Evidence map›Paper›PMID 32193858›Full record

Observational studyDigestive diseases and sciences2021

Angiopoietin-2 Is an Early Predictor for Acute Gastrointestinal Injury and Intestinal Barrier Dysfunction in Patients with Acute Pancreatitis.

Qing Huang, Zhe Wu, Cheng Chi, Chunbo Wu, Lin Su, Yuanyuan Zhang, Jihong Zhu, Yulan Liu

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Review
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  5. Article
  6. Review
  7. Review
  8. Silencing ANGPT2 alleviates ulcerative colitis by regulating autophagy-mediated NLRP3 inflammasome inactivation via the mTOR signaling pathway.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2024
    Article
  9. Article
  10. Article
  11. Article
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  13. [Association between coagulation function and prognosis in patients with acute pancreatitis].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Management of Severe Acute Pancreatitis.Current treatment options in gastroenterology · 2020
    Review
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

8 authors at 2 institutions in 1 country.

Qing HuangDepartment of Gastroenterology, Peking University People's Hospital, Beijing, China.
Zhe WuDepartment of Gastroenterology, Peking University People's Hospital, Beijing, China.
Cheng ChiDepartment of Emergency, Peking University People's Hospital, Beijing, China.
Chunbo WuDepartment of Emergency, Peking University People's Hospital, Beijing, China.
Lin SuDepartment of Gastroenterology, Peking University People's Hospital, Beijing, China.
Yuanyuan ZhangDepartment of Gastroenterology, Peking University People's Hospital, Beijing, China.
Jihong ZhuDepartment of Emergency, Peking University People's Hospital, Beijing, China.
Yulan LiuDepartment of Gastroenterology, Peking University People's Hospital, Beijing, China. liuyulan@pkuph.edu.cn.
Peking University People's Hospital · CNPeking University · CN

Funding

Peking University People's Hospital Research and Development Funds RD 2016-29
6 · The paper itself

Abstract

backgroundsAngiopoietin-2 (Ang-2) is a new predictor for acute pancreatitis (AP).

aimsTo assess the predictive value of Ang-2 in determining the progress of AP and the subsequent acute gastrointestinal injury (AGI).

methodsThis was a prospective study that enrolled 170 patients with AP and 100 healthy controls. Blood samples were collected within 24 h of the onset of AP.

resultsThe majority (108) of the patients were categorized as having MAP with the rest (62) classified as suffering from SAP. Considering AGI grading, there were 118 grade 1 and 12 grade 4 patients; in grades 2 and 3, there were 20 patients each. AP was accompanied by MODS and pancreatic necrosis in 46 and 24 cases, respectively. Eighty patients were admitted to the ICU, while mortality was reported among 7.1% patients. The plasma Ang-2 levels were higher among patients with AP than in controls. A similar trend prevailed, in patients with SAP compared to those with MAP. Ang-2 was significantly increased from AGI grade 1 through to grade 4, showing a desirable positive predictive accuracy. Moreover, Ang-2 also showed strong correlations with intestinal permeability as evaluated by d-lactate (DLA), diamine oxidase (DAO), and intestinal fatty acid binding proteins (I-FABPs). Tools (Ranson and APACHE II scores, CRP), which are used more conventionally, could not effectively distinguish the various grades of AGI. Furthermore, Ang-2 predicted poor prognosis and adverse outcomes, including mortality, among patients with AP.

conclusionsThis study showed Ang-2 to be an accurate early predictor for SAP, AGI, and intestinal barrier dysfunction, outperforming conventional biomarkers. Ang-2 levels also predicted the adverse outcomes and mortality due to AP.

Indexed as

Acute DiseaseAdultAgedAngiopoietin-2BiomarkersEarly DiagnosisFemaleGastrointestinal DiseasesHumansIntestinal MucosaMaleMiddle AgedPancreatitisPredictive Value of TestsProspective StudiesAngiopoietin-2ANGPT2 protein, humanBiomarkersAcute gastrointestinal injury (AGI)Acute pancreatitis (AP)Angiopoietin-2 (Ang-2)Intestinal barrier

Identifiers

PMID32193858
OpenAlexW3010697942

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.