Evidence map›Paper›PMID 37165352›Full record

ArticleBMC gastroenterology2023

Soluble CD163 is a predictor of fibrosis and hepatocellular carcinoma development in nonalcoholic steatohepatitis.

Miwa Kawanaka, Ken Nishino, Mayuko Kawada, Katsunori Ishii, Tomohiro Tanikawa, Ryo Katsumata, Noriyo Urata, Jun Nakamura, Mitsuhiko Suehiro, Ken Haruma and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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  5. The Cardiohepatic Axis in Heart Failure.JACC. Basic to translational science · 2025
    Review
  6. RNA-seq analysis reveals transcriptome changes in livers fromBiochemistry and biophysics reports · 2025
    Article
  7. Review
  8. Article
  9. 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

11 authors at 1 institution in 1 country.

Miwa KawanakaDepartment of General Internal Medicine, General Medical Center, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama City, 700-8505, Okayama, Japan. m.kawanaka@med.kawasaki-m.ac.jp.
Ken NishinoDepartment of General Internal Medicine, General Medical Center, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama City, 700-8505, Okayama, Japan.
Mayuko KawadaDepartment of General Internal Medicine, General Medical Center, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama City, 700-8505, Okayama, Japan.
Katsunori IshiiDepartment of General Internal Medicine, General Medical Center, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama City, 700-8505, Okayama, Japan.
Tomohiro TanikawaDepartment of General Internal Medicine, General Medical Center, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama City, 700-8505, Okayama, Japan.
Ryo KatsumataDepartment of General Internal Medicine, General Medical Center, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama City, 700-8505, Okayama, Japan.
Noriyo UrataDepartment of General Internal Medicine, General Medical Center, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama City, 700-8505, Okayama, Japan.
Jun NakamuraDepartment of General Internal Medicine, General Medical Center, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama City, 700-8505, Okayama, Japan.
Mitsuhiko SuehiroDepartment of General Internal Medicine, General Medical Center, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama City, 700-8505, Okayama, Japan.
Ken HarumaDepartment of General Internal Medicine, General Medical Center, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama City, 700-8505, Okayama, Japan.
Hirofumi KawamotoDepartment of General Internal Medicine, General Medical Center, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama City, 700-8505, Okayama, Japan.
Kawasaki Medical School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease. The serum level of soluble CD163 (sCD163), a macrophage activation marker, is associated with liver tissue changes; however, its prognostic value is unknown. Here, we determined the utility of sCD163 as a marker for hepatocellular carcinoma (HCC) and prognostic marker for NAFLD.

methodsThis retrospective study obtained data regarding serum sCD163 levels, liver histology, and background factors associated with NAFLD in 287 patients (men/women, 140/147; average age, 53 ± 14 years) with NAFLD who underwent liver biopsy. Repeated liver biopsies of 287 patients with NAFLD (5.0 ± 2.7 years) were compared regarding serum sCD163 levels and liver tissue changes (stage, grade, steatosis, and NAFLD activity score).

resultsSerum sCD163 levels increased with the progression of liver fibrosis and inflammation (both P < 0.05) and were particularly helpful in distinguishing cases of Grade 4 fibrosis (P < 0.001). Levels of sCD163 significantly decreased in patients with NAFLD exhibiting alleviated fibrosis and inflammation (P < 0.05). We could also predict the development of HCC and associated mortality based on serum sCD163 levels at the time of NAFLD diagnosis. Serum sCD163 levels were higher in patients with HCC than in patients without HCC (1074 ± 379 ng/ml vs. 669 ± 261 ng/ml; P < 0.0001), and the same trend was observed for mortality.

conclusionsThe serum sCD163 level reflects the progression of fibrosis and inflammation in liver tissues, showing much promise as a noninvasive biomarker for nonalcoholic steatohepatitis and NAFLD as well as a possible predictor of HCC development and patient prognosis.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsNon-alcoholic Fatty Liver DiseaseAdultAgedCD163 AntigenFemaleHumansInflammationLiverLiver CirrhosisMaleMiddle AgedRetrospective StudiesCD163 AntigenCirrhosisHepatocellular carcinomaNonalcoholic fatty liver diseasePrognosisSoluble CD163

Identifiers

PMID37165352
PMCPMC10173513
OpenAlexW4376113989

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.