Evidence map›Paper›PMID 32850383›Full record

ArticleFrontiers in oncology2020

Reduced LDL-Cholesterol and Reduced Total Cholesterol as Potential Indicators of Early Cancer in Male Treatment-Naïve Cancer Patients With Pre-cachexia and Cachexia.

Hannes Zwickl, Klaus Hackner, Harald Köfeler, Eva-Christina Krzizek, Besnik Muqaku, Dietmar Pils, Hubert Scharnagl, Tora S Solheim, Elisabeth Zwickl-Traxler, Martin Pecherstorfer

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.2field-weighted citation impact, top 21% 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, 21 citations in OpenAlex.

  1. Dyslipidaemias in cancer patients.European heart journal · 2026
    Review
  2. Article
  3. Observational
  4. Article
  5. Frontiers in nutrition · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Cancer cachexia as a multiorgan failure: Reconstruction of the crime scene.Frontiers in cell and developmental biology · 2022
    Review
  14. Article
  15. Metabolic Biomarkers for the Early Detection of Cancer Cachexia.Frontiers in cell and developmental biology · 2021
    Article
  16. Obesity, Type 2 Diabetes, and Cancer Risk.Frontiers in oncology · 2020
    Review
  17. Article
  18. Observational
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 at 5 institutions in 2 countries.

Hannes ZwicklDepartment of Internal Medicine 2, Karl Landsteiner Private University of Health Sciences, University Hospital Krems, Krems an der Donau, Austria.
Klaus HacknerDepartment of Pneumology, Karl Landsteiner Private University of Health Sciences, University Hospital Krems, Krems an der Donau, Austria.
Harald KöfelerCore Facility Mass Spectrometry, Lipidomics Research Center Graz, Center for Medical Research (ZMF), Medical University Graz, Graz, Austria.
Eva-Christina KrzizekRudolfstiftung Hospital and Karl Landsteiner Institute of Obesity and Metabolic Diseases, First Medical Department, Vienna, Austria.
Besnik MuqakuDepartment of Analytical Chemistry, Faculty of Chemistry, University of Vienna, Vienna, Austria.
Dietmar PilsCenter for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
Hubert ScharnaglClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.
Tora S SolheimDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, Trondheim, Norway.
Elisabeth Zwickl-TraxlerClinical Department of Internal Medicine II, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria.
Martin PecherstorferClinical Department of Internal Medicine II, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria.
Karl Landsteiner University of Health Sciences · ATMedical University of Graz · ATMedical University of Vienna · ATSt Olav's University Hospital · NOUniversity of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer cachexia is characterized by the impairment of glucose and lipid homeostasis, the acceleration of processes promoting the mobilization of energy-rich compounds (e.g., insulin resistance, gluconeogenesis, and lipolysis) and the simultaneous activation of highly energy-demanding processes (e.g., systemic inflammation and activation of brown adipose tissue). We hypothesized that these processes might themselves change during cancer cachexia progression, such that plasma levels of glucose and lipids might be used to distinguish between the non-malignant state, pre-cachexia and cachexia. We performed an initial cross-sectional study including 60 treatment naïve cancer patients (38 with cancer cachexia and 22 with cancer pre-cachexia) and 61 patients without malignancy (21 with metabolic syndrome and 40 controls). Differences in lipids (total cholesterol, LDL and HDL cholesterol) and plasma fasting glucose were analyzed across various group configurations, with adjustments to age and antidiabetic or lipid-lowering drugs. Our study showed that levels of LDL cholesterol and total cholesterol might indicate cachexia stages irrespective of the presence of metabolic syndrome or lipid-lowering medication. High levels of plasma glucose were only seen in cachectic cancer patients on antidiabetics. These observations indicate that markers of metabolic dysregulation associated with cachexia progression might be exploited for early detection of malignancy.

Indexed as

cachexiacancercholesterolmetabolic syndromemetabolism

Identifiers

PMID32850383
PMCPMC7417624
OpenAlexW3047401798

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.