Evidence map›Paper›PMID 33074470›Full record

Observational studyDigestive diseases and sciences2021

Changes in Serum Myostatin Levels in Alcoholic Hepatitis Correlate with Improvement in MELD.

Hani Shamseddeen, Abhishek Madathanapalli, Vijay S Are, Vijay H Shah, Arun J Sanyal, Qing Tang, Tiebing Liang, Kayla Gelow, Teresa A Zimmers, Naga Chalasani and 1 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyObservational Study
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. It is linked to trial NCT02172898 (Alcoholic Hepatitis), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 49% 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.

NCT02172898 completednot on this map

Alcoholic Hepatitis: A Multicenter, Observational Study by the TREAT Consortium

TypeobservationalSponsorIndiana UniversityRan2013 to 2019Enrolled454ConditionsAlcoholic Hepatitis
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. 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

11 authors at 4 institutions in 1 country.

Hani ShamseddeenDivision of Gastroenterology and Hepatology, Indiana University School of Medicine, 702 Rotary Circle, Suite 225, Indianapolis, IN, 46202, USA.
Abhishek MadathanapalliUniversity of Connecticut School of Medicine, Farmington, CT, USA.
Vijay S AreDivision of Gastroenterology and Hepatology, Indiana University School of Medicine, 702 Rotary Circle, Suite 225, Indianapolis, IN, 46202, USA.
Vijay H ShahDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Arun J SanyalDivision of Gastroenterology and Hepatology, VCU School of Medicine, Richmond, VA, USA.
Qing TangDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Tiebing LiangDivision of Gastroenterology and Hepatology, Indiana University School of Medicine, 702 Rotary Circle, Suite 225, Indianapolis, IN, 46202, USA.
Kayla GelowDivision of Gastroenterology and Hepatology, Indiana University School of Medicine, 702 Rotary Circle, Suite 225, Indianapolis, IN, 46202, USA.
Teresa A ZimmersSurgical Oncology, Surgery-Chairman's Office, Indiana University School of Medicine, Indianapolis, IN, USA.
Naga ChalasaniDivision of Gastroenterology and Hepatology, Indiana University School of Medicine, 702 Rotary Circle, Suite 225, Indianapolis, IN, 46202, USA.
Archita P DesaiDivision of Gastroenterology and Hepatology, Indiana University School of Medicine, 702 Rotary Circle, Suite 225, Indianapolis, IN, 46202, USA. desaiar@iu.edu.ORCID http://orcid.org/0000-0001-8731-2370
Indiana University School of MedicineChildren's Hospital of Richmond at VCU · USMayo Clinic in Arizona · USUniversity of Connecticut · US

Funding

Translational Research and Evolving Alcoholic hepatitis Treatment (TREAT-IU)U01AA021840 · NIAAA · INDIANA UNIVERSITY INDIANAPOLIS · PI NAGA P CHALASANI, Olawale Ojo · 2012 to 2026
$8.1M
The Musculoskeletal Cost of Organ RepairR01GM137656 · NIGMS · OREGON HEALTH & SCIENCE UNIVERSITY · PI KONIARIS, LEONIDAS G., ZIMMERS, TERESA A · 2020 to 2023
$1.6M
Morbidity, Mortality and Mechanisms of Persistent Muscle Wasting due to Abdominal Aortic Aneurysm-AAA CachexiaR21AR074908 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI KONIARIS, LEONIDAS G., ZIMMERS, TERESA A · 2019 to 2020
$381k
BLRD VA I01 BX006433NIAAA NIH HHS U01 AA021840NIAMS NIH HHS R21 AR074908NIGMS NIH HHS R01 GM137656
6 · The paper itself

Abstract

backgroundAlcoholic hepatitis (AH) is a serious clinical syndrome often associated with muscle wasting. Myostatin, a member of the transforming growth factor-β superfamily, has been studied in diseases with muscle wasting; however, the role of myostatin in AH is unknown.

aimsTo investigate the association between myostatin, clinical variables, and outcomes in AH.

methodsWe analyzed data for cases of AH and controls of heavy drinkers (HD) in TREAT001 (NCT02172898) with serum myostatin levels (AH: n = 131, HD: n = 124). We compared characteristics between the two groups at baseline, 30, and 90 days and explored correlations between myostatin and clinical variables. We then modeled the relationship of myostatin to other variables, including mortality.

resultsBaseline median myostatin was lower in AH compared to HD (males: 1.58 vs 3.06 ng/ml, p < 0.001; females: 0.84 vs 2.01 ng/ml, p < 0.001). In multivariable linear regression, bilirubin, WBC, and platelet count remained negatively correlated with myostatin in AH. AH females who died at 90 days had significantly lower myostatin, but in a multivariable logistic model with MELD and myostatin, only MELD remained significantly associated with 90-day mortality. During 1-year follow-up, AH cases (n = 30) demonstrated an increase in myostatin (mean, 1.73 ng/ml) which correlated with decreasing MELD scores (ρ = - 0.42, p = 0.01).

conclusionsMyostatin levels are significantly lower in AH compared to HD and are negatively correlated with total bilirubin, WBC, and platelet count. Myostatin increased as patients experienced decreases in MELD. Overall, myostatin demonstrated a dynamic relationship with AH outcomes and future studies are needed to understand the prognostic role of myostatin in AH.

Indexed as

Hepatitis, AlcoholicKidney Failure, ChronicAlcohol DrinkingBilirubinBiomarkersBiopsyDisease ProgressionFemaleHep G2 CellsHumansLeukocyte CountLiverLiver Function TestsMaleMiddle AgedModels, TheoreticalBilirubinBiomarkersMyostatinAlcoholismBiomarkerMuscle wastingTREAT001

Identifiers

PMID33074470
PMCPMC8053725
OpenAlexW3093382189

What OpenQuestion holds

Textmetadata
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Registered trials

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.