Evidence map›Paper›PMID 29404528›Full record

ArticleHepatology communications2018

Acute decompensation boosts hepatic collagen type III deposition and deteriorates experimental and human cirrhosis.

Michael Praktiknjo, Jennifer Lehmann, Mette J Nielsen, Robert Schierwagen, Frank E Uschner, Carsten Meyer, Daniel Thomas, Christian P Strassburg, Flemming Bendtsen, Søren Møller and 4 more

Open access · goldAbstract read
In one paragraph

Article in Hepatology communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.4field-weighted citation impact, top 6% 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

32 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Article
  3. The clinical relevance of acute-on-chronic liver failure in medical procedures: Endoscopy, interventions and surgery.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
  4. Mechanisms of immunity in acutely decompensated cirrhosis and acute-on-chronic liver failure.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
  5. Serum biomarkers for liver fibrosis assessment.Advances in laboratory medicine · 2024
    Review
  6. Advances in laboratory medicine · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Systemic inflammation is linked to liver fibrogenesis in patients with advanced chronic liver disease.Liver international : official journal of the International Association for the Study of the Liver · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Picrosirius Red Staining: Revisiting Its Application to the Qualitative and Quantitative Assessment of Collagen Type I and Type III in Tendon.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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 3 countries.

Michael PraktiknjoDepartment of Internal Medicine University of Bonn Bonn Germany.
Jennifer LehmannDepartment of Internal Medicine University of Bonn Bonn Germany.
Mette J NielsenNordic Bioscience Fibrosis Biology and Biomarkers Herlev Denmark.
Robert SchierwagenDepartment of Internal Medicine University of Bonn Bonn Germany.
Frank E UschnerDepartment of Internal Medicine University of Bonn Bonn Germany.
Carsten MeyerDepartment of Radiology University of Bonn Bonn Germany.
Daniel ThomasDepartment of Radiology University of Bonn Bonn Germany.
Christian P StrassburgDepartment of Internal Medicine University of Bonn Bonn Germany.
Flemming BendtsenGastrounit, Medical Division, Hvidovre Hospital University of Copenhagen Hvidovre Denmark.
Søren MøllerDepartment of Clinical Physiology and Nuclear Medicine, 239 Center for Functional and Diagnostic Imaging and Research, Faculty of Health Sciences, Hvidovre Hospital University of Copenhagen Hvidovre Denmark.ORCID 0000-0001-9684-7764
Aleksander KragDepartment of Gastroenterology, Odense Hospital University of Southern Denmark Odense Denmark.
Morten A KarsdalNordic Bioscience Fibrosis Biology and Biomarkers Herlev Denmark.
Diana J LeemingNordic Bioscience Fibrosis Biology and Biomarkers Herlev Denmark.
Jonel TrebickaDepartment of Internal Medicine University of Bonn Bonn Germany.ORCID 0000-0002-7028-3881
University of Bonn · DENordic Bioscience (Denmark) · DKUniversity of Copenhagen · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with end-stage liver disease develop acute decompensation (AD) episodes, which become more frequent and might develop into acute-on-chronic liver failure (ACLF). However, it remains unknown how AD induces acceleration of liver disease. We hypothesized that remodeling of collagen type III plays a role in the acceleration of liver cirrhosis after AD and analyzed its formation (Pro-C3) and degradation (matrix metalloproteinase-degraded type III collagen [C3M]) markers in animal models and human disease. Bile duct ligation induced different stages of liver fibrosis in rats. Fibrosis development (hydroxyprolin content, sirius red staining, α-smooth muscle actin immunohistochemistry, messenger RNA of profibrotic cytokines), necroinflammation (aminotransferases levels), fibrolysis (matrix metalloproteinase 2 expression and activity, C1M, C4M), and Pro-C3 and C3M were analyzed 2, 3, 4, 5, and 6 weeks after bile duct ligation (n = 5 each group). In 110 patients with decompensated liver cirrhosis who underwent a transjugular intrahepatic portosystemic shunt procedure for AD, clinical and laboratory parameters as well as Pro-C3 and C3M were measured in blood samples from portal and hepatic veins and were collected just before the transjugular intrahepatic portosystemic shunt placement and 1-3 weeks later. Animal studies showed increased markers of collagen type III deposition with fibrosis, necroinflammation, and decompensation of liver cirrhosis, defined as ascites development. Higher Pro-C3 levels were associated with injury, disease severity scores (Model for End-Stage Liver Disease, Child-Pugh, chronic liver failure-C AD), ACLF development, and mortality. C3M decreased with AD and the chronic liver failure-C AD score. Collagen type III deposition ratio increased with the risk of ACLF development and mortality.

Identifiers

PMID29404528
PMCPMC5796334
OpenAlexW2785439792

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.