Evidence map›Paper›PMID 34588500›Full record

Observational studyScientific reports2021

Prevalence of elevated serum fatty acid synthase in chronic limb-threatening ischemia.

Shirli Tay, Gayan S De Silva, Connor M Engel, Nikolai Harroun, Amanda S Penrose, Kshitij A Desai, Yan Yan, Clay F Semenkovich, Mohamed A Zayed

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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

9 authors at 1 institution in 1 country.

Shirli TaySection of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Gayan S De SilvaSection of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Connor M EngelSection of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Nikolai HarrounSection of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Amanda S PenroseSection of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Kshitij A DesaiSection of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Yan YanDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Clay F SemenkovichDivision of Endocrinology, Metabolism and Lipid Research, Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Mohamed A ZayedSection of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA. zayedm@wustl.edu.
Washington University in St. Louis · US

Funding

WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI James Alexander Fitzpatrick · 2013 to 2026
$27.1M
Regulation of Endothelial Lipid Metabolism in the Setting of Diabetes and Critical Limb Ischemia to Prevent Surgical ComplicationsR01HL153262 · NHLBI · WASHINGTON UNIVERSITY · PI ZAYED, MOHAMED A. · 2021 to 2024
$2.1M
MODULATING PHYSIOLOGIC EFFECTS OF PHOSPHOLIPID METABOLISM IN OBESITY AND DIABETESR01DK101392 · NIDDK · WASHINGTON UNIVERSITY · PI SEMENKOVICH, CLAY F. · 2015 to 2019
$2.0M
THE ROLE OF PHOSPHOLIPOGENESIS IN DIABETIC PERIPHERAL ARTERIAL DISEASEK08HL132060 · NHLBI · WASHINGTON UNIVERSITY · PI ZAYED, MOHAMED A. · 2017 to 2021
$466k
NHLBI NIH HHS K08 HL132060NHLBI NIH HHS R01 HL153262NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK020589NIDDK NIH HHS R01 DK101392
6 · The paper itself

Abstract

There are currently no serum-based evaluations that can corroborate the severity of peripheral artery disease (PAD). In this cross-sectional study, we assessed the prevalence of elevated serum fatty acid synthase (cFAS) in patients with chronic limb-threatening ischemia (CLTI) and evaluated the accuracy of its use in detecting this condition. Preoperative fasting serum samples from 87 patients undergoing vascular intervention were collected between October 2014 and September 2016. Median age was 62 years, with 56 (64%) men, and 32 (37%) with CLTI. We found that elevated cFAS content (OR 1.17; 95% CI 1.04-1.31), type 2 diabetes (T2D; OR 5.22; 95% CI 1.77-15.4), and smoking (OR 3.53; 95% CI 1.19-10.5) were independently associated with CLTI and could detect the presence of CLTI with 83% accuracy (95% CI 0.74-0.92). Furthermore, serum FAS content was positively correlated with FAS content in femoral artery plaque in patients with severe PAD ([Formula: see text] = 0.22; P =  0.023). Finally, significantly higher co-localization of FAS and ApoB were observed within lower extremity arterial media (P < .001). Our findings indicate that serum FAS content is a marker for disease severity in patients with PAD, independent of concomitant T2D and smoking, and may play a key role in FAS and ApoB peripheral plaque progression.

Indexed as

AdultAgedBiomarkersChronic Limb-Threatening IschemiaCross-Sectional StudiesFatty Acid Synthase, Type IFemaleHumansMaleMiddle AgedPreoperative PeriodSeverity of Illness IndexBiomarkersFASN protein, humanFatty Acid Synthase, Type I

Identifiers

PMID34588500
PMCPMC8481229
OpenAlexW3204706736

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.