Evidence map›Paper›PMID 34303660›Full record

ArticleGastroenterology2021

Pathophysiology and Biomarker Potential of Fatty Acid Ethyl Ester Elevation During Alcoholic Pancreatitis.

Stacie Vela, Andre Guerra, Gail Farrell, Shubham Trivedi, Hally Chaffin, Christopher Rood, Ravinder Singh, Sergiy Kostenko, Yu-Hui Chang, Christine Snozek and 3 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Article
  7. The role of CaCell calcium · 2023
    Review
  8. Review
  9. Advances in acute and chronic pancreatitis.World journal of gastroenterology · 2023
    Review
  10. Article
  11. Article
  12. Current View on the Mechanisms of Alcohol-Mediated Toxicity.International journal of molecular sciences · 2021
    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

13 authors at 4 institutions in 1 country.

Stacie VelaGastroenterology Section, Carl T. Hayden Veterans Administration Medical Center, Phoenix, Arizona.
Andre GuerraDepartment of Medicine, Mayo Clinic, Scottsdale, Arizona.
Gail FarrellGastroenterology Section, Carl T. Hayden Veterans Administration Medical Center, Phoenix, Arizona.
Shubham TrivediDepartment of Medicine, Mayo Clinic, Scottsdale, Arizona.
Hally ChaffinDepartment of Medicine, Mayo Clinic, Scottsdale, Arizona.
Christopher RoodSchool of Medicine, Saint Louis University, St. Louis, Missouri.
Ravinder SinghDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Sergiy KostenkoDepartment of Medicine, Mayo Clinic, Scottsdale, Arizona.
Yu-Hui ChangDepartment of Biostatistics, Mayo Clinic, Scottsdale, Arizona.
Christine SnozekDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Scottsdale, Arizona.
Krutika PatelDepartment of Medicine, Mayo Clinic, Scottsdale, Arizona.
Biswajit KhatuaDepartment of Medicine, Mayo Clinic, Scottsdale, Arizona.
Vijay P SinghDepartment of Medicine, Mayo Clinic, Scottsdale, Arizona; Department of Biochemistry and Molecular Biology, Mayo Clinic, Scottsdale, Arizona. Electronic address: singh.vijay@mayo.edu.
Mayo Clinic in Arizona · USCarl T. Hayden Veterans Affairs Medical Center · USMayo Clinic · USSaint Louis University · US

Funding

Obesity related pancreatic fat worsens local injury via unsaturated fatty acidsR01DK092460 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SINGH, VIJAY PREM · 2011 to 2024
$5.5M
Pathogenesis of infection in pancreatitis: from sterile inflammation to sepsisR01DK119646 · NIDDK · MAYO CLINIC ARIZONA · PI SINGH, VIJAY PREM · 2019 to 2022
$1.9M
NIDDK NIH HHS R01 DK092460NIDDK NIH HHS R01 DK119646
6 · The paper itself

Abstract

BACKGROUND &

aimsThe role of fatty acid ethyl esters (FAEEs) during human alcoholic pancreatitis is unknown. We compared FAEEs levels with their nonesterified fatty acids (NEFAs) precursors during alcohol intoxication and clinical alcoholic pancreatitis. The pathophysiology underlying FAEEs increase and their role as diagnostic biomarkers for alcoholic pancreatitis was investigated.

methodsA prospective blinded study compared FAEEs, NEFAs, and ethanol blood levels on hospitalization for alcoholic pancreatitis (n = 31), alcohol intoxication (n = 25), and in normal controls (n = 43). Serum FAEEs were measured at admission for nonalcoholic pancreatitis (n = 75). Mechanistic cell and animal studies were done.

resultsMedian FAEEs were similarly elevated during alcohol intoxication (205 nmol/L; 95% confidence interval [CI], 71.8-515 nmol/L, P < .001) and alcoholic pancreatitis (103.1 nmol/L; 95% CI, 53-689 nmol/L, P < .001) vs controls (1.7 nmol/L; 95% CI, 0.02-4.3 nmol/L) or nonalcoholic pancreatitis (8 nmol/L; 95% CI, 1.1-11.5 nmol/L). Alcoholic pancreatitis increased serum NEFAs (1024 ± 710 μmol/L vs 307 ± 185 μmol/L in controls, P < .05). FAEEs comprised 0.1% to 2% of the parent NEFA concentrations. FAEES correlated strongly with NEFAs independent of ethanol levels in alcoholic pancreatitis but not during alcohol intoxication. On receiver operating characteristic curve analysis for diagnosing alcoholic pancreatitis, the area under the curve for serum FAEEs was 0.87 (95% CI, 0.78-0.95, P < .001). In mice and cells, alcohol administration transiently increased all FAEEs. Oleic acid ethyl ester was the only FAEE with a sustained increase up to 24 hours after intraperitoneal oleic acid plus ethanol administration.

conclusionsThe sustained, alcohol-independent, large (20- to 50-fold) increase in circulating FAEEs during alcoholic pancreatitis results from their visceral release and mirrors the 2- to 4-fold increase in parent NEFA. The large areas under the curve of FAEEs on receiver operating characteristic curve analysis supports their role as alcoholic pancreatitis biomarkers.

Indexed as

AdultAlcoholic IntoxicationBiomarkersBlood Alcohol ContentCase-Control StudiesFatty AcidsFatty Acids, NonesterifiedFemaleHumansMaleMiddle AgedPancreatitis, AlcoholicPredictive Value of TestsProspective StudiesUp-RegulationBiomarkersBlood Alcohol ContentFatty AcidsFatty Acids, NonesterifiedAcuteAlcoholFatty AcidIntoxicationMarker

Identifiers

PMID34303660
PMCPMC9318056
OpenAlexW3186931885

What OpenQuestion holds

Textmetadata
LicenceTDM
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.