Evidence map›Paper›PMID 29266346›Full record

Trial reportAlimentary pharmacology & therapeutics2018

Soluble CD163 and soluble mannose receptor predict survival and decompensation in patients with liver cirrhosis, and correlate with gut permeability and bacterial translocation.

F Rainer, A Horvath, T D Sandahl, B Leber, B Schmerboeck, A Blesl, A Groselj-Strele, R E Stauber, P Fickert, P Stiegler and 3 more

Abstract readClinical Trial
In one paragraph

Trial report in Alimentary pharmacology & therapeutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

41 citing papers in PubMed, 65 citations in OpenAlex.

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  3. Interaction of inflammation and portal hypertension in cirrhosis progression.Nature reviews. Gastroenterology & hepatology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

F RainerDepartment of Gastroenterology and Hepatology, Medical University of Graz, Austria.ORCID 0000-0002-8339-8821
A HorvathDepartment of Gastroenterology and Hepatology, Medical University of Graz, Austria.
T D SandahlDepartments of Hepatology and Gastroenterology, and Clinical Biochemistry, Denmark.
B LeberDepartment of Transplantation Surgery, Medical University of Graz, Austria.
B SchmerboeckDepartment of Transplantation Surgery, Medical University of Graz, Austria.
A BleslDepartment of Gastroenterology and Hepatology, Medical University of Graz, Austria.
A Groselj-StreleCore Facility Computational Bioanalytics, Medical University of Graz, Austria.
R E StauberDepartment of Gastroenterology and Hepatology, Medical University of Graz, Austria.
P FickertDepartment of Gastroenterology and Hepatology, Medical University of Graz, Austria.
P StieglerDepartment of Transplantation Surgery, Medical University of Graz, Austria.
H J MøllerDepartments of Hepatology and Gastroenterology, and Clinical Biochemistry, Denmark.
H GrønbaekDepartments of Hepatology and Gastroenterology, and Clinical Biochemistry, Denmark.
V StadlbauerDepartment of Gastroenterology and Hepatology, Medical University of Graz, Austria.
Medical University of Graz · AT

Funding

Austrian Science Fund FWF P 24362
6 · The paper itself

Abstract

backgroundActivated hepatic macrophages play a key role in inflammation and fibrosis progression in chronic liver disease.

aimTo assess the prognostic value of soluble (s)CD163 and mannose receptor (sMR) in cirrhotic patients and explore associations with markers of intestinal permeability (lactulose-mannitol ratio, diamine oxidase), bacterial translocation (endotoxin, lipopolysaccharide-binding protein) and markers of systemic immune activation (interleukin-6, interleukin-8, sCD14).

methodsWe prospectively investigated 101 cirrhotic patients (Child-Pugh class A: n = 72, Child-Pugh classes B and C: n = 29) and 31 healthy controls. Patients were observed for a median follow-up of 37 months.

resultsMedian plasma levels of sCD163 and soluble mannose receptor were significantly elevated in cirrhotic patients (P < .001) and increased with disease severity (sCD163 in healthy controls = 1.3, Child-Pugh class A = 4.2, Child-Pugh classes B and C = 8.4 mg/L; sMR in healthy controls = 15.8, Child-Pugh class A = 36.5, Child-Pugh classes B and C = 66.3 μg/dL). A total of 21 patients died during the observation period. Patients with sCD163 levels above 5.9 mg/L showed significantly reduced survival (survival rate after 36 months: 71% versus 98%, P < .001). Patients with soluble mannose receptor levels above 45.5 μg/dL developed significantly more complications of cirrhosis within 12 months (73% versus 9%, P < .001). Furthermore, both variables correlated with the lactulose-mannitol ratio, diamine oxidase, lipopolysaccharide and interleukin-8.

conclusionOur data demonstrate the prognostic value of sCD163 in predicting long-term survival in patients with liver cirrhosis and identify soluble mannose receptor as a prognostic marker for occurrence of cirrhosis-associated complications. The correlation between gut barrier dysfunction and activation of macrophages points towards a link between them.

Indexed as

Intestinal MucosaAgedAntigens, CDAntigens, Differentiation, MyelomonocyticBacterial TranslocationBiomarkersCase-Control StudiesCD163 AntigenFemaleHumansIntestinesLectins, C-TypeLiver CirrhosisLiver FailureMaleMannose-Binding LectinsAntigens, CDAntigens, Differentiation, MyelomonocyticBiomarkersCD163 AntigenLectins, C-TypeMannose-Binding LectinsMannose ReceptorReceptors, Cell Surface

Identifiers

PMID29266346
PMCPMC6333289
OpenAlexW2781085476

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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.