Evidence map›Paper›PMID 31104052›Full record

ArticleObesity facts2019

SCCA-IgM as a Potential Biomarker of Non-Alcoholic Fatty Liver Disease in Patients with Obesity, Prediabetes and Diabetes Undergoing Sleeve Gastrectomy.

Silvia Bettini, Emanuel Bordigato, Gabriella Milan, Chiara Dal Pra', Francesca Favaretto, Anna Belligoli, Marta Sanna, Roberto Serra, Mirto Foletto, Luca Prevedello and 4 more

Open access · goldAbstract read
In one paragraph

Article in Obesity facts, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. 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 1 institution in 1 country.

Silvia BettiniCenter for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy, d.ssa.silvia.bettini@gmail.com.
Emanuel BordigatoCenter for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.
Gabriella MilanCenter for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.
Chiara Dal Pra'Center for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.
Francesca FavarettoCenter for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.
Anna BelligoliCenter for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.
Marta SannaCenter for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.
Roberto SerraCenter for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.
Mirto FolettoCenter for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.
Luca PrevedelloCenter for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.
Luca BusettoCenter for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.
Giorgio FassinaXeptagen S.p.A., Venice, Italy.
Roberto VettorCenter for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.
Roberto FabrisCenter for the Study and Integrated Treatment of Obesity, University Hospital of Padua, Padua, Italy.
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-alcoholic fatty liver disease (NAFLD) has a high prevalence in obesity and its presence should be screened. Laparoscopic sleeve gastrectomy (LSG) is an effective treatment for obesity, but its effects on NAFLD are still to be firmly established. The diagnosis of non-alcoholic steatohepatitis (NASH) is currently performed by liver biopsy, a costly and invasive procedure. Squamous cell carcinoma antigen-IgM (SCCA-IgM) is a biomarker of viral hepatitis to hepatocellular carcinoma development and its role in NAFLD to NASH progression has not yet been investigated.

objectiveThe aim of this study was to evaluate SCCA-IgM as a non-invasive biomarker of NAFLD/NASH in patients with different degrees of metabolic-complicated obesity before and after LSG.

methodFifty-six patients with obesity were studied before and 12 months after LSG; anthropometric, biochemical, clinical, and imaging data were collected.

resultsAt baseline steatosis was strongly associated with the glycaemic profile (p = 0.016) and was already present in prediabetic patients with obesity (82%). Only 3 patients had an SCCA-IgM level above the normal cut-off. SCCA-IgM titre did not change according to glycaemic profile or steatosis. Metabolic and inflammatory factors and transaminases significantly reduced after LSG-induced weight loss, except for SCCA-IgM. The ALT/AST ratio decreased post-LSG correlated with BMI (r = 0.297, p = 0.031), insulin (r = 0.354, p = 0.014), and triglycerides (r = 0.355, p = 0.009) reduction.

conclusionsOur results confirm the tight link between NAFLD and metabolic complications, suggesting prediabetes as a new risk factor of steatosis. SCCA-IgM does not seem to have a role in the identification and prognosis of NAFLD.

Indexed as

AdultAntigens, NeoplasmBiomarkersDiabetes Mellitus, Type 2FemaleFollow-Up StudiesGastrectomyHumansImmunoglobulin MMaleMiddle AgedNon-alcoholic Fatty Liver DiseaseObesityObesity, MorbidPrediabetic StatePrognosisAntigens, NeoplasmBiomarkersImmunoglobulin MSerpinssquamous cell carcinoma-related antigenBariatric surgeryDiabetesNon-alcoholic fatty liver diseaseObesityPrediabetesSCCA-IgM

Identifiers

PMID31104052
PMCPMC6696770
OpenAlexW2945215699

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.