Evidence map›Paper›PMID 26984835›Full record

SynthesisHepatology international2016

Association between hepatitis B virus basal core promoter/precore region mutations and the risk of hepatitis B-related acute-on-chronic liver failure in the Chinese population: an updated meta-analysis.

Xueyuan Nian, Zhihui Xu, Yan Liu, Jianhong Chen, Xiaodong Li, Dongping Xu

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Hepatology international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
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

8 citing papers in PubMed, 16 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Xueyuan NianInstitute of Infectious Diseases, 302 Teaching Hospital of Peking University, Beijing, 100039, China.
Zhihui XuResearch Center for Clinical and Translational Medicine, Beijing 302 Hospital, Beijing, 100039, China.
Yan LiuResearch Center for Clinical and Translational Medicine, Beijing 302 Hospital, Beijing, 100039, China.
Jianhong ChenDepartment of Infectious Disease, Peking University First Hospital, Beijing, 100034, China.
Xiaodong LiResearch Center for Clinical and Translational Medicine, Beijing 302 Hospital, Beijing, 100039, China.
Dongping XuInstitute of Infectious Diseases, 302 Teaching Hospital of Peking University, Beijing, 100039, China. xudongping302@sina.com.
302 Military Hospital of China · CNPeking University · CNPeking University First Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between hepatitis B virus (HBV) mutations in basal core promoter (BCP) and precore (PC) regions and the risk of hepatitis B-related acute-on-chronic liver failure (HB-ACLF) remains uncertain.

methodsDatabases were searched for papers that were published in English or Chinese until April 31, 2015. The odds ratios (ORs) of HBV mutation were pooled by using a fixed or random-effects model according to heterogeneity.

resultsData for 13 studies with a total of 1,149 HB-ACLF and 1,867 chronic hepatitis B (CHB) cases were retrieved. Statistically significant summary ORs for HB-ACLF were obtained for T1753V (1.99; 95 % confidence interval 1.30-3.02) and A1762T/G1764A (2.11; 95 %, 1.75-2.54) in the BCP region and for A1846T (3.33; 95 %, 2.23-4.97), G1896A (2.78; 95 %, 2.07-3.74), and G1899A (3.09; 95 %, 1.82-5.25) in the PC region. In subgroup analysis, BCP mutations were found to have higher ORs in age-matched studies, but PC mutations were found to have higher ORs in age-unmatched studies; patients with the mutations in HBV genotype C were more susceptible to HB-ACLF; patients with pre-existing liver cirrhosis had a higher risk of HB-ACLF occurrence. In sensitivity, specificity, and accuracy analysis, A1762T/G1764A had the highest sensitivity (67.43 %); A1762T/G1764A + G1896A triple mutations had the highest specificity (93.70 %); and T1753V + A1762T + G1764A mutation had the highest accuracy (65.42 %).

conclusionsHBV T1753V, A1762T/G1764A, A1846T, G1896A, and G1899A mutations are correlated with an increase in the risk of HB-ACLF. These mutations alone and in combination may be predictive of the susceptibility of patients with CHB to developing HB-ACLF.

Indexed as

MutationAcute-On-Chronic Liver FailureAdultFemaleGenetic Predisposition to DiseaseGenotypeHepatitis B, ChronicHepatitis B e AntigensHepatitis B virusHumansMaleMiddle AgedOdds RatioPromoter Regions, GeneticHepatitis B e AntigensAcute-on-chronic liver failureHepatitis B virusMeta-analysisMutation

Identifiers

PMID26984835
OpenAlexW2297710800

What OpenQuestion holds

Textmetadata
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.