAutoantibodiesAutoantigensBiomarkersSP100 protein, humanAutoantibodiesAutoimmune liver diseasePrimary biliary cirrhosisPrognosisSerum markersUrsodiol

Identifiers

PMID26386081
PMCPMC5092169
OpenAlexW2307226362

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.