Evidence map›Paper›PMID 34008271›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2021

Combination antiretroviral therapy improves recurrent primary biliary cholangitis following liver transplantation.

Ellina Lytvyak, Mina Niazi, Rohit Pai, Daniel He, Guangzhi Zhang, Stefan G Hübscher, Andrew L Mason

Open access · hybridAbstract read
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2021. 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
0.9field-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.

  1. Article
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  8. Combination antiretroviral therapy improves recurrent primary biliary cholangitis following liver transplantation.Liver international : official journal of the International Association for the Study of the Liver · 2021
    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

7 authors at 2 institutions in 2 countries.

Ellina LytvyakDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Mina NiaziDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Rohit PaiDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Daniel HeDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Guangzhi ZhangDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Stefan G HübscherInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Andrew L MasonDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.ORCID 0000-0002-0470-9522
University of Alberta · CAQueen Elizabeth Hospital Birmingham · GB

Funding

CIHR MOP 114998
6 · The paper itself

Abstract

Recurrent primary biliary cholangitis (rPBC) is frequent following liver transplantation and associated with increased morbidity and mortality. It has been argued that rPBC behaves like an infectious disease because more potent immunosuppression with tacrolimus is associated with earlier and more severe recurrence. Prophylactic ursodeoxycholic acid is an established therapeutic option to prevent rPBC, whereas the role of second line therapies, such as obeticholic acid and bezafibrate in rPBC, remains largely unexplored. To address the hypothesis that a human betaretrovirus plays a role in the development of PBC, we have tested antiretroviral therapy in vitro and conducted randomised controlled trials showing improvements in hepatic biochemistry. Herein, we describe the utility of combination antiretroviral therapy to manage rPBC in two patients treated with open label tenofovir/emtricitabine-based regimens in combination with either lopinavir or raltegravir. Both patients experienced sustained biochemical and histological improvement with treatment, but the antiretroviral therapy was associated with side effects.

Indexed as

CholangitisHIV InfectionsLiver Cirrhosis, BiliaryLiver TransplantationAnti-Retroviral AgentsHumansUrsodeoxycholic AcidAnti-Retroviral AgentsUrsodeoxycholic Acidcombination antiretroviral therapyhuman betaretrovirusliver transplantationrecurrent primary biliary cholangitis

Identifiers

PMID34008271
PMCPMC8362166
OpenAlexW3161933945

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.