Evidence map›Paper›PMID 35098490›Full record

ArticleClinical journal of gastroenterology2022

HSD17B13 and other liver fat-modulating genes predict development of hepatocellular carcinoma among HCV-positive cirrhotics with and without viral clearance after DAA treatment.

Michela E Burlone, Mattia Bellan, Matteo N Barbaglia, Ginevra Mocchetti, Venkata R Mallela, Rosalba Minisini, Cristina Rigamonti, Mario Pirisi

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Article in Clinical journal of gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

8 authors at 1 institution in 1 country.

Michela E BurloneInternal Medicine, Azienda Ospedaliero-Universitaria "Maggiore Della Carità", Novara, Italy.
Mattia BellanInternal Medicine, Azienda Ospedaliero-Universitaria "Maggiore Della Carità", Novara, Italy.
Matteo N BarbagliaDepartment of Translational Medicine (DiMeT), Università del Piemonte Orientale, Novara, Italy.
Ginevra MocchettiDepartment of Translational Medicine (DiMeT), Università del Piemonte Orientale, Novara, Italy.
Venkata R MallelaDepartment of Translational Medicine (DiMeT), Università del Piemonte Orientale, Novara, Italy.
Rosalba MinisiniDepartment of Translational Medicine (DiMeT), Università del Piemonte Orientale, Novara, Italy.ORCID http://orcid.org/0000-0002-7548-9731
Cristina RigamontiInternal Medicine, Azienda Ospedaliero-Universitaria "Maggiore Della Carità", Novara, Italy.
Mario PirisiInternal Medicine, Azienda Ospedaliero-Universitaria "Maggiore Della Carità", Novara, Italy. mario.pirisi@uniupo.it.
Università degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGenetic predisposition to accumulate liver fat (expressed by a polygenic risk score, GRS, based on the number of at-risk alleles of PNPLA3, TM6SF2, MBOAT7 and GCKR) may influence the probability of developing hepatocellular carcinoma (HCC) after hepatitis C treatment. Whether this holds true taking into account carriage of the HSD17B13:TA splice variant, also affecting lipogenesis, and achievement of viral clearance (SVR), is unknown.

methodsPNPLA3, TM6SF2, MBOAT7, GCKR and HSD17B13 variants were determined in a cohort of 328 cirrhotic patients free of HCC before starting treatment with direct acting antivirals (DAA).

resultsSVR in the study cohort was 96%. At the end of follow-up, N = 21 patients had been diagnosed an HCC; none of the genes included in the GRS was individually associated with HCC development. However, in a Cox proportional hazards model, a GRS > 0.457 predicted HCC independently of sex, diabetes, albumin, INR and FIB4. The fit of the model improved adding treatment outcome and carriage of the HSD17B13:TA splice variant, with sex, GRS > 0.457, HSD17B13:TA splice variant and failure to achieve an SVR (hazard ratio = 6.75, 4.24, 0.24 and 7.7, respectively) being independent predictors of HCC.

conclusionOur findings confirm that genes modulating liver fat and lipogenesis are important risk factors for HCC development among cirrhotics C treated with DAA.

Indexed as

Antiviral AgentsCarcinoma, HepatocellularHepatitis C, ChronicLiver Neoplasms17-Hydroxysteroid DehydrogenasesHumansLiver Cirrhosis17-Hydroxysteroid DehydrogenasesAntiviral AgentsHSD17B13 protein, humanGene polymorphismsHepatitis C virusHepatocarcinogenesisPrognosisTherapy

Identifiers

PMID35098490
OpenAlexW4210618914

What OpenQuestion holds

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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.