Evidence map›Paper›PMID 27860186›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2017

Profiles of miRNAs in serum in severe acute drug induced liver injury and their prognostic significance.

Mark W Russo, Nury Steuerwald, Harry J Norton, William E Anderson, David Foureau, Naga Chalasani, Robert J Fontana, Paul B Watkins, Jose Serrano, Herbert L Bonkovsky

Abstract read
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. [Research progress on laboratory diagnosis of drug-induced liver injury].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2020
    Article
  18. Article
  19. 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

10 authors.

Mark W RussoCarolinas Healthcare System, Charlotte, NC, USA.
Nury SteuerwaldCarolinas Healthcare System, Charlotte, NC, USA.
Harry J NortonCarolinas Healthcare System, Charlotte, NC, USA.
William E AndersonCarolinas Healthcare System, Charlotte, NC, USA.
David FoureauCarolinas Healthcare System, Charlotte, NC, USA.
Naga ChalasaniIndiana University School of Medicine, Indianapolis, IN, USA.
Robert J FontanaUniversity of Michigan School of Medicine, Ann Arbor, MI, USA.
Paul B WatkinsUniversity of North Carolina School of Medicine, Chapel Hill, NC, USA.
Jose SerranoNIDDK, Bethesda, MD, USA.
Herbert L BonkovskyWake Forest University School of Medicine, Winston-Salem, NC, USA.

Funding

Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Drug Induced Liver Injury Network Data Coordinating CenterU01DK065176 · NIDDK · DUKE UNIVERSITY · PI Huiman X Barnhart · 2003 to 2026
$25.5M
IU Clinical Center: Drug Induced Liver Injury NetworkU01DK065211 · NIDDK · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI NAGA P CHALASANI · 2003 to 2026
$7.5M
University of North Carolina Clinical Center for DILINU01DK065201 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PAUL B WATKINS · 2003 to 2026
$7.3M
Michigan Hepatotoxicity Clinical Research Network Renewal 2018U01DK065184 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ROBERT J FONTANA · 2003 to 2026
$7.0M
The Drug Induced Liver Injury Network (DILIN): Focus on Herbal and DietarySupplementsU01DK083027 · NIDDK · THOMAS JEFFERSON UNIVERSITY · PI Dina Halegoua-DeMarzio · 2008 to 2026
$7.0M
USC-UCLA Drug-Induced Liver Injury (DILI) Clinical Center.U01DK083020 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Lily Dara · 2008 to 2026
$5.9M
Mount Sinai Regional Drug Induced Liver Injury Network SiteU01DK100928 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI AHMAD, JAWAD, ODIN, JOSEPH · 2013 to 2022
$4.0M
Hepatotoxicity Clinical Research NetworkU01DK065238 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DAVERN, TIMOTHY JAMES · 2003 to 2012
$1.9M
UT Southwestern: Clinical Site for the Drug-Induced Liver Injury NetworkU01DK083023 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI LEE, WILLIAM M · 2008 to 2012
$1.3M
Research Network for Drug-Induced Liver DiseaseU01DK065193 · NIDDK · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI PROTIVA, PETR · 2003 to 2007
$1.2M
Uppper Midwest Drug Hepatoxicity ConsortiumU01DK082992 · NIDDK · MAYO CLINIC ROCHESTER · PI TALWALKAR, JAYANT A · 2008 to 2012
$1.1M
NCATS NIH HHS UL1 TR001420NIDDK NIH HHS U01 DK065176NIDDK NIH HHS U01 DK065184NIDDK NIH HHS U01 DK065193NIDDK NIH HHS U01 DK065201NIDDK NIH HHS U01 DK065211NIDDK NIH HHS U01 DK065238NIDDK NIH HHS U01 DK082992NIDDK NIH HHS U01 DK083020NIDDK NIH HHS U01 DK083023NIDDK NIH HHS U01 DK083027NIDDK NIH HHS U01 DK100928
6 · The paper itself

Abstract

BACKGROUND &

aimsDrug induced liver injury (DILI) is challenging because of the lack of biomarkers to predict mortality. Our aim was to describe miRNA changes in sera of subjects with acute idiosyncratic DILI and determine if levels of miRNAs were associated with 6 month mortality.

methodsClinical data and sera were collected from subjects enrolled in the Drug Induced Liver Injury Network prospective study. miRNAs were isolated from serum obtained from 78 subjects within 2 weeks of acute DILI and followed up for 6 months or longer. miRNAs were compared to 40 normal controls and 6 month survivors vs non-survivors.

resultsThe mean age of the DILI cohort was 48 years, and 55% were female. Eleven (14.1%) subjects died, 10 within 6 months of DILI onset, 5 (45%) liver related. Lower levels of miRNAs-122, -4463 and -4270 were associated with death within 6 months (P<.05). None of the subjects with miRNA-122 greater than the median value died within 6 months for a sensitivity of 100% and specificity of 57%. In subjects with a serum albumin <2.8 g/dL and miR-122<7.89 RFU the sensitivity, specificity, positive and negative predictive values for death within 6 months were 100%, 57%, 38% and 100% respectively.

conclusionsSerum miRNA-122 combined with albumin accurately identified subjects who died within 6 months of drug induced liver injury. If confirmed prospectively, miRNA-122 and albumin may be useful in identifying patients at high risk for mortality or liver transplantation.

Indexed as

AdultAgedBiomarkersCase-Control StudiesChemical and Drug Induced Liver InjuryFemaleHumansLiver TransplantationMaleMicroRNAsMiddle AgedPrognosisProspective StudiesSensitivity and SpecificitySerum AlbuminSeverity of Illness IndexBiomarkersMicroRNAsMIRN122 microRNA, humanSerum Albuminalbumindrugshepatotoxicityherbalsprognosis

Identifiers

PMID27860186
PMCPMC5502673

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.