Evidence map›Paper›PMID 30302045›Full record

ReviewJournal of clinical and experimental hepatology2018

Role of Peripheral Inflammation in Hepatic Encephalopathy.

Hassan Azhari, Mark G Swain

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of clinical and experimental hepatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Role of microglia in HIV-1 infection.AIDS research and therapy · 2023
    Review
  12. Review
  13. Hepatic encephalopathy.Nature reviews. Disease primers · 2022
    Review
  14. Article
  15. Article
  16. Article
  17. Hyperammonemia in azotemic cats.Journal of feline medicine and surgery · 2021
    Article
  18. Review
  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

2 authors at 1 institution in 1 country.

Hassan AzhariLiver Unit, Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta T2N 4N1, Canada.
Mark G SwainLiver Unit, Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta T2N 4N1, Canada.
University of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A growing body of evidence now highlights a key role for systemic inflammation in altering behavior and mood in patients with liver disease. How inflammation occurring in the periphery in the context of liver disease, communicates with the brain to mediate changes in neurotransmission and thereby behavior is incompletely understood. Traditional routes of communication between the periphery and the brain involve neural (i.e. vagal afferent nerves) and humoral (blood-borne) pathways, with increased circulating levels of endotoxin and cytokines (especially Tumor Necrosis Factor α, TNFα) that occur during systemic inflammatory responses, as being primarily implicated in mediating signaling via these pathways. However, in recent years communication via peripheral immune-cell-to-brain and the gut-microbiota-to-brain routes have received increasing attention in the context of liver disease for their ability to modulate brain function, and generate a spectrum of symptoms ranging from fatigue and altered mood to overt Hepatic Encephalopathy (HE). In this review, we discuss periphery-to-brain communication pathways and their potential role in mediating systemic inflammation-associated alterations in behavior, that are in turn ultimately part of a spectrum of brain changes linked to the development of clinically apparent HE.

Indexed as

CECs, Cerebral Endothelial Cellscytokinesdysbiosisgut microbiomeHE, Hepatic EncephalopathyIL, InterleukinLPS, LipopolysaccharidemicrogliaMPA, Monocyte Platelet AggregatePSGL-1, Anti-P-Selectin Glycoprotein 1QoL, Quality of LifeSIBO, Small Intestinal Bacterial Overgrowthsystemic inflammationTNF-α, Tumor Necrosis Factor-Alpha

Identifiers

PMID30302045
PMCPMC6175767
OpenAlexW2810932192

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.