Evidence map›Paper›PMID 27644736›Full record

ArticleThe American journal of gastroenterology2016

Vitamin D is Not Associated With Severity in NAFLD: Results of a Paired Clinical and Gene Expression Profile Analysis.

Yuval A Patel, Ricardo Henao, Cynthia A Moylan, Cynthia D Guy, Dawn L Piercy, Anna Mae Diehl, Manal F Abdelmalek

Open access · greenAbstract read
In one paragraph

Article in The American journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.7field-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

27 citing papers in PubMed, 52 citations in OpenAlex.

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  15. [Role of 1, 25-dihydroxyvitamin D3 in liver lipid metabolism induced by methionine-choline-deficient diet in rats].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2021
    Article
  16. Article
  17. Sarcopenia and fatty liver disease.Hepatology international · 2019
    Review
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  19. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Yuval A PatelDivision of Gastroenterology and Hepatology, Durham, North Carolina, USA.
Ricardo HenaoDepartment of Electrical and Computer Engineering, Durham, North Carolina, USA.
Cynthia A MoylanDivision of Gastroenterology and Hepatology, Durham, North Carolina, USA.
Cynthia D GuyDepartment of Pathology, Duke University, Durham, North Carolina, USA.
Dawn L PiercyDivision of Gastroenterology and Hepatology, Durham, North Carolina, USA.
Anna Mae DiehlDivision of Gastroenterology and Hepatology, Durham, North Carolina, USA.
Manal F AbdelmalekDivision of Gastroenterology and Hepatology, Durham, North Carolina, USA.
Genetic Analysis (Norway) · NODuke University · USDurham Technical Community College · US

Funding

STUDY OF HEALTH OUTCOMES OF WEIGHT-LOSS (SHOW)U01DK057149 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI CLARK, JEANNE M · 1999 to 2020
$17.4M
DUKE TRAINING GRANT IN DIGESTIVE DISEASES AND NUTRITIONT32DK007568 · NIDDK · DUKE UNIVERSITY · PI Katherine Garman, Rodger A. Liddle · 1988 to 2026
$5.6M
Characterizing Alcohol's Effects on Repair of Liver InjuryRC2AA019399 · NIAAA · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2009 to 2010
$2.0M
ARRA NIH HHSNIAAA NIH HHS RC2 AA019399NIDDK NIH HHS T32 DK007568NIDDK NIH HHS U01 DK057149
6 · The paper itself

Abstract

objectivesThe pathogenesis of nonalcoholic fatty liver disease (NAFLD) is complex. Vitamin D (VitD) has been implicated in NAFLD pathogenesis because it has roles in immune modulation, cell differentiation and proliferation, and regulation of inflammation. We evaluated the association of VitD levels, hepatic gene expression for VitD metabolizing genes, and NAFLD histological severity.

methodsTwo adult cohorts, controls (n=39) and NAFLD (n=244), who underwent liver biopsy were compared. Two-sided t-tests or Wilcoxon's rank-sum tests for continuous predictors and chi-squared tests or Fisher's exact tests for categorical variables were used to analyze the association of VitD and NAFLD. Generalized linear models were used to analyze the association of VitD levels and VitD metabolizing genes with histological severity of NAFLD while adjusting for potential confounders and correcting for multiple comparisons.

resultsNAFLD patients were more likely than controls to have higher HbA1c (6.5±1.2 vs 5.9±1.0; P=0.009), a risk factor for VitD deficiency. However, no difference in VitD levels was observed between groups. VitD levels did not correlate with the severity of hepatic steatosis, lobular or portal inflammation, or ballooned hepatocytes after adjusting for confounding factors. Furthermore, no association was noted between VitD deficiency or differential expression of genes involved in VitD metabolism and severity of hepatic fibrosis or any other histologic feature of NAFLD.

conclusionsNeither VitD deficiency, nor hepatic expression of VitD-related genes, associate with the presence or histologic severity of NAFLD in patients. Hence, despite preclinical evidence implicating VitD in NAFLD pathogenesis, VitD deficiency does not appear to be associated with NAFLD severity in humans.

Indexed as

25-Hydroxyvitamin D3 1-alpha-HydroxylaseAdultCase-Control StudiesCholestanetriol 26-MonooxygenaseCross-Sectional StudiesCytochrome P-450 CYP3ACytochrome P450 Family 2FemaleGene Expression ProfilingGlycated HemoglobinHumansLinear ModelsLiverMaleMiddle AgedNon-alcoholic Fatty Liver Disease25-hydroxyvitamin D25-Hydroxyvitamin D3 1-alpha-HydroxylaseCholestanetriol 26-MonooxygenaseCYP24A1 protein, humanCYP27A1 protein, humanCYP27B1 protein, humanCYP2R1 protein, humanCYP3A4 protein, humanCytochrome P-450 CYP3ACytochrome P450 Family 2Glycated Hemoglobinhemoglobin A1c protein, humanNuclear Receptor CoactivatorsParathyroid HormonePeroxisome Proliferator-Activated ReceptorsReceptors, CalcitriolRetinoid X ReceptorsRNA, MessengerVDR protein, humanVitamin DVitamin D3 24-HydroxylaseVitamin D-Binding Protein

Identifiers

PMID27644736
PMCPMC5331905
OpenAlexW2522429864

What OpenQuestion holds

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Read underepoch 390

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.