Evidence map›Paper›PMID 28267407›Full record

ArticleVirulence2017

The evolving relationship between adiponectin and insulin sensitivity in hepatitis C patients during viral clearance.

Ming-Ling Chang, Chia-Jung Kuo, Li-Heng Pao, Chen-Ming Hsu, Cheng-Tang Chiu

Open access · goldAbstract read
In one paragraph

Article in Virulence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ming-Ling Changa Liver Research Center, Division of Hepatology, Department of Gastroenterology and Hepatology , Chang Gung Memorial Hospital , Taoyuan, Taiwan.
Chia-Jung Kuoa Liver Research Center, Division of Hepatology, Department of Gastroenterology and Hepatology , Chang Gung Memorial Hospital , Taoyuan, Taiwan.
Li-Heng Paoc Graduate Institute of Health-Industry Technology, Chang Gung University of Science and Technology , Taoyuan, Taiwan.
Chen-Ming Hsua Liver Research Center, Division of Hepatology, Department of Gastroenterology and Hepatology , Chang Gung Memorial Hospital , Taoyuan, Taiwan.
Cheng-Tang Chiua Liver Research Center, Division of Hepatology, Department of Gastroenterology and Hepatology , Chang Gung Memorial Hospital , Taoyuan, Taiwan.
Chang Gung Memorial Hospital · TWChang Gung University of Science and Technology · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe evolution of the relationship between adiponectin and insulin sensitivity in hepatitis C virus (HCV) patients during viral clearance is unclear and warrants investigation.

methodsA prospective study including 747 consecutive chronic hepatitis C (CHC) patients, of whom 546 had completed a course of anti-HCV therapy and underwent pre-, peri- and post-therapy surveys for anthropomorphic, viral, metabolic and hepatic profiles and adiponectin levels, was conducted in a tertiary care center.

resultsMultivariate analyses indicated associations of sex, triglyceride levels and hepatic steatosis with adiponectin levels and of triglyceride levels and interferon λ3 (IFNL3) genotype with homeostasis model assessment-estimated insulin resistance (HOMA-IR) levels before anti-HCV therapy. In patients with a sustained virological response (SVR; n = 455), at 24 weeks post-therapy, sex, BMI, aspartate aminotransferase to platelet ratio index (APRI), HOMA-IR and steatosis were associated with adiponectin levels, and IFNL3 genotype was associated with HOMA-IR levels. GEE analysis demonstrated that SVR affected longitudinal trends in adiponectin levels. Compared with pre-therapy levels, adiponectin and APRI levels decreased 24 weeks post-therapy in SVR patients, regardless of baseline insulin resistance (IR). However, HOMA-IR levels decreased in SVR patients with baseline IR but increased in those without baseline IR. Compared with controls, immunohistochemical studies showed that pre-therapy CHC patients had higher hepatic adiponectin expression associated with hepatic fibrosis.

conclusionsDuring HCV infection, adiponectin may affect insulin sensitivity through triglycerides. After viral clearance, adiponectin levels were directly associated with insulin sensitivity and decreased upon improved hepatic fibrosis; with a link to the IFNL3 genotype, insulin sensitivity improved only in patients with baseline IR.

Indexed as

Insulin ResistanceAdiponectinAdultAgedAntiviral AgentsFemaleGenotypeHepacivirusHepatitis C, ChronicHumansInsulinInterferon LambdaInterferonsInterleukinsMaleMiddle AgedAdiponectinAntiviral AgentsInsulinInterferon Lambdainterferon-lambda, humanInterferonsInterleukinsadiponectinHCVHOMA-IRinsulin sensitivitytriglycerides

Identifiers

PMID28267407
PMCPMC5711434
OpenAlexW2594427878

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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.