Evidence map›Paper›PMID 33269025›Full record

ArticleJournal of medical biochemistry2020

Is endocan a novel potential biomarker of liver steatosis and fibrosis?

Aleksandra Klisić, Nebojša Kavarić, Ludovico Abenavoli, Verica Stanišić, Vesna Spasojević-Kalimanovska, Jelena Kotur-Stevuljević, Ana Ninić

Open access · diamondAbstract read
In one paragraph

Article in Journal of medical biochemistry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 24% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Fatty liver index (FLI): more than a marker of hepatic steatosis.Journal of physiology and biochemistry · 2024
    Pooled it
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  14. Endocan: A Key Player of Cardiovascular Disease.Frontiers in cardiovascular medicine · 2021
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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

7 authors at 4 institutions in 3 countries.

Aleksandra KlisićUniversity of Montenegro, Faculty of Medicine, Primary Health Care Center, Podgorica, Montenegro.
Nebojša KavarićUniversity of Montenegro, Faculty of Medicine, Primary Health Care Center, Podgorica, Montenegro.
Ludovico AbenavoliUniversity Magna Graecia, Department of Health Sciences, Catanzaro, Italy.
Verica StanišićClinical Center of Montenegro, Podgorica, Montenegro.
Vesna Spasojević-KalimanovskaUniversity of Belgrade, Faculty of Pharmacy, Department for Medical Biochemistry, Belgrade.
Jelena Kotur-StevuljevićUniversity of Belgrade, Faculty of Pharmacy, Department for Medical Biochemistry, Belgrade.
Ana NinićUniversity of Belgrade, Faculty of Pharmacy, Department for Medical Biochemistry, Belgrade.
University of Montenegro · MEUniversity of Belgrade · RSMagna Graecia University · ITUniversity of Belgrade – Faculty of Pharmacy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies that evaluated endocan levels in nonalcoholic fatty liver disease (NAFLD) and liver fibrosis are scarce. We aimed to explore endocan levels in relation to different stages of liver diseases, such as NAFLD, as determined with fatty liver index (FLI) and liver fibrosis, as assessed with BARD score.

methodsA total of 147 participants with FLI≥60 were compared with 64 participants with FLI <30. An FLI score was calculated using waist circumference, body mass index, gamma-glutamyl transferase and triglycerides. Patients with FLI≥60 were further divided into those with no/mild fibrosis (BARD score 0-1 point; n=23) and advanced fibrosis (BARD score 2-4 points; n=124). BARD score was calculated as follows: diabetes mellitus (1 point) + body mass index≥28 kg/m2 (1 point) + aspartate amino transferase/alanine aminotransferase ratio≥0.8 (2 points).

resultsEndocan was independent predictor for FLI and BARD score, both in univariate [OR=1.255 (95% CI= 1.104-1.426), P=0.001; OR=1.208 (95% CI=1.029-1.419), P=0.021, respectively] and multivariate binary logistic regression analysis [OR=1.287 (95% CI=1.055-1.570), P=0.013; OR=1.226 (95% CI=1.022-1.470), P=0.028, respectively]. Endocan as a single predictor showed poor discriminatory capability for steatosis/fibrosis [AUC=0.648; (95% CI=0.568-0.727), P=0.002; AUC= 0.667 (95% CI=0.555-0.778), P=0.013, respectively], whereas in a Model, endocan showed an excellent clinical accuracy [AUC=0.930; (95% CI=0.886-0.975), P<0.001, AUC=0.840 (95% CI=0.763-0.918), P<0.001, respectively].

conclusionsEndocan independently correlated with both FLI and BARD score. However, when tested in models (with other biomarkers), endocan showed better discriminatory ability for liver steatosis/fibrosis, instead of its usage as a single biomarker.

Indexed as

cardiovascular diseaseendocaninflammationliver fibrosisliver steatosis

Identifiers

PMID33269025
PMCPMC7682781
OpenAlexW2989702437

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.