Evidence map›Paper›PMID 34401690›Full record

ArticleJHEP reports : innovation in hepatology2021

Comprehensive lipidomics reveals phenotypic differences in hepatic lipid turnover in ALD and NAFLD during alcohol intoxication.

Mads Israelsen, Min Kim, Tommi Suvitaival, Bjørn Stæhr Madsen, Camilla Dalby Hansen, Nikolaj Torp, Kajetan Trost, Maja Thiele, Torben Hansen, Cristina Legido-Quigley and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03018990 (Alcohol Challenge On Liver and Gut Measured by Liver Vein Catheterization. A Pathophysiological Intervention Trial), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.0field-weighted citation impact, top 4% 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.

NCT03018990 naunknown statusnot on this map

Alcohol Challenge On Liver and Gut Measured by Liver Vein Catheterization. A Pathophysiological Intervention Trial

TypeinterventionalSponsorOdense University HospitalRan2016 to 2024Enrolled40ConditionsLiver Fibroses, Alcohol-Induced DisordersArmsEthanol
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. The dynamic spectrum of steatotic liver disease: the global perspective.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Serum Metabolite Profile in Progressive Versus Nonprogressive Alcohol-Related Liver Disease: A Cross-Sectional Metabolomics Study.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  11. Article
  12. Editorial: Lipidomics in MASLD and MetALD.Alimentary pharmacology & therapeutics · 2025
    Article
  13. The Lipidomic Profile Discriminates Between MASLD and MetALD.Alimentary pharmacology & therapeutics · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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 4 institutions in 2 countries.

Mads IsraelsenDepartment of Gastroenterology and Hepatology, Odense University Hospital, Odense C, Denmark.
Min KimSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Tommi SuvitaivalSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Bjørn Stæhr MadsenDepartment of Gastroenterology and Hepatology, Odense University Hospital, Odense C, Denmark.
Camilla Dalby HansenDepartment of Gastroenterology and Hepatology, Odense University Hospital, Odense C, Denmark.
Nikolaj TorpDepartment of Gastroenterology and Hepatology, Odense University Hospital, Odense C, Denmark.
Kajetan TrostCenter for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark.
Maja ThieleDepartment of Gastroenterology and Hepatology, Odense University Hospital, Odense C, Denmark.
Torben HansenCenter for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark.
Cristina Legido-QuigleySteno Diabetes Center Copenhagen, Gentofte, Denmark.
Aleksander KragDepartment of Gastroenterology and Hepatology, Odense University Hospital, Odense C, Denmark.
MicrobLiver Consortium
Odense University Hospital · DKSteno Diabetes Center · DKUniversity of Southern Denmark · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsIn experimental models, alcohol induces acute changes in lipid metabolism that cause hepatocyte lipoapoptosis and inflammation. Here we study human hepatic lipid turnover during controlled alcohol intoxication.

methodsWe studied 39 participants with 3 distinct hepatic phenotypes: alcohol-related liver disease (ALD), non-alcoholic fatty liver disease (NAFLD), and healthy controls. Alcohol was administrated via nasogastric tube over 30 min. Hepatic and systemic venous blood was sampled simultaneously at 3 time points: baseline, 60, and 180 min after alcohol intervention. Liver biopsies were sampled 240 min after alcohol intervention. We used ultra-high performance liquid chromatography mass spectrometry to measure levels of more than 250 lipid species from the blood and liver samples.

resultsAfter alcohol intervention, the levels of blood free fatty acid (FFA) and lysophosphatidylcholine (LPC) decreased, while triglyceride (TG) increased. FFA was the only lipid class to decrease in NAFLD after alcohol intervention, whereas LPC and FFA decreased and TG increased after intervention in ALD and healthy controls. Fatty acid chain uptake preference in FFAs and LPCs were oleic acid, linoleic acid, arachidonic acid, and docosahexaenoic acid. Hepatic venous blood FFA and LPC levels were lower when compared with systemic venous blood levels throughout the intervention. After alcohol intoxication, liver lipidome in ALD was similar to that in NAFLD.

conclusionsAlcohol intoxication induces rapid changes in circulating lipids including hepatic turnaround from FFA and LPC, potentially leading to lipoapoptosis and steatohepatitis. TG clearance was suppressed in NAFLD, possibly explaining why alcohol and NAFLD are synergistic risk factors for disease progression. These effects may be central to the pathogenesis of ALD. CLINICAL TRIALS REGISTRATION: The study is registered at Clinicaltrials.gov (NCT03018990). LAY SUMMARY: We report that alcohol induces hepatic extraction of free unsaturated fatty acids and lysophosphatidylcholines, hepatotoxic lipids which have not been previously associated with alcohol-induced liver injury. We also found that individuals with non-alcoholic fatty liver disease have reduced lipid turnover during alcohol intoxication when compared with people with alcohol-related fatty liver disease. This may explain why alcohol is particularly more harmful in people with non-alcoholic fatty liver and why elevated BMI and alcohol have a synergistic effect on the risk of liver-related death.

Indexed as

AlcoholALD, alcohol-related liver diseaseALT, alanine aminotransferaseAST, asparagine aminotransferaseCer, ceramideCTL, healthy controlDG, diglycerideEthanolFatty acidsFFA, free fatty acidGGT, gamma-glutamyl transferaseHeavy drinkingHexCer, hexosylceramideHOMA-IR, Homeostatic Model Assessment of Insulin ResistanceLacCer, lactosylceramidesLipidomicsLiver diseaseLPC, lysophosphatidylcholineLPE, lysophosphatidylethanolamineLysophosphatidylcholinesNAFLD, non-alcoholic fatty liver diseasePC, phosphatidylcholinePE, phosphatidylethanolamineP-glucose, plasma glucosePI, phosphatidylinositolPLA2, phospholipase A2QC, quality controlSHexCer, sulfatides hexosylceramideSM, sphingomyelinTE, transient elastographyTG, triglycerideTriglycerides

Identifiers

PMID34401690
PMCPMC8350545
OpenAlexW3174591877

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.