Evidence map›Paper›PMID 37072179›Full record

ArticleGut2023

Serum lipidome unravels a diagnostic potential in bile acid diarrhoea.

Monika Lewinska, Martin Lund Kårhus, Anne-Marie Gade Ellegaard, Manuel Romero-Gómez, Rocio I R Macias, Jesper B Andersen, Filip Krag Knop

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Gut, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06548009 (Serum Metabolics-based Method for Diagnosing Bile Acid Diarrhoea), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT06548009 completednot on this mapstarted 2024, after this paper: background citation

Serum Metabolics-based Method for Diagnosing Bile Acid Diarrhoea

TypeobservationalSponsorUniversity Hospital, Gentofte, CopenhagenRan2024 to 2025Enrolled150ConditionsBile Acid Malabsorption, Bile Acid DiarrheaArmsMetabolomics and other blood samples
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. New Developments in Bile Acid Diarrhea.Gastroenterology & hepatology · 2023
    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

7 authors at 4 institutions in 2 countries.

Monika Lewinska *Health and Medical Sciences, University of Copenhagen Biotech Research and Innovation Centre, Copenhagen, Denmark.ORCID 0000-0002-5275-992X
Martin Lund Kårhus *Center for Clinical Metabolic Research, Copenhagen University Hospital - Herlev and Gentofte, Hellerup, Denmark.
Anne-Marie Gade EllegaardCenter for Clinical Metabolic Research, Copenhagen University Hospital - Herlev and Gentofte, Hellerup, Denmark.ORCID 0000-0002-4389-3908
Manuel Romero-GómezUnit for The Clinical Management of Digestive Diseases and CIBERehd, Hospital Universitario de Valme, Sevilla, Spain.ORCID 0000-0001-8494-8947
Rocio I R MaciasHEVEPHARM, Physiology and Pharmacology, IBSAL, CIBERehd, University of Salamanca, Salamanca, Spain.ORCID 0000-0002-4748-0326
Jesper B Andersen *Health and Medical Sciences, University of Copenhagen Biotech Research and Innovation Centre, Copenhagen, Denmark filip.krag.knop.01@regionh.dk jesper.andersen@bric.ku.dk.ORCID 0000-0003-1760-5244
Filip Krag Knop *Center for Clinical Metabolic Research, Copenhagen University Hospital - Herlev and Gentofte, Hellerup, Denmark filip.krag.knop.01@regionh.dk jesper.andersen@bric.ku.dk.ORCID 0000-0002-2495-5034
University of Copenhagen · DKGentofte Hospital · DKCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESUniversidad de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveBile acid diarrhoea (BAD) is debilitating yet treatable, but it remains underdiagnosed due to challenging diagnostics. We developed a blood test-based method to guide BAD diagnosis.

designWe included serum from 50 treatment-naive patients with BAD diagnosed by gold standard

resultsMetabolomes of patients with BAD significantly differed from controls and NAFLD. We detected 70 metabolites with a discriminatory performance in the discovery set with an area under receiver-operating curve metric above 0.80. Logistic regression modelling using concentrations of decanoylcarnitine, cholesterol ester (22:5), eicosatrienoic acid, L-alpha-lysophosphatidylinositol (18:0) and phosphatidylethanolamine (O-16:0/18:1) distinguished BAD from controls with a sensitivity of 0.78 (95% CI 0.64 to 0.89) and a specificity of 0.93 (95% CI 0.83 to 0.98). The model was independent of covariates (age, sex, body mass index) and distinguished BAD from NAFLD irrespective of fibrosis stage. BDS outperformed other blood test-based tests (7-alpha-hydroxy-4-cholesten-3-one and fibroblast growth factor 19) currently under development.

conclusionsBDS derived from serum metabolites in a single-blood sample showed robust identification of patients with BAD with superior specificity and sensitivity compared with current blood test-based diagnostics.

Indexed as

Non-alcoholic Fatty Liver DiseaseBile Acids and SaltsDiarrheaHumansLipidomicsBile Acids and SaltsBILE ACIDDIARRHOEA

Identifiers

PMID37072179
PMCPMC10423493
OpenAlexW4366335814

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.