Evidence map›Paper›PMID 36428844›Full record

ArticleDiagnostics (Basel, Switzerland)2022

The Diagnostic Value of Anti-Parietal Cell and Intrinsic Factor Antibodies, Pepsinogens, and Gastrin-17 in Corpus-Restricted Atrophic Gastritis.

Petra Kriķe, Zakera Shums, Inese Poļaka, Ilze Kikuste, Aigars Vanags, Ivars Tolmanis, Sergejs Isajevs, Inta Liepniece-Karele, Daiga Santare, Lilian Tzivian and 5 more

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. 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
4.4field-weighted citation impact, top 5% 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, 21 citations in OpenAlex.

  1. Pepsinogen Assay Findings in Individuals With Gastric Atrophy and Intestinal Metaplasia.The Korean journal of helicobacter and upper gastrointestinal research · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Pediatric autoimmune gastritis: An international, multicentric study.Journal of pediatric gastroenterology and nutrition · 2025
    Article
  6. Autoimmune Gastritis: Unveiling the Mystery.The Korean journal of helicobacter and upper gastrointestinal research · 2025
    Review
  7. Review
  8. Gastric cancer in patients withWorld journal of gastrointestinal oncology · 2025
    Article
  9. Review
  10. Effects of Infection with Different Types ofInternational journal of general medicine · 2024
    Article
  11. Article
  12. 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

15 authors at 5 institutions in 2 countries.

Petra KriķeInstitute of Clinical and Preventive Medicine & Faculty of Medicine, University of Latvia, LV-1586 Rīga, Latvia.
Zakera ShumsHeadquarters & Technology Center Autoimmunity, Werfen, San Diego, CA 92121, USA.
Inese PoļakaInstitute of Clinical and Preventive Medicine & Faculty of Medicine, University of Latvia, LV-1586 Rīga, Latvia.ORCID 0000-0002-9892-7765
Ilze KikusteDigestive Diseases Centre GASTRO, Hong Kong 122001, China.
Aigars VanagsDigestive Diseases Centre GASTRO, Hong Kong 122001, China.
Ivars TolmanisDigestive Diseases Centre GASTRO, Hong Kong 122001, China.
Sergejs IsajevsAcademic Histology Laboratory, LV-1073 Riga, Latvia.
Inta Liepniece-KareleDepartment of Pathology, Rīga Stradiņš University, LV-1007 Riga, Latvia.
Daiga SantareInstitute of Clinical and Preventive Medicine & Faculty of Medicine, University of Latvia, LV-1586 Rīga, Latvia.
Lilian TzivianInstitute of Clinical and Preventive Medicine & Faculty of Medicine, University of Latvia, LV-1586 Rīga, Latvia.ORCID 0000-0001-6253-9130
Dace RudzīteRiga East University Hospital, LV-1038 Riga, Latvia.
Minkyo SongDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD 20850, USA.
M Constanza CamargoDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD 20850, USA.
Gary L NormanHeadquarters & Technology Center Autoimmunity, Werfen, San Diego, CA 92121, USA.ORCID 0000-0001-8992-1866
Mārcis LejaInstitute of Clinical and Preventive Medicine & Faculty of Medicine, University of Latvia, LV-1586 Rīga, Latvia.ORCID 0000-0002-0319-8855
Riga East University Hospital · LVNational Cancer Institute · USUniversity of Latvia · LVPauls Stradiņš Clinical University Hospital · LVRiga Stradiņš University · LV

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to determine the diagnostic value of anti-parietal cell antibodies (anti-PCA), anti-intrinsic factor antibodies (anti-IFA), pepsinogen ratio (PGI/II), and gastrin-17 (G-17) in corpus-restricted atrophic gastritis (CRAG) detected by ELISA (Inova, Biohit). Our study compared 29 CRAG cases against 58 age- and sex-matched controls with mild or no atrophy. Anti-PCA and anti-IFA positive cutoff values were ≥25 units for both. PGI/II value <3 was considered characteristic for atrophy; positive cutoff values for G-17 and anti-H. pylori IgG were >5 pg/L and >30 EIU. Anti-PCA was positive in 65.5% For CRAG cases and 13.8% of the controls (p < 0.0001), anti-IFA was positive in 13.8% and 0% (p = 0.01), respectively. Decreased pepsinogen levels were present in 79.3% of CRAG cases and 10.3% of the controls (p < 0.0001). PGI/II ratio was the best single biomarker, with sensitivity = 79%, specificity = 90%, and AUC 0.90. The combined use of PGI/II and anti-PCA resulted in AUC 0.93 for detecting CRAG. Our study suggests that the best combination of non-invasive biomarkers for detecting CRAG is PGI/II with anti-PCA. The addition of G-17 and anti-IFA is of little utility in clinical application.

Indexed as

anti-parietal cell antibodiesatrophic gastritisautoimmune gastritiscorpus-restricted atrophic gastritisgastrin-17intrinsic factor antibodiespepsinogens

Identifiers

PMID36428844
PMCPMC9689963
OpenAlexW4309211454

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.