Evidence map›Paper›PMID 34002677›Full record

ArticleVirulence2021

Evaluation of hepatitis E antigen kinetics and its diagnostic utility for prediction of the outcomes of hepatitis E virus genotype 1 infection.

Mohamed A El-Mokhtar, Haidi Karam-Allah Ramadan, Muhamad R Abdel Hameed, Ayat M Kamel, Sahar A Mandour, Maha Ali, Mohamed A Y Abdel-Malek, Doaa M Abd El-Kareem, Sara Adel, Eman H Salama and 2 more

Open access · goldAbstract read
In one paragraph

Article in Virulence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. [Laboratory diagnosis of hepatitis type E].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2023
    Article
  9. Review
  10. Article
  11. Review
  12. The First Report ofMicroorganisms · 2022
    Article
  13. Hepatitis E Virus Immunopathogenesis.Pathogens (Basel, Switzerland) · 2021
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. 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

12 authors at 7 institutions in 2 countries.

Mohamed A El-MokhtarDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Assiut University, Assiut, Egypt.ORCID 0000-0003-1943-8419
Haidi Karam-Allah RamadanDepartment of Tropical Medicine and Gastroenterology, Faculty of Medicine, Assiut University, Assiut, Egypt.ORCID 0000-0003-0627-3985
Muhamad R Abdel HameedDepartment of Internal Medicine and Hematology Unit, Assiut University Hospitals, Assiut University, Assiut, Egypt.
Ayat M KamelMicrobiology and Immunology Department, Faculty of Pharmacy, Assiut University, Assiut Egypt.
Sahar A MandourDepartment of Microbiology and Immunology, Faculty of Pharmacy, Deraya University, Minia, Egypt.ORCID 0000-0003-2500-0480
Maha AliDepartment of Medical Biochemistry, Faculty of Medicine, Assiut University, Egypt.
Mohamed A Y Abdel-MalekDepartment of Clinical Pathology, Faculty of Medicine, Assiut University, Egypt.
Doaa M Abd El-KareemDepartment of Clinical Pathology, Faculty of Medicine, Assiut University, Egypt.
Sara AdelDepartment of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.
Eman H SalamaDepartment of Clinical Pathology, Faculty of Medicine, Sohag University, Sohag, Egypt.
Khaled Abo Bakr KhalafDepartment of Tropical Medicine and Gastroenterology, Faculty of Medicine, Assiut University, Assiut, Egypt.
Ibrahim M SayedDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Assiut University, Assiut, Egypt.ORCID 0000-0001-8207-6401
Assiut University · EGAl-Azhar University · EGAssiut University Hospitals · EGDeraya UniversitySohag University · EGSphinx University · EGUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

HEV-Ag ELISA assay is a reliable diagnostic test in resource-limited areas. HEV genotype 1 (HEV-1) infections are either self-limited or progress to fulminant hepatic failure (FHF) and death if anti-HEV therapy is delayed. Limited data is available about the diagnostic utility of HEV Ag on HEV-1 infections. Herein wWe aimed to study the kinetics of HEV Ag during HEV-1 infections at different stages, i.e., acute HEV infection, recovery, and progression to FHF. Also, we evaluated the diagnostic utility of this marker to predict the outcomes of HEV-1 infections. Plasma of acute hepatitis E (AHE) patients were assessed for HEV RNA by RT-qPCR, HEV Ag, and anti-HEV IgM by ELISA. The kinetics of HEV Ag was monitored at different time points; acute phase of infection, recovery, FHF stage, and post-recovery. Our results showed that the level of HEV Ag was elevated in AHE patients with a significantly higher level in FHF patients than recovered patients. We identified a plasma HEV Ag threshold that can differentiate between self-limiting infection and FHF progression with 100% sensitivity and 88.89% specificity. HEV Ag and HEV RNA have similar kinetics during the acute phase and self-limiting infection. In the FHF stage, HEV Ag and anti-HEV IgM have similar patterns of kinetics which could be the cause of liver damage. In conclusion, the HEV Ag assay can be used as a biomarker for predicting the consequences of HEV-1 infections which could be diagnostically useful for taking the appropriate measures to reduce the complications, especially for high-risk groups.

Indexed as

Hepatitis EHepatitis E virusBiomarkersGenotypeHepatitis AntibodiesHepatitis AntigensHumansImmunoglobulin MKineticsRNA, ViralBiomarkersHepatitis AntibodiesHepatitis AntigensImmunoglobulin MRNA, Viralacute self-limiting infectionfulminant hepatic failureHEV antigenHEV genotype 1HEV kineticpredictive biomarker

Identifiers

PMID34002677
PMCPMC8143225
OpenAlexW3160411979

What OpenQuestion holds

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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.