Evidence map›Paper›PMID 31393615›Full record

Trial reportTransfusion2019

Full annotation of serum virome in Chinese blood donors with elevated alanine aminotransferase levels.

Gang Li, Zhihua Zhou, Li Yao, Yanjuan Xu, Lan Wang, Xiaofeng Fan

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Transfusion, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Expansion ofViruses · 2023
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Blood virosphere in febrile Tanzanian children.Emerging microbes & infections · 2021
    Article
  11. Comparative metavirome analysis in polytransfused patients.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2021
    Article
  12. Deep sequencing applied to the analysis of viromes in patients with beta-thalassemia.Revista do Instituto de Medicina Tropical de Sao Paulo · 2021
    Article
  13. 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

6 authors at 2 institutions in 2 countries.

Gang LiWuhan Blood Center, Wuhan, China.
Zhihua ZhouWuhan Blood Center, Wuhan, China.
Li YaoWuhan Blood Center, Wuhan, China.
Yanjuan XuDivision of Gastroenterology & Hepatology, Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, Missouri.
Lan WangWuhan Blood Center, Wuhan, China.
Xiaofeng FanDivision of Gastroenterology & Hepatology, Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-3201-5499
Wuhan Blood Center · CNSaint Louis University · US

Funding

Viral Categorization and Discovery in Acute Liver Failure with Unknown EtiologyR21AI117128 · NIAID · SAINT LOUIS UNIVERSITY · PI FAN, XIAOFENG · 2017 to 2018
$417k
NIAID NIH HHS R21 AI117128NIH HHS AI117128
6 · The paper itself

Abstract

backgroundA serum alanine aminotransferase (ALT) test is currently demanded for blood donation in China. One of the major reasons to include such a test is possible etiology of known or unknown hepatotropic viruses. However, this hypothesis has never been examined convincingly. STUDY DESIGN AND

methodsThe study recruited 90 Chinese blood donors that were divided into three groups based on their ALT values. Serum virome from these donors was explored using a metagenomics approach with enhanced sensitivity resolved at single sequencing reads.

resultsAnellovirus and pegivirus C (GBV-C) were detected among these donors. None of them were found solely in donors with abnormal liver enzyme. Anellovirus was highly prevalent (93.3%) and the co-infection with multiple genera (alpha, beta, and gammatorquevirus) were more common in the donors with normal ALT values in comparison to those with elevated ALT (single/double/triple Anellovirus genera, 1/3/24 vs. 7/7/14 or 6/7/13, p = 0.009). For unmapped reads that accounted for 15 ± 14.9% of the data, similarity-based (BLASTN, BLASTP, and HMMER3) and similarity-independent (k-mer frequency) analysis identified several circular rep encoding ssDNA (CRESS-DNA) genomes. Direct PCR testing indicated these genomes were likely reagent contaminants.

conclusionViral etiology is not responsible for elevated ALT levels in Chinese blood donors. The ALT test, if not abandoned, should be adjusted for its cutoff in response to donor shortage in China.

Indexed as

AnelloviridaeBlood DonorsGenome, ViralHepatitis, Viral, HumanHepatitis VirusesAdultAlanine TransaminaseAsian PeopleChinaFemaleHumansMaleMiddle AgedPrevalenceAlanine Transaminase

Identifiers

PMID31393615
PMCPMC6785372
OpenAlexW2967923425

What OpenQuestion holds

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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.