Evidence map›Paper›PMID 34771023›Full record

ReviewMolecules (Basel, Switzerland)2021

Zinc as a Drug for Wilson's Disease, Non-Alcoholic Liver Disease and COVID-19-Related Liver Injury.

Pierpaolo Coni, Giuseppina Pichiri, Joanna Izabela Lachowicz, Alberto Ravarino, Francesca Ledda, Daniela Fanni, Clara Gerosa, Monica Piras, Ferdinando Coghe, Yukio Gibo and 6 more

Open access · goldAbstract readReview
In one paragraph

Review in Molecules (Basel, Switzerland), 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
2.1field-weighted citation impact, top 13% 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, 23 citations in OpenAlex.

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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

16 authors at 4 institutions in 2 countries.

Pierpaolo ConiDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Giuseppina PichiriDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Joanna Izabela LachowiczDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.ORCID 0000-0003-4644-761X
Alberto RavarinoDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Francesca LeddaDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Daniela FanniDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Clara GerosaDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Monica PirasDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Ferdinando CogheDipartimento Servizi di Diagnosi e Cura, Azienda Ospedaliero-Universitaria di Cagliari (A.O.U.), University of Cagliari, 09024 Cagliari, Italy.
Yukio GiboHepatology Clinic, 1-34-20 Muraimachiminami, Matsumoto, Nagano 399-0036, Japan.
Flaviana CauDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Massimo CastagnolaLaboratorio di Proteomica e Metabonomica-Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Santa Lucia, 00013 Rome, Italy.
Peter Van EykenDepartment of Pathology, Genk Regional Ziekenhuis, 3600 Genk, Belgium.
Luca SabaDepartment of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari-Polo di Monserrato s.s. 554, 09045 Monserrato, Italy.
Marco PiluduDepartment of Biomedical Sciences, University of Cagliari, 09042 Monserrato, Italy.
Gavino FaaDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.ORCID 0000-0002-0189-8612
University of Cagliari · ITAzienda Ospedaliero-Universitaria Cagliari · ITFondazione Santa Lucia · ITZiekenhuis Oost-Limburg · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Zinc is the second most abundant trace element in the human body, and it plays a fundamental role in human physiology, being an integral component of hundreds of enzymes and transcription factors. The discovery that zinc atoms may compete with copper for their absorption in the gastrointestinal tract let to introduce zinc in the therapy of Wilson's disease, a congenital disorder of copper metabolism characterized by a systemic copper storage. Nowadays, zinc salts are considered one of the best therapeutic approach in patients affected by Wilson's disease. On the basis of the similarities, at histological level, between Wilson's disease and non-alcoholic liver disease, zinc has been successfully introduced in the therapy of non-alcoholic liver disease, with positive effects both on insulin resistance and oxidative stress. Recently, zinc deficiency has been indicated as a possible factor responsible for the susceptibility of elderly patients to undergo infection by SARS-CoV-2, the coronavirus responsible for the COVID-19 pandemic. Here, we present the data correlating zinc deficiency with the insurgence and progression of Covid-19 with low zinc levels associated with severe disease states. Finally, the relevance of zinc supplementation in aged people at risk for SARS-CoV-2 is underlined, with the aim that the zinc-based drug, classically used in the treatment of copper overload, might be recorded as one of the tools reducing the mortality of COVID-19, particularly in elderly people.

Indexed as

Chelating AgentsCopperCOVID-19COVID-19 Drug TreatmentHepatolenticular DegenerationHumansLiverNon-alcoholic Fatty Liver DiseaseSARS-CoV-2ZincChelating AgentsCopperZincCOVID-19drug therapynon-alcoholic liver diseaseWilson’s diseasezinc

Identifiers

PMID34771023
PMCPMC8587580
OpenAlexW3209344665

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.