Evidence map›Paper›PMID 31388635›Full record

ArticleHepatology communications2019

Copper Deficiency in Liver Diseases: A Case Series and Pathophysiological Considerations.

Lei Yu, Iris W Liou, Scott W Biggins, Matthew Yeh, Florencia Jalikis, Lingtak-Neander Chan, Jason Burkhead

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Hepatology communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07471542 (A Pilot Randomized Controlled Trial to Determine the Biochemical Effect, Safety and Patient Reported Outcomes of Copper Supplementation in Patients With Cirrhosis), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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.

NCT07471542 narecruitingnot on this mapstarted 2026, after this paper: background citation

A Pilot Randomized Controlled Trial to Determine the Biochemical Effect, Safety and Patient Reported Outcomes of Copper Supplementation in Patients With Cirrhosis

TypeinterventionalSponsorUniversity of WashingtonRan2026 to 2028Enrolled30ConditionsCirrhosis, Chronic Liver Disease, Fibrosis, InfectionArmsCopper Gluconate
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Micronutrient deficiencies in hepatic cirrhosis: Navigating challenges to assessment and implications for clinical management: A narrative review.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Review
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  17. Late-onset MADD: a rare cause of cirrhosis and acute liver failure?Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2020
    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

7 authors at 2 institutions in 1 country.

Lei YuDepartment of Medicine, Division of Gastroenterology University of Washington Seattle WA.ORCID https://orcid.org/0000-0002-4622-657X
Iris W LiouDepartment of Medicine, Division of Gastroenterology University of Washington Seattle WA.
Scott W BigginsDepartment of Medicine, Division of Gastroenterology University of Washington Seattle WA.
Matthew YehDepartment of Medicine, Division of Gastroenterology University of Washington Seattle WA.
Florencia JalikisDepartment of Pathology University of Washington Seattle WA.
Lingtak-Neander ChanDepartment of Pharmacy University of Washington Seattle WA.
Jason BurkheadDepartment of Biological Sciences University of Alaska Anchorage AK.ORCID https://orcid.org/0000-0001-5457-311X
University of Washington · USUniversity of Alaska Anchorage · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Copper is an indispensable trace element. It serves as a cofactor for enzymes involved in cellular energy metabolism, antioxidant defense, iron transport, and fibrogenesis. Although these processes are central in the pathogenesis of liver disorders, few studies have attributed them to copper deficiency. We herein describe in detail a case series of liver disease patients (n = 12) who presented with signs of copper deficiency based on serum and liver copper measurements. Median age of the group at the time of presentation was 39 (range 18-64 years). Six patients were female. The median serum copper was 46 μg/dL (normal range: 80-155 μg/dL for women and 70-140 μg/dL for men). Seven of the 12 patients had hepatic copper concentration less than 10 μg/g dry weight (normal range: 10-35 μg/g). Most cases presented with acute-on-chronic liver failure (n = 4) and decompensated cirrhosis (n = 5). Only 3 patients had a condition known to be associated with copper deficiency (ileocolonic Crohn's disease following resection n = 1, Roux-en-Y gastric bypass n = 2) before presenting with hepatic dysfunction. Notable clinical features included steatohepatitis, iron overload, malnutrition, and recurrent infections. In 2 of the 3 patients who received copper supplementation, there was an improvement in serum copper, ceruloplasmin, and liver function parameters.

Identifiers

PMID31388635
PMCPMC6671688
OpenAlexW2956003699

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.