Evidence map›Paper›PMID 33923525›Full record

ReviewNutrients2021

The Role of Fructose in Non-Alcoholic Steatohepatitis: Old Relationship and New Insights.

Alessandro Federico, Valerio Rosato, Mario Masarone, Pietro Torre, Marcello Dallio, Mario Romeo, Marcello Persico

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Review
  5. Article
  6. Review
  7. Review
  8. LY3522348, A New Ketohexokinase Inhibitor: A First-in-Human Study in Healthy Adults.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
    Article
  9. Review
  10. Article
  11. Article
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  17. Article
  18. Article
  19. Recent advances in food, nutrition & agriculture · 2024
    Article
  20. Review
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 2 institutions in 1 country.

Alessandro FedericoDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0000-0002-0885-0793
Valerio RosatoInternal Medicine and Hepatology Division, Department of Medicine, Surgery and Odontostomatology, "Scuola Medica Salernitana", University of Salerno, 84084 Salerno, Italy.ORCID 0000-0002-3584-2414
Mario MasaroneInternal Medicine and Hepatology Division, Department of Medicine, Surgery and Odontostomatology, "Scuola Medica Salernitana", University of Salerno, 84084 Salerno, Italy.ORCID 0000-0003-0550-8201
Pietro TorreInternal Medicine and Hepatology Division, Department of Medicine, Surgery and Odontostomatology, "Scuola Medica Salernitana", University of Salerno, 84084 Salerno, Italy.
Marcello DallioDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0000-0003-4153-815X
Mario RomeoDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0000-0002-2970-9019
Marcello PersicoInternal Medicine and Hepatology Division, Department of Medicine, Surgery and Odontostomatology, "Scuola Medica Salernitana", University of Salerno, 84084 Salerno, Italy.
University of Salerno · ITUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-alcoholic fatty liver disease (NAFLD) represents the result of hepatic fat overload not due to alcohol consumption and potentially evolving to advanced fibrosis, cirrhosis, and hepatocellular carcinoma. Fructose is a naturally occurring simple sugar widely used in food industry linked to glucose to form sucrose, largely contained in hypercaloric food and beverages. An increasing amount of evidence in scientific literature highlighted a detrimental effect of dietary fructose consumption on metabolic disorders such as insulin resistance, obesity, hepatic steatosis, and NAFLD-related fibrosis as well. An excessive fructose consumption has been associated with NAFLD development and progression to more clinically severe phenotypes by exerting various toxic effects, including increased fatty acid production, oxidative stress, and worsening insulin resistance. Furthermore, some studies in this context demonstrated even a crucial role in liver cancer progression. Despite this compelling evidence, the molecular mechanisms by which fructose elicits those effects on liver metabolism remain unclear. Emerging data suggest that dietary fructose may directly alter the expression of genes involved in lipid metabolism, including those that increase hepatic fat accumulation or reduce hepatic fat removal. This review aimed to summarize the current understanding of fructose metabolism on NAFLD pathogenesis and progression.

Indexed as

AnimalsDietDietary SugarsDisease ProgressionFatty AcidsFructoseHumansInsulin ResistanceLipid MetabolismLipogenesisLiverNon-alcoholic Fatty Liver DiseaseOxidative StressPhenotypeDietary SugarsFatty AcidsFructosefructosemetabolismnon-alcoholic steatohepatitisnutrients

Identifiers

PMID33923525
PMCPMC8074203
OpenAlexW3155768182

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.