Evidence map›Paper›PMID 33511286›Full record

ArticleClinical and experimental hepatology2020

Hepatic interferon γ and tumor necrosis factor a expression in infants with neonatal cholestasis and cytomegalovirus infection.

Himali Meshram, Shilpa Velhal, Varsha Padwal, Jyoti Sutar, Ravi Kadam, Jacinta Pereira, Gauri Bhonde, Kalyani Karandikar, Vikrant Bhor, Vainav Patel and 2 more

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Article in Clinical and experimental hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

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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

12 authors at 3 institutions in 1 country.

Himali MeshramBai Jerbai Wadia Hospital for Children, Mumbai, India.
Shilpa VelhalIndian Council of Medical Research (ICMR), New Delhi, India.
Varsha PadwalIndian Council of Medical Research (ICMR), New Delhi, India.
Jyoti SutarIndian Council of Medical Research (ICMR), New Delhi, India.
Ravi KadamIndian Council of Medical Research (ICMR), New Delhi, India.
Jacinta PereiraIndian Council of Medical Research (ICMR), New Delhi, India.
Gauri BhondeNational Institute for Research in Reproductive Health (NIRRH), Mumbai, India.
Kalyani KarandikarNational Institute for Research in Reproductive Health (NIRRH), Mumbai, India.
Vikrant BhorNational Institute for Research in Reproductive Health (NIRRH), Mumbai, India.
Vainav PatelNational Institute for Research in Reproductive Health (NIRRH), Mumbai, India.
Naman S ShettyBai Jerbai Wadia Hospital for Children, Mumbai, India.
Ira ShahBai Jerbai Wadia Hospital for Children, Mumbai, India.
Indian Council of Medical Research · INNational Institute for Research in Reproductive Health · INBai Jerbai Wadia Hospital for Children · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aim of the studyTo determine the hepatic interferon γ (IFN-γ) and tumor necrosis factor α (TNF-α) levels in infants with neonatal cholestasis (NC) and associated cytomegalovirus (CMV) infection. MATERIAL AND

methodsThis study was conducted in 21 infants with NC over a period of 6 months from June 2017 to December 2017 to determine the hepatic IFN-γ and TNF-α levels in infants with NC and associated CMV infection.

resultsIFN-γ levels were positive in 16 (80%), low positive in 3 (16%) and negative in 1 (5%) patients. High positive and positive TNF-α levels were seen in 9 (56.3%) patients with positive liver CMV PCR and low positive levels were seen in 7 (43.7%) patients with positive liver CMV PCR (odds ratio [OR] = 2.6). Positive IFN-γ was present in 13 (81.3%) patients with positive liver CMV PCR and low positive or negative IFN-γ was seen in 3 (18.7%) patients with positive liver CMV PCR (OR = 2.2). Six (60%) patients with positive or high positive TNF-α levels in liver tissue had biliary atresia (BA) whereas 7 (77.7%) with low positive TNF-α levels had non-BA neonatal hepatitis (OR = 5.25). Six (37.5%) patients with positive IFN-γ had BA whereas 2 (50%) patients with low positive or negative IFN-γ had BA (OR = 0.6).

conclusionsThere is high prevalence of CMV in liver tissues in patients with NC and elevated TNF-α and IFN-γ levels are seen in these patients. Elevated TNF-α is also seen in patients with BA. The association of elevated TNF-α, BA and CMV infection needs to be evaluated further.

Indexed as

CMVimmunochemistryneonatal cholestasis

Identifiers

PMID33511286
PMCPMC7816637
OpenAlexW3125877373

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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.