Evidence map›Paper›PMID 32502252›Full record

ArticleThe Journal of infectious diseases2020

Metabolomic Signature as a Predictor of Liver Disease Events in Patients With HIV/HCV Coinfection.

Susanna Naggie, Sam Lusk, J Will Thompson, Meredith Mock, Cynthia Moylan, Joseph E Lucas, Laura Dubois, Lisa St John-Williams, M Arthur Moseley, Keyur Patel

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. 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

10 authors.

Susanna NaggieDuke Clinical Research Institute, Duke University, Durham, North Carolina, USA.
Sam LuskDuke Clinical Research Institute, Duke University, Durham, North Carolina, USA.
J Will ThompsonDuke Center for Genomic and Computational Biology, Duke University, Durham, North Carolina, USA.
Meredith MockDuke University School of Medicine, Durham, North Carolina, USA.
Cynthia MoylanDuke University School of Medicine, Durham, North Carolina, USA.
Joseph E LucasVital Statistics LLC, Durham, North Carolina, USA.
Laura DuboisDuke Center for Genomic and Computational Biology, Duke University, Durham, North Carolina, USA.
Lisa St John-WilliamsDuke Center for Genomic and Computational Biology, Duke University, Durham, North Carolina, USA.
M Arthur MoseleyDuke Center for Genomic and Computational Biology, Duke University, Durham, North Carolina, USA.
Keyur PatelDuke Clinical Research Institute, Duke University, Durham, North Carolina, USA.

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
Identification of Novel Bioactive Lipid Metabolites for Predicting Liver-related Outcomes in Persons Co-Infected with HIV and HCVR01DK112295 · NIDDK · DUKE UNIVERSITY · PI NAGGIE, SUSANNA · 2017 to 2021
$2.0M
NIAID NIH HHS P30 AI064518NIDDK NIH HHS R01 DK112295
6 · The paper itself

Abstract

backgroundAdvanced liver disease due to hepatitis C virus (HCV) is a leading cause of human immunodeficiency virus (HIV)-related morbidity and mortality. There remains a need to develop noninvasive predictors of clinical outcomes in persons with HIV/HCV coinfection.

methodsWe conducted a nested case-control study in 126 patients with HIV/HCV and utilized multiple quantitative metabolomic assays to identify a prognostic profile that predicts end-stage liver disease (ESLD) events including ascites, hepatic encephalopathy, hepatocellular carcinoma, esophageal variceal bleed, and spontaneous bacterial peritonitis. Each analyte class was included in predictive modeling, and area under the receiver operator characteristic curves (AUC) and accuracy were determined.

resultsThe baseline model including demographic and clinical data had an AUC of 0.79. Three models (baseline plus amino acids, lipid metabolites, or all combined metabolites) had very good accuracy (AUC, 0.84-0.89) in differentiating patients at risk of developing an ESLD complication up to 2 years in advance. The all combined metabolites model had sensitivity 0.70, specificity 0.85, positive likelihood ratio 4.78, and negative likelihood ratio 0.35.

conclusionsWe report that quantification of a novel set of metabolites may allow earlier identification of patients with HIV/HCV who have the greatest risk of developing ESLD clinical events.

Indexed as

MetabolomeAmino AcidsBile Acids and SaltsBiomarkersCase-Control StudiesCoinfectionEnd Stage Liver DiseaseFatty AcidsFemaleHepatitis CHIV InfectionsHumansMaleMiddle AgedModels, BiologicalPredictive Value of TestsAmino AcidsBile Acids and SaltsBiomarkersFatty Acidsaccuracybiomarkerend-stage liver diseasehepatic decompensationmetabolomic

Identifiers

PMID32502252
PMCPMC7661766

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.