Evidence map›Paper›PMID 32463622›Full record

Observational studyClinical and translational gastroenterology2020

Reduced Lysosomal Acid Lipase Activity in Blood and Platelets Is Associated With Nonalcoholic Fatty Liver Disease.

Flaminia Ferri, Monica Mischitelli, Giulia Tozzi, Emanuele Messina, Irene Mignini, Sergio Mazzuca, Monica Pellone, Simona Parisse, Ramona Marrapodi, Marcella Visentini and 10 more

Erratum issuedOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Clinical and translational gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. From LAL-D to MASLD: Insights into the role of LAL and Kupffer cells in liver inflammation and lipid metabolism.Biochimica et biophysica acta. Molecular and cell biology of lipids · 2025
    Article
  3. Article
  4. Review
  5. Recent insights into lysosomal acid lipase deficiency.Trends in molecular medicine · 2023
    Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 2 institutions in 1 country.

Flaminia FerriDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Monica MischitelliDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Giulia TozziHepatology, Gastroenterology and Nutrition Unit, IRCCS "Bambino Gesù" Children's Hospital, Rome, Italy.
Emanuele MessinaDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Irene MigniniDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Sergio MazzucaDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Monica PelloneDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Simona ParisseDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Ramona MarrapodiDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Marcella VisentiniDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Francesco BarattaDepartment of Internal Medicine and Medical Specialties, Sapienza University of Rome, Rome, Italy.
Maria Del BenDepartment of Internal Medicine and Medical Specialties, Sapienza University of Rome, Rome, Italy.
Daniele PastoriDepartment of Internal Medicine and Medical Specialties, Sapienza University of Rome, Rome, Italy.
Roberta PerciballiDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Maria Luisa AttiliaDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Martina CarboneDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Adriano De SantisDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Francesco VioliDepartment of Internal Medicine and Medical Specialties, Sapienza University of Rome, Rome, Italy.
Francesco AngelicoDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Stefano Ginanni CorradiniDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Sapienza University of Rome · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate whether blood total lysosomal acid lipase activity (BT-LAL) levels are uniquely associated with the noncirrhotic and cirrhotic stages of nonalcoholic fatty liver disease (NAFLD) and with protection from NAFLD in metabolically/genetically predisposed subjects and a normal liver. To clarify which enzyme-carrying circulating cells are involved in reduced BT-LAL of NAFLD.

methodsIn a cross-sectional study, BT-LAL was measured by a fluorigenic method in patients with NAFLD (n = 118), alcoholic (n = 116), and hepatitis C virus-related disease (n = 49), in 103 controls with normal liver and in 58 liver transplant recipients. Intracellular platelet and leukocyte LAL was measured in 14 controls and 28 patients with NAFLD.

resultsCompared with controls, (i) BT-LAL and LAL in platelets, but not in leukocytes, were progressively reduced in noncirrhotic NAFLD and in nonalcoholic steatohepatitis-related cirrhosis; (ii) platelet and leukocyte counts did not differ in patients with noncirrhotic NAFLD; and (iii) BT-LAL did not differ in alcoholic and hepatitis C virus noncirrhotic patients. BT-LAL progressively increased in controls with metabolic syndrome features according to their PNPLA3 rs738409 steatosis-associated variant status (II vs IM vs MM), and their BT-LAL was higher than that of noncirrhotic NAFLD, only when carriers of the PNPLA3 unfavorable alleles were considered. Liver transplant recipients with de novo NAFLD compared with those without de novo NAFLD had lower BT-LAL. DISCUSSION: LAL in blood and platelets is progressively and uniquely reduced in NAFLD according to disease severity. High BT-LAL is associated with protection from NAFLD occurrence in subjects with metabolic and genetic predisposition. Low LAL in platelets and blood could play a pathogenetic role in NAFLD.

Indexed as

AdultAgedBiomarkersBlood PlateletsCross-Sectional StudiesDisease ProgressionFemaleHumansLiverLiver CirrhosisMaleMiddle AgedNon-alcoholic Fatty Liver DiseaseRisk AssessmentSeverity of Illness IndexSterol EsteraseBiomarkersLIPA protein, humanSterol Esterase

Identifiers

PMID32463622
PMCPMC7145031
OpenAlexW3008677697

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.