Evidence map›Paper›PMID 29564668›Full record

ReviewDigestive diseases and sciences2018

Acute Liver Failure from Tumor Necrosis Factor-α Antagonists: Report of Four Cases and Literature Review.

Beverley Kok, Erica L W Lester, William M Lee, A James Hanje, R Todd Stravitz, Safwat Girgis, Vaishali Patel, Joshua R Peck, Christopher Esber, Constantine J Karvellas and 1 more

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Digestive diseases and sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.4field-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

19 citing papers in PubMed, 31 citations in OpenAlex.

  1. Liver Injury From Medications Used for Treating Inflammatory Bowel Disease: The Drug-Induced Liver Injury Network Experience.Liver international : official journal of the International Association for the Study of the Liver · 2026
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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

11 authors at 3 institutions in 2 countries.

Beverley KokDivision of Gastroenterology (Liver Unit), Department of Critical Care Medicine, University of Alberta, 1-40 Zeidler-Ledcor Building, Edmonton, AB, T6G-2X8, Canada.
Erica L W LesterDepartment of Surgery, University of Alberta, Edmonton, Canada.
William M LeeDivision of Gastroenterology, University of Texas Southwestern, Dallas, USA.
A James HanjeDivision of Gastroenterology, Ohio State University, Columbus, USA.
R Todd StravitzDivision of Gastroenterology, Virginia Commonwealth University, Richmond, USA.
Safwat GirgisDepartment of Pathology, University of Alberta, Edmonton, Canada.
Vaishali PatelDivision of Gastroenterology, Virginia Commonwealth University, Richmond, USA.
Joshua R PeckDivision of Gastroenterology, Ohio State University, Columbus, USA.
Christopher EsberDivision of Gastroenterology, Ohio State University, Columbus, USA.
Constantine J KarvellasDivision of Gastroenterology (Liver Unit), Department of Critical Care Medicine, University of Alberta, 1-40 Zeidler-Ledcor Building, Edmonton, AB, T6G-2X8, Canada. dean.karvellas@ualberta.ca.
United States Acute Liver Failure Study Group
University of Alberta · CAThe Ohio State University · USVirginia Commonwealth University · US

Funding

A Multi-Center Study of Acute Liver Failure in AdultsU01DK058369 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI DURKALSKI, VALERIE L, FONTANA, ROBERT J · 2005 to 2019
$27.4M
NIDDK NIH HHS U-01 58369
6 · The paper itself

Abstract

backgroundTumor necrosis factor-α antagonists (anti-TNF-α) have been associated with drug-induced liver injury. However, cases of anti-TNF-α-associated acute liver failure have only been rarely reported.

aimsTo identify cases of anti-TNF-α-associated acute liver failure and evaluate patterns of liver injury and common characteristics to the cases.

methodsThe United States Acute Liver Failure Study Group database was searched from 1998 to 2014. Four subjects were identified. A PubMed search for articles that reported anti-TNF-α-associated acute liver failure identified five additional cases.

resultsThe majority of individuals affected were female (eight of nine cases). Age of individual ranged from 20 to 53 years. The most common anti-TNF-α agent associated with acute liver failure was infliximab (n = 8). The latency between initial drug exposure and acute liver failure ranged from 3 days to over a year. Of the nine cases, six required emergency LT. Liver biopsy was obtained in seven cases with a preponderance toward cholestatic-hepatitic features; none showed clear autoimmune features.

conclusionsAnti-TNF-α-associated acute liver failure displays somewhat different characteristics compared with anti-TNF-α-induced drug-induced liver injury. Infliximab was implicated in the majority of cases. Cholestatic-hepatitic features were frequently found on pre-transplant and explant histology.

Indexed as

AdultAnti-Inflammatory AgentsArthritis, RheumatoidBiopsyChemical and Drug Induced Liver InjuryColitis, UlcerativeFemaleHidradenitis SuppurativaHumansInfliximabLiverLiver Failure, AcuteLiver TransplantationMaleMiddle AgedTreatment OutcomeAnti-Inflammatory AgentsInfliximabTumor Necrosis Factor-alphaAcute liver failureDrug-induced liver injuryLiver transplantTumor necrosis factor-α antagonists

Identifiers

PMID29564668
OpenAlexW2793169339

What OpenQuestion holds

Textmetadata
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.