Evidence map›Paper›PMID 29399286›Full record

ArticleWorld journal of hepatology2018

Toll-like receptor 4 polymorphisms and bacterial infections in patients with cirrhosis and ascites.

Edilmar Alvarado-Tapias, Carlos Guarner-Argente, Elida Oblitas, Elisabet Sánchez, Silvia Vidal, Eva Román, Mar Concepción, Maria Poca, Cristina Gely, Oana Pavel and 4 more

Open access · diamondAbstract read
In one paragraph

Article in World journal of hepatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

14 authors at 4 institutions in 1 country.

Edilmar Alvarado-TapiasDepartment of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona 08025, Spain.
Carlos Guarner-ArgenteDepartment of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona 08025, Spain.
Elida OblitasDepartment of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona 08025, Spain.
Elisabet SánchezDepartment of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona 08025, Spain.
Silvia VidalInstituto de Salud Carlos III, Institut de Recerca IIB-Sant Pau, Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès) 08193, Spain.
Eva RománDepartment of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona 08025, Spain.
Mar ConcepciónDepartment of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona 08025, Spain.
Maria PocaDepartment of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona 08025, Spain.
Cristina GelyDepartment of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona 08025, Spain.
Oana PavelDepartment of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona 08025, Spain.
Juan Camilo NietoInstituto de Salud Carlos III, Institut de Recerca IIB-Sant Pau, Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès) 08193, Spain.
Cándido JuárezDepartment of Immunology, Hospital de la Santa Creu i Sant Pau, Barcelona 08025, Spain.
Carlos GuarnerDepartment of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona 08025, Spain.
Germán SorianoDepartment of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona 08025, Spain.
Hospital de Sant Pau · ESCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESInstituto de Salud Carlos III · ESUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the relationship between the presence of toll-like receptor 4 (TLR4) polymorphisms and bacterial infections in cirrhotic patients with ascites.

methodsWe prospectively included consecutive patients with cirrhosis and ascites hospitalized during a 6-year period. Patients with human immunodeficiency virus (HIV) infection or any other immunodeficiency, patients with advanced hepatocellular carcinoma (beyond Milan's criteria) or any other condition determining poor short-term prognosis, and patients with a permanent urinary catheter were excluded. The presence of D299G and/or T399I TLR4 polymorphisms was determined by sequencing and related to the incidence and probability of bacterial infections, other complications of cirrhosis, hepatocellular carcinoma, and mortality during follow-up. A multivariate analysis to identify predictive variables of mortality in the whole series was performed.

resultsWe included 258 patients: 28 (10.8%) were carriers of D299G and/or T399I TLR4 polymorphisms (polymorphism group) and 230 patients were not (wild-type group). The probability of developing any bacterial infection at one-year follow-up was 78% in the polymorphism group and 69% in the wild-type group (

conclusionGenetic polymorphisms D299G and/or T399I of TLR4 do not seem to play a relevant role in the predisposition of cirrhotic patients with ascites to bacterial infections.

Indexed as

AscitesBacterial infectionsCirrhosisGenetic polymorphismsToll-like receptor 4

Identifiers

PMID29399286
PMCPMC5787676
OpenAlexW2785016633

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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.