Evidence map›Paper›PMID 35406780›Full record

ReviewCells2022

Myosteatosis in Cirrhosis: A Review of Diagnosis, Pathophysiological Mechanisms and Potential Interventions.

Maryam Ebadi, Cynthia Tsien, Rahima A Bhanji, Abha R Dunichand-Hoedl, Elora Rider, Maryam Motamedrad, Vera C Mazurak, Vickie Baracos, Aldo J Montano-Loza

Open access · goldAbstract readReview
In one paragraph

Review in Cells, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 pooled it
6.7field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 4 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Effects of Semaglutide on Muscle Structure and Function in the SLIM LIVER Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Trial
  6. Subcutaneous Fat Density Is an Independent Predictor of Adverse Outcomes and Shows Early Improvement After Liver Transplantation.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Observational
  14. Article
  15. Article
  16. Article
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  18. Article
  19. EPA and DHA Enhance CACT Promoter Activity by GABP/NRF2.International journal of molecular sciences · 2024
    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

9 authors at 2 institutions in 1 country.

Maryam EbadiDivision of Gastroenterology & Liver Unit, University of Alberta, Edmonton, AB T6G 2X8, Canada.
Cynthia TsienAjmera Transplant Program, Department of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.
Rahima A BhanjiDivision of Gastroenterology & Liver Unit, University of Alberta, Edmonton, AB T6G 2X8, Canada.ORCID 0000-0001-9088-8848
Abha R Dunichand-HoedlDivision of Human Nutrition, University of Alberta, Edmonton, AB T6G 2P5, Canada.
Elora RiderDivision of Gastroenterology & Liver Unit, University of Alberta, Edmonton, AB T6G 2X8, Canada.
Maryam MotamedradDivision of Human Nutrition, University of Alberta, Edmonton, AB T6G 2P5, Canada.
Vera C MazurakDivision of Human Nutrition, University of Alberta, Edmonton, AB T6G 2P5, Canada.
Vickie BaracosDepartment of Oncology, Cross Cancer Institute, Edmonton, AB T6G 1Z2, Canada.ORCID 0000-0002-9609-1001
Aldo J Montano-LozaDivision of Gastroenterology & Liver Unit, University of Alberta, Edmonton, AB T6G 2X8, Canada.ORCID 0000-0002-2511-7980
University of Alberta · CAUniversity of Toronto · CA

Funding

CIHR
6 · The paper itself

Abstract

Myosteatosis, or pathological excess fat accumulation in muscle, has been widely defined as a lower mean skeletal muscle radiodensity on computed tomography (CT). It is reported in more than half of patients with cirrhosis, and preliminary studies have shown a possible association with reduced survival and increased risk of portal hypertension complications. Despite the clinical implications in cirrhosis, a standardized definition for myosteatosis has not yet been established. Currently, little data exist on the mechanisms by which excess lipid accumulates within the muscle in individuals with cirrhosis. Hyperammonemia may play an important role in the pathophysiology of myosteatosis in this setting. Insulin resistance, impaired mitochondrial oxidative phosphorylation, diminished lipid oxidation in muscle and age-related differentiation of muscle stem cells into adipocytes have been also been suggested as potential mechanisms contributing to myosteatosis. The metabolic consequence of ammonia-lowering treatments and omega-3 polyunsaturated fatty acids in reversing myosteatosis in cirrhosis remains uncertain. Factors including the population of interest, design and sample size, single/combined treatment, dosing and duration of treatment are important considerations for future trials aiming to prevent or treat myosteatosis in individuals with cirrhosis.

Indexed as

Adipose TissueFatty Acids, Omega-3HumansLiver CirrhosisMuscle, SkeletalTomography, X-Ray ComputedFatty Acids, Omega-3interventionsmuscle qualitypathwaysradiation attenuation

Identifiers

PMID35406780
PMCPMC8997850
OpenAlexW4223472501

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.