Evidence map›Paper›PMID 31427714›Full record

ArticleScientific reports2019

Biomarkers for oralization during long-term proton pump inhibitor therapy predict survival in cirrhosis.

Angela Horvath, Florian Rainer, Mina Bashir, Bettina Leber, Bianca Schmerboeck, Ingeborg Klymiuk, Andrea Groselj-Strele, Marija Durdevic, Daniel E Freedberg, Julian A Abrams and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
6.3field-weighted citation impact, top 3% 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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.

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1 more citing papers are in PubMed but not listed here.

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

13 authors at 2 institutions in 2 countries.

Angela HorvathDepartment of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria. angela.horvath@medunigraz.at.ORCID http://orcid.org/0000-0001-7279-0628
Florian RainerDepartment of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Mina BashirDepartment of Endocrinology and Diabetology, Medical University of Graz, Graz, Austria.
Bettina LeberDepartment of Transplantation Surgery, Medical University of Graz, Graz, Austria.
Bianca SchmerboeckDepartment of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Ingeborg KlymiukCenter for Medical Research, Core Facility Molecular Biology, Medical University of Graz, Graz, Austria.
Andrea Groselj-StreleCenter for Medical Research, Core Facility Computational Bioanalytics, Medical University of Graz, Graz, Austria.
Marija DurdevicCenter for Medical Research, Core Facility Computational Bioanalytics, Medical University of Graz, Graz, Austria.
Daniel E FreedbergDivision of Digestive and Liver Diseases, Columbia University Medical Center, New York, USA.
Julian A AbramsDivision of Digestive and Liver Diseases, Columbia University Medical Center, New York, USA.
Peter FickertDepartment of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Philipp StieglerDepartment of Transplantation Surgery, Medical University of Graz, Graz, Austria.
Vanessa StadlbauerDepartment of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0001-5508-8271
Medical University of Graz · ATColumbia University Irving Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proton pump inhibitors (PPI) are an invaluable therapy option for acid related diseases; however, PPI therapy is also linked to a series of side effects in cirrhosis, such as microbiome alterations, spontaneous bacterial peritonitis and hepatic encephalopathy. Decision tools to balance benefits and risks of PPI therapy are largely missing. In this study, we tested gut-derived biomarkers to identify PPI-associated dysbiosis, its association with gut barrier function and liver-related mortality. In this observational study, faecal microbiome composition data obtained from 16S rDNA sequencing of 90 cirrhotic patients with and without long-term PPI use and additional potential biomarkers identified from the literature were evaluated for their predictive value regarding PPI-associated dysbiosis and liver-related three-year mortality. In addition, faecal calprotectin, faecal zonulin and serum lipopolysaccharides were assessed as markers for intestinal inflammation, gut permeability and bacterial translocation. Streptococcus salivarius, Veillonella parvula and the genus Streptococcus were significantly increased in patients with long-term PPI therapy and performed well as biomarkers for PPI-associated dysbiosis (accuracy: 74%, 72% and 74%, respectively). The abundance of Streptococcus salivarius was linked to intestinal inflammation and gut barrier dysfunction, whereas the abundance of Veillonella parvula showed associations with liver disease severity; both were independent predictors for liver-related three-year mortality. Gut-derived biomarkers of PPI-associated dysbiosis are linked to worse outcome and a potential option to evaluate the risks of adverse events during long-term PPI therapy.

Indexed as

BiomarkersAgedDysbiosisFecesFemaleGastrointestinal MicrobiomeHumansIntestinal MucosaLiver CirrhosisMaleMiddle AgedMortalityPrognosisProportional Hazards ModelsProton Pump InhibitorsTreatment OutcomeBiomarkersProton Pump Inhibitors

Identifiers

PMID31427714
PMCPMC6700098
OpenAlexW2968783145

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.