Evidence map›Paper›PMID 36652164›Full record

ArticleHepatology international2023

Biomarkers of hepatocellular synthesis in patients with decompensated cirrhosis.

Berivan Gurbuz, Nurdan Guldiken, Philipp Reuken, Lei Fu, Katharina Remih, Christian Preisinger, Radan Brůha, Martin Leníček, Jaromír Petrtýl, Johanna Reissing and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Hepatology international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.1field-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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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  16. Serum/Plasma Proteome in Non-Malignant Liver Disease.International journal of molecular sciences · 2024
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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

19 authors at 11 institutions in 4 countries.

Berivan Gurbuz *Department of Internal Medicine III and IZKF, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Nurdan GuldikenDepartment of Internal Medicine III and IZKF, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Philipp ReukenDepartment of Internal Medicine IV, Jena University Hospital, Friedrich Schiller University, Jena, Germany.
Lei FuDepartment of Internal Medicine III and IZKF, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Katharina RemihDepartment of Internal Medicine III and IZKF, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Christian PreisingerProteomics Facility, Interdisciplinary Center for Clinical Research (IZKF), University Hospital RWTH, Aachen, Germany.
Radan Brůha4th Department of Internal Medicine, First Faculty of Medicine, General University Hospital in Prague, Charles University, Prague, Czech Republic.
Martin LeníčekInstitute of Medical Biochemistry and Laboratory Diagnostics, First Faculty of Medicine, General University Hospital in Prague, Charles University, Prague, Czech Republic.
Jaromír Petrtýl4th Department of Internal Medicine, First Faculty of Medicine, General University Hospital in Prague, Charles University, Prague, Czech Republic.
Johanna ReissingDepartment of Internal Medicine III and IZKF, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Mahmoud AlyDepartment of Internal Medicine III and IZKF, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Malin FrommeDepartment of Internal Medicine III and IZKF, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Biaohuan ZhouDepartment of Internal Medicine III and IZKF, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Isabel KarkossaDepartment of Molecular Systems Biology, Helmholtz Centre for Environmental Research, Leipzig, Germany.
Kristin SchubertDepartment of Molecular Systems Biology, Helmholtz Centre for Environmental Research, Leipzig, Germany.
Martin von BergenDepartment of Molecular Systems Biology, Helmholtz Centre for Environmental Research, Leipzig, Germany.
Andreas StallmachDepartment of Internal Medicine IV, Jena University Hospital, Friedrich Schiller University, Jena, Germany.
Tony Bruns *Department of Internal Medicine III and IZKF, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Pavel Strnad *Department of Internal Medicine III and IZKF, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany. pstrnad@ukaachen.de.
Universitätsklinikum Aachen · DEGeneral University Hospital in Prague · CZHelmholtz Centre for Environmental Research · DEJena University Hospital · DECharles University · CZFriedrich Schiller University Jena · DEFujian Provincial Hospital · CNLeipzig University · DERuikang Affiliated Hospital of Guangxi Medical University · CNRWTH Aachen University · DEUniversity of Sadat City · EG

Funding

Deutsche Forschungsgemeinschaft SFB 1382 (ID 403224013)Heisenberg professorship STR 1095/6-1National Natural Science Foundation of China 81804019Natural Science Foundation of Guangxi Province 2018GXNSFBA050041
6 · The paper itself

Abstract

BACKGROUND AND

aimSince hepatocytes produce majority of serum proteins, patients with cirrhosis display substantial alterations in the serum proteome. The aim of the current study was to characterize these changes and to study the prognostic utility of hepatocellular proteins available in routine clinical testing.

methodsSera from 29 healthy controls and 43 patients with cirrhosis were subjected to untargeted proteomic analysis. Unsupervised hierarchical clustering was performed with Perseus software and R. Ingenuity pathway analysis (IPA) suggested upstream regulators that were validated in liver tissues. The behavior and prognostic usefulness of selected biomarkers was investigated in 61 controls and 285 subjects with decompensated cirrhosis.

resultsProteomics uncovered 65 and 16 hepatocellular serum proteins that are significantly downregulated or upregulated in patients with cirrhosis vs. controls. Hierarchical clustering revealed two main clusters and six sub-clusters. IPA identified HNF4α and IL-6 as the two major upstream regulators that were confirmed by hepatic gene expression analyses. Among pseudocholinesterase, transferrin, transthyretin, albumin, and apolipoprotein AI (Apo-AI), Apo-AI was the best predictor of 90-days transplant-free survival (AUROC 0.678; p = 0.0001) and remained an independent predictor in multivariable Cox independently of the presence of acute-on-chronic liver failure.

conclusionOur study reveals cirrhosis-associated changes in hepatocellular serum proteins and underlying transcription factors. Serum apolipoprotein AI may constitute a useful prognostic adjunct in patients with decompensated cirrhosis.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsApolipoprotein A-IBiomarkersBlood ProteinsFibrosisHumansLiver CirrhosisPrognosisProteomicsApolipoprotein A-IBiomarkersBlood ProteinsDecompensated cirrhosisFibrosisHepatocyte nuclear factorInterleukinMass spectrometry

Identifiers

PMID36652164
PMCPMC10224844
OpenAlexW4317212804

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LicenceCC BY
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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.