Evidence map›Paper›PMID 33622266›Full record

ArticleBMC gastroenterology2021

The role of PNPLA3 and TM6SF2 polymorphisms on liver fibrosis and metabolic abnormalities in Brazilian patients with chronic hepatitis C.

Arthur Ivan N Oliveira, Fernanda M Malta, Patricia Momoyo Y Zitelli, Ana Paula M Salles, Michele S Gomes-Gouvea, Ana Catharina S Nastri, Joao Renato R Pinho, Flair J Carrilho, Claudia P Oliveira, Maria Cássia Mendes-Corrêa and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 23 citations in OpenAlex.

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  10. Association of the Rs738409 Polymorphism inIndian journal of endocrinology and metabolism
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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 2 institutions in 1 country.

Arthur Ivan N OliveiraDivision of Clinical Gastroenterology and Hepatology, LIM07, Department of Gastroenterology, University of São Paulo School of Medicine (FMUSP), Av. Dr. Enéas de Carvalho Aguiar no 255, Instituto Central, # 9159, São Paulo, 05403-900, Brazil.
Fernanda M MaltaDivision of Clinical Gastroenterology and Hepatology, LIM07, Department of Gastroenterology, University of São Paulo School of Medicine (FMUSP), Av. Dr. Enéas de Carvalho Aguiar no 255, Instituto Central, # 9159, São Paulo, 05403-900, Brazil.
Patricia Momoyo Y ZitelliDivision of Clinical Gastroenterology and Hepatology, LIM07, Department of Gastroenterology, University of São Paulo School of Medicine (FMUSP), Av. Dr. Enéas de Carvalho Aguiar no 255, Instituto Central, # 9159, São Paulo, 05403-900, Brazil.
Ana Paula M SallesDivision of Clinical Gastroenterology and Hepatology, LIM07, Department of Gastroenterology, University of São Paulo School of Medicine (FMUSP), Av. Dr. Enéas de Carvalho Aguiar no 255, Instituto Central, # 9159, São Paulo, 05403-900, Brazil.
Michele S Gomes-GouveaDivision of Clinical Gastroenterology and Hepatology, LIM07, Department of Gastroenterology, University of São Paulo School of Medicine (FMUSP), Av. Dr. Enéas de Carvalho Aguiar no 255, Instituto Central, # 9159, São Paulo, 05403-900, Brazil.
Ana Catharina S NastriDepartment of Infectious Diseases, University of São Paulo School of Medicine (FMUSP), Av. Dr. Enéas de Carvalho Aguiar no 255, São Paulo, 05403-900, Brazil.
Joao Renato R PinhoDivision of Clinical Gastroenterology and Hepatology, LIM07, Department of Gastroenterology, University of São Paulo School of Medicine (FMUSP), Av. Dr. Enéas de Carvalho Aguiar no 255, Instituto Central, # 9159, São Paulo, 05403-900, Brazil.
Flair J CarrilhoDivision of Clinical Gastroenterology and Hepatology, LIM07, Department of Gastroenterology, University of São Paulo School of Medicine (FMUSP), Av. Dr. Enéas de Carvalho Aguiar no 255, Instituto Central, # 9159, São Paulo, 05403-900, Brazil.
Claudia P OliveiraDivision of Clinical Gastroenterology and Hepatology, LIM07, Department of Gastroenterology, University of São Paulo School of Medicine (FMUSP), Av. Dr. Enéas de Carvalho Aguiar no 255, Instituto Central, # 9159, São Paulo, 05403-900, Brazil.
Maria Cássia Mendes-CorrêaDepartment of Infectious Diseases, University of São Paulo School of Medicine (FMUSP), Av. Dr. Enéas de Carvalho Aguiar no 255, São Paulo, 05403-900, Brazil.
Mario G PessoaDivision of Clinical Gastroenterology and Hepatology, LIM07, Department of Gastroenterology, University of São Paulo School of Medicine (FMUSP), Av. Dr. Enéas de Carvalho Aguiar no 255, Instituto Central, # 9159, São Paulo, 05403-900, Brazil.
Daniel F MazoDivision of Clinical Gastroenterology and Hepatology, LIM07, Department of Gastroenterology, University of São Paulo School of Medicine (FMUSP), Av. Dr. Enéas de Carvalho Aguiar no 255, Instituto Central, # 9159, São Paulo, 05403-900, Brazil. daniel.mazo@hc.fm.usp.br.
Universidade de São Paulo · BRUniversidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the growing body of knowledge about TM6SF2 and PNPLA3 polymorphisms in non-alcoholic fatty liver disease, their influence in the spectrum of HCV liver disease is not yet fully defined. Besides that, admixed populations, such as Brazilians, were not included in most of the studies.

methodsThis cross-sectional study enrolled 365 treatment-naïve patients with HCV and 134 healthy individuals. TM6SF2 (rs58542926 c.499C > T) and PNPLA3 (rs738409 c.444C > G) polymorphisms were evaluated regarding their association with clinical and laboratory data, histological liver steatosis and fibrosis, and with components of the metabolic syndrome.

resultsIn HCV subjects, the frequencies of TM6SF2 CC and CT + TT were 89% and 11%, while PNPLA3 frequencies of CC and CG + GG were 51.4% and 48.6%. In the univariate logistic regression analysis, the TM6SF2 CT + TT genotype in HCV was associated with significant liver fibrosis (p = 0.047; OR 1.953; 95% CI 1.009-3.788). In comparison to the CT + TT genotype, the TM6SF2 CC genotype in HCV was associated with older age (p = 0.002), higher frequency of arterial hypertension (p = 0.032), obesity (p = 0.030), metabolic syndrome (p = 0.014) and lower total cholesterol levels (p = 0.036). The PNPLA3 GG subjects had lower body mass index than CG/ CC individuals (p = 0.047). None of the polymorphisms, or their combinations, was independently associated with hepatic steatosis or fibrosis. On the other hand, older age, lower serum levels of total cholesterol, and higher serum levels of alanine aminotransferase and alkaline phosphatase were associated with liver fibrosis in the multivariate logistic regression analysis.

conclusionIn this evaluation of an admixed HCV population, neither TM6SF2 nor PNPLA3 polymorphisms were independently associated with hepatic steatosis or fibrosis. Other factors seem more influential than these specific polymorphisms in isolation. More studies are warranted to clarify the role of the TM6SF2 and PNPLA3 polymorphisms in Brazilians with HCV.

Indexed as

Hepatitis C, ChronicNon-alcoholic Fatty Liver DiseaseAcyltransferasesAgedBrazilCross-Sectional StudiesGenetic Predisposition to DiseaseGenotypeHumansLipaseLiverLiver CirrhosisMembrane ProteinsPhospholipases A2, Calcium-IndependentPolymorphism, Single NucleotideAcyltransferasesLipaseMembrane ProteinsPhospholipases A2, Calcium-IndependentPNPLA3 protein, humanTM6SF2 protein, humanGenetic variationHepatitis C virusHepatitis virus

Identifiers

PMID33622266
PMCPMC7901065
OpenAlexW3129603558

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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.