Evidence map›Paper›PMID 34744379›Full record

ReviewJournal of clinical and experimental hepatology

Recognizing Dysfunctional Innate and Adaptive Immune Responses Contributing to Liver Damage in Patients With Cirrhosis.

Ruchika Goel, Chundamannil Eapen Eapen

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Review
  3. Foods (Basel, Switzerland) · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Extra-corporeal non-liver transplant therapies for acute liver failure: Focus on plasma exchange and continuous renal replacement therapy.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Review
  9. Review
  10. Article
  11. Immune therapies against chronic hepatitis B.Journal of gastroenterology · 2022
    Review
  12. Review
  13. 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

2 authors at 1 institution in 1 country.

Ruchika GoelClinical Immunology and Rheumatology Department, Christian Medical College, Vellore, Tamil Nadu, India.
Chundamannil Eapen EapenHepatology Department, Christian Medical College, Vellore, Tamil Nadu, India.
Christian Medical College & Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The human host immune system wards off attacks by enemies such as viruses by mounting an inflammatory response which may sometimes injure self-tissues. Dysfunctional immune/inflammatory response by the host may affect the functioning of vital organs. The largest number of innate immune cells in the body resides in the liver. On encountering a new insult or injury to the liver, the innate immune system responds quickly to counter it. Acute liver insults may trigger acute liver failure or acute on chronic liver failure; these disorders are associated with a predominant innate immune response. Activation of the reticuloendothelial system (part of the innate immune response) predicts short-term and medium-term survival in patients with acute on chronic liver failure. Liver diseases associated with an aberrant adaptive immune response like autoimmune hepatitis respond well to treatment with steroids and other immunosuppressants, while those associated with innate immune dysfunction like acute on chronic liver failure do not respond well to steroids; recent reports suggest that the latter disorders may respond to therapeutic plasma exchange. How does the immune system in a patient with liver disease respond to SARS CoV2 infection? While commonly used tests in routine clinical practice provide clues to activation of different arms of immune response in patients with cirrhosis, specialized tests may help characterize this further. This review discusses the tests which reflect aberrant immune responses and treatment of patients with cirrhosis.

Indexed as

ACLF, acute on chronic liver failureAIH, autoimmune hepatitisANCA, anti-neutrophil cytoplasmic antibodiesAPASL, Asia Pacific Association for Study of LivercirrhosisCOVID-19, coronavirus disease of 2019CRP, C-reactive proteinDAMPs, damage-associated molecular patternsEASL, European Association for Study of LiverHLA, human leukocyte antigenIgG4 RD, IgG4 related diseaseIgG, immunoglobulin Gimmune dysfunctioninvestigationsMELD, Model for End-Stage Liver DiseaseNK cells, natural killer cellsPAMPs, pathogen-associated molecular patternsPBC, primary biliary cholangitisPSC, primary sclerosing cholangitisreticuloendothelial activationSARS CoV2, severe acute respiratory syndrome coronavirus 2sMR, soluble mannose receptorTLR, toll-like receptortreatmentVWF, von Willebrand factor

Identifiers

PMID34744379
PMCPMC8560502
OpenAlexW3205600709

What OpenQuestion holds

Textmetadata
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.