Evidence map›Paper›PMID 31989803›Full record

ArticleJournal of cachexia, sarcopenia and muscle2020

Lipid is heterogeneously distributed in muscle and associates with low radiodensity in cancer patients.

Amritpal S Bhullar, Ana Anoveros-Barrera, Abha Dunichand-Hoedl, Karen Martins, David Bigam, Rachel G Khadaroo, Todd McMullen, Oliver F Bathe, Charles T Putman, Michael T Clandinin and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Body Composition Is a Predictor for Postoperative Complications After Gastrectomy for Gastric Cancer: a Prospective Side Study of the LOGICA Trial.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    Trial
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  4. Poor muscle quality: A hidden and detrimental health condition in obesity.Reviews in endocrine & metabolic disorders · 2025
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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

12 authors at 2 institutions in 2 countries.

Amritpal S BhullarDepartment of Agricultural, Food & Nutritional Science, University of Alberta, 4-002 Li Ka Shing Centre for Health Research Innovation, Edmonton, Alberta, Canada.
Ana Anoveros-BarreraDepartment of Agricultural, Food & Nutritional Science, University of Alberta, 4-002 Li Ka Shing Centre for Health Research Innovation, Edmonton, Alberta, Canada.
Abha Dunichand-HoedlDepartment of Agricultural, Food & Nutritional Science, University of Alberta, 4-002 Li Ka Shing Centre for Health Research Innovation, Edmonton, Alberta, Canada.
Karen MartinsDepartment of Agricultural, Food & Nutritional Science, University of Alberta, 4-002 Li Ka Shing Centre for Health Research Innovation, Edmonton, Alberta, Canada.
David BigamDepartment of Surgery, University of Alberta, Edmonton, Canada.
Rachel G KhadarooDepartment of Surgery, University of Alberta, Edmonton, Canada.
Todd McMullenDepartment of Surgery, University of Alberta, Edmonton, Canada.
Oliver F BatheDepartments of Surgery and Oncology, Tom Baker Cancer Centre, University of Calgary, Calgary, Canada.
Charles T PutmanFaculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada.
Michael T ClandininDepartment of Agricultural, Food & Nutritional Science, University of Alberta, 4-002 Li Ka Shing Centre for Health Research Innovation, Edmonton, Alberta, Canada.
Vickie E BaracosDepartment of Oncology, University of Alberta, Edmonton, Canada.
Vera C MazurakDepartment of Agricultural, Food & Nutritional Science, University of Alberta, 4-002 Li Ka Shing Centre for Health Research Innovation, Edmonton, Alberta, Canada.ORCID 0000-0002-7724-6354
University of Alberta · CAUniversity of Calgary · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundLow muscle radiodensity is associated with mortality in a variety of cancer types. Biochemical and morphological correlates are unknown. We aimed to evaluate triglyceride (TG) content and location as a function of computed tomography (CT)-derived measures of skeletal muscle radiodensity in cancer patients.

methodsRectus abdominis (RA) biopsies were collected during cancer surgery from 75 patients diagnosed with cancer. Thin-layer chromatography and gas chromatography were used for quantification of TG content of the muscle. Axial CT images of lumbar vertebra were used to measure muscle radiodensity. Oil Red O staining was used to determine the location of neutral lipids in frozen muscle sections.

resultsThere was wide variation in RA radiodensity in repeated measures (CV% ranged from 3 to 55% based on 10 serial images) as well as within one slice (CV% ranged from 6 to 61% based on 10 subregions). RA radiodensity and total lumbar muscle radiodensity were inversely associated with TG content of RA (r = -0.396, P < 0.001, and r = -0.355, P = 0.002, respectively). Of the total percentage area of muscle staining positive for neutral lipid, 54 ± 17% was present as extramyocellular lipids (range 23.5-77.8%) and 46 ± 17% (range 22.2-76.5%) present as intramyocellular lipid droplets.

conclusionsRepeated measures revealed wide variation in radiodensity of RA muscle, both vertically and horizontally. Low muscle radiodensity reflects high level of TG in patients with cancer. Non-uniform distribution of intramyocellular and extramyocellular lipids was evident using light microscopy. These results warrant investigation of mechanisms resulting in lipid deposition in muscles of cancer patients.

Indexed as

HumansLipidsMiddle AgedNeoplasmsTriglyceridesLipidsTriglyceridesFat infiltrationHounsfield unitsMuscle attenuationMyosteatosisRectus abdominisSkeletal muscle

Identifiers

PMID31989803
PMCPMC7296261
OpenAlexW3001608359

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.