Evidence map›Paper›PMID 27642238›Full record

ArticleMediators of inflammation2016

Plasma Leptin Is Elevated in Acute Exacerbation of Idiopathic Pulmonary Fibrosis.

Mengshu Cao, Jeffery J Swigris, Xin Wang, Min Cao, Yuying Qiu, Mei Huang, Yonglong Xiao, Hourong Cai

Open access · goldAbstract read
In one paragraph

Article in Mediators of inflammation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Acute exacerbation in fibrotic interstitial lung disease: an international working group report.American journal of respiratory and critical care medicine · 2026
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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

8 authors at 2 institutions in 2 countries.

Mengshu CaoDepartment of Respiratory Medicine, Nanjing Drum Tower Hospital, The Affiliated Nanjing University Medical School, Nanjing, Jiangsu 210008, China.ORCID 0000-0002-8735-1262
Jeffery J SwigrisInterstitial Lung Disease Program, Department of Medicine, National Jewish Health, University of Colorado Denver, Denver, CO 80206, USA.ORCID 0000-0002-9874-8265
Xin WangDepartment of Respiratory Medicine, Nanjing Drum Tower Hospital, The Affiliated Nanjing University Medical School, Nanjing, Jiangsu 210008, China.
Min CaoDepartment of Respiratory Medicine, Nanjing Drum Tower Hospital, The Affiliated Nanjing University Medical School, Nanjing, Jiangsu 210008, China.
Yuying QiuDepartment of Respiratory Medicine, Nanjing Drum Tower Hospital, The Affiliated Nanjing University Medical School, Nanjing, Jiangsu 210008, China.
Mei HuangDepartment of Respiratory Medicine, Nanjing Drum Tower Hospital, The Affiliated Nanjing University Medical School, Nanjing, Jiangsu 210008, China.
Yonglong XiaoDepartment of Respiratory Medicine, Nanjing Drum Tower Hospital, The Affiliated Nanjing University Medical School, Nanjing, Jiangsu 210008, China.
Hourong CaiDepartment of Respiratory Medicine, Nanjing Drum Tower Hospital, The Affiliated Nanjing University Medical School, Nanjing, Jiangsu 210008, China.ORCID 0000-0001-7618-6436
Nanjing Drum Tower Hospital · CNNational Jewish Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. The natural history of idiopathic pulmonary fibrosis (IPF) is very complex and unpredictable. Some patients will experience acute exacerbation (AE) and fatal outcomes. Methods. The study included 30 AE-IPF patients, 32 stable IPF (S-IPF) patients, and 12 healthy controls. We measured the plasma concentrations of leptin and KL-6. Simple correlation was used to assess associations between leptin and other variables. Plasma leptin levels were compared between AE-IPF and S-IPF subjects, decedents, and survivors. Kaplan-Meier curves were used to display survival and Cox proportional hazards regression was used to examine risk factors for survival. Results. In subjects with AE-IPF, plasma leptin was significantly greater than in subjects with S-IPF (p = 0.0003) or healthy controls (p < 0.0001). Plasma leptin was correlated with BMI, KL-6, LDH, CRP, and PaO2/FiO2 (p = 0.007; p = 0.005; p = 0.003; p = 0.033; and p = 0.032, resp.). Plasma leptin was significantly greater in 33 decedents than in the 23 survivors (p = 0.007). Multivariate Cox regression analysis showed leptin (>13.79 ng/mL) was an independent predictor of survival (p = 0.004). Conclusions. Leptin could be a promising plasma biomarker of AE-IPF occurrence and predictor of survival in IPF patients.

Indexed as

BiomarkersBody Mass IndexC-Reactive ProteinFemaleHumansIdiopathic Pulmonary FibrosisKaplan-Meier EstimateLeptinMaleMiddle AgedMucin-1Proportional Hazards ModelsBiomarkersC-Reactive ProteinLeptinMUC1 protein, humanMucin-1

Identifiers

PMID27642238
PMCPMC5014970
OpenAlexW2518623401

What OpenQuestion holds

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LicenceCC BY
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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.