Evidence map›Paper›PMID 27679428›Full record

ArticleAlimentary pharmacology & therapeutics2016

Single-centre experience of the macrophage activation marker soluble (s)CD163 - associations with disease activity and treatment response in patients with autoimmune hepatitis.

H Grønbaek, M Kreutzfeldt, K Kazankov, N Jessen, T Sandahl, S Hamilton-Dutoit, H Vilstrup, H J Møller

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In one paragraph

Article in Alimentary pharmacology & therapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

26 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
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  13. Autoimmmune hepatitis.Cellular & molecular immunology · 2022
    Review
  14. Review
  15. Article
  16. Review
  17. Article
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  19. Article
  20. Liver Macrophages: Old Dogmas and New Insights.Hepatology communications · 2019
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

H GrønbaekDepartment of Hepatology & Gastroenterology, Aarhus University Hospital, Aarhus, Denmark. henngroe@rm.dk.
M KreutzfeldtDepartment of Hepatology & Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
K KazankovDepartment of Hepatology & Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
N JessenDepartment of Clinical Medicine, Aarhus University Hospital, Aarhus, Denmark.
T SandahlDepartment of Hepatology & Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
S Hamilton-DutoitInstitute of Pathology, Aarhus University Hospital, Aarhus, Denmark.
H VilstrupDepartment of Hepatology & Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
H J MøllerDepartment of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark.
Aarhus University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutoimmune hepatitis (AIH) is characterised by liver inflammation with reversibility upon anti-inflammatory treatment. Soluble (s)CD163, a specific macrophage activation marker, is associated with inflammation in other liver diseases, but never investigated in AIH.

aimTo investigate sCD163 in patients with acute AIH and in complete and incomplete responders to standard anti-inflammatory pharmacotherapy, and during follow-up in treatment naive patients.

methodsIn a cross-sectional design, we studied 121 AIH patients (female/male 89/32, median age 49 years); of these, we prospectively studied 10 treatment naïve AIH patients during prednisolone treatment and tapering. Twenty patients had variant syndromes of AIH and primary biliary cholangitis or primary sclerosing cholangitis. sCD163 was compared with markers of disease activity, severity and treatment response.

resultsIn the patients with acute AIH (n = 21), sCD163 was sixfold increased compared with the normalised levels in patients (n = 32) with complete response to standard treatment [9.5 (3.3-28.8) vs. 1.6 (0.8-3.2) mg/L, P < 0.01)], while the patients (n = 27) with incomplete response had higher sCD163 [2.2 (1.3-7.9), P < 0.05] than the complete responders. sCD163 was positively associated with ALAT, IgG and bilirubin (rho: 0.45-0.59, P < 0.001, all), and negatively to external coagulation factors (rho:-0.34, P < 0.001). In the treatment naïve patients, sCD163 fell during high-dose prednisolone treatment and tapering. Immunohistochemical staining confirmed increased CD163 expression in liver biopsies from patients with acute AIH.

conclusionssCD163 was markedly elevated in AIH in the acute phase, normalised by successful treatment in complete responders, but remained higher in the incompletely responding cases. Our results demonstrate macrophage activation in AIH paralleling disease activity, severity and treatment response, suggesting a role for macrophage activation in AIH.

Indexed as

AdultAgedAntigens, CDAntigens, Differentiation, MyelomonocyticAnti-Inflammatory AgentsBiomarkersCD163 AntigenCholangitis, SclerosingCross-Sectional StudiesFemaleGlucocorticoidsHepatitis, AutoimmuneHumansMacrophage ActivationMaleMiddle AgedAntigens, CDAntigens, Differentiation, MyelomonocyticAnti-Inflammatory AgentsBiomarkersCD163 AntigenGlucocorticoidsPrednisoloneReceptors, Cell Surface

Identifiers

PMID27679428
OpenAlexW2524096512

What OpenQuestion holds

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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.