Evidence map›Paper›PMID 29593816›Full record

ArticleArchives of medical science : AMS2018

Pancreatic-like enzymes of microbial origin restore growth and normalize lipid absorption in a pig model with exocrine pancreatic insufficiency.

Kateryna Pierzynowska, Jose Valverde-Piedra, Sylwia Szymanczyk, Olena Prykhod'ko, Marek Pieszka, Marek Kardas, Elżbieta Grochowska-Niedworok, Tomasz Grabowski, Mateusz Winiarczyk, Stefan Pierzynowski

Open access · goldAbstract read
In one paragraph

Article in Archives of medical science : AMS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 10 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

10 authors at 5 institutions in 2 countries.

Kateryna PierzynowskaDepartment of Biology, Lund University, Lund, Sweden.
Jose Valverde-PiedraSGPlus, Malmo, Sweden.
Sylwia SzymanczykSGPlus, Malmo, Sweden.
Olena Prykhod'koDepartment of Biology, Lund University, Lund, Sweden.
Marek PieszkaDepartment of Animal Nutrition and Feed Science, National Research Institute of Animal Production, Balice, Poland.
Marek KardasDepartment of Food Technology and Quality Evaluation, School of Public Health in Bytom, Medical University of Silesia, Katowice, Poland.
Elżbieta Grochowska-NiedworokDepartment of Dietetics, School of Public Health in Bytom, Medical University of Silesia, Katowice, Poland.
Tomasz GrabowskiInnovation Centre Edoradca, Tczew, Poland.
Mateusz WiniarczykSGPlus, Malmo, Sweden.
Stefan PierzynowskiDepartment of Biology, Lund University, Lund, Sweden.
Lund University · SEMedical University of Silesia · PLUniversity of Life Sciences in Lublin · PLInstytut Medycyny Wsi im. Witolda Chodźki · PLNational Research Institute of Animal Production · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe standard therapy for exocrine pancreatic insufficiency (EPI) is porcine-derived pancreatic enzyme replacement therapy (PERT). In the present study we tested a new approach with a mixture of pancreatic-like enzymes of microbial origin (PLEM) in a 1-week efficacy study in EPI pigs. In addition to the conventionally used coefficient of fat and nitrogen absorption (CFA and CNA), parameters that more accurately reflect the nutritional and health status, such as changes in the lipemic index (LI), plasma triglyceride (TG) and non-esterified fatty acid (NEFA) levels, and somatic growth, were determined. MATERIAL AND

methodsA PLEM dose containing 120 000 active lipase units, 80 000 active protease units and 12 000 active amylase units (all from Sigma, St. Louis, MO) was given as a powder, twice daily with a meal (40 g fat/meal) to 8 EPI pigs for 7 days. Ten healthy pigs were used as a comparator.

resultsThe PLEM enhanced fat and protein digestion, and reversed growth impairment in EPI pigs. With treatment, CFA and CNA increased by 59% and 43% (

conclusionsPancreatic-like enzymes of microbial origin supported somatic growth and normalized the postprandial lipid profile. As a measure of efficacy, postprandial LI, TG and NEFA are viable endpoints to be explored in human trials.

Indexed as

exocrine pancreatic insufficiencypancreatic-like enzymes of microbial originpigs

Identifiers

PMID29593816
PMCPMC5868679
OpenAlexW2787965401

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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.