Evidence map›Paper›PMID 38379586›Full record

ArticleJHEP reports : innovation in hepatology2024

Intrapancreatic fat deposition is unrelated to liver steatosis in metabolic dysfunction-associated steatotic liver disease.

Anne Linde Mak, Nienke Wassenaar, Anne-Marieke van Dijk, Marian Troelstra, Veera Houttu, Koen van Son, Stan Driessen, Diona Zwirs, Sandra van den Berg-Faay, Elizabeth Shumbayawonda and 9 more

Open access · goldAbstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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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 5 institutions in 1 country.

Anne Linde MakDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Nienke WassenaarDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Anne-Marieke van DijkDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Marian TroelstraDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Veera HouttuDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Koen van SonDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Stan DriessenDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Diona ZwirsDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Sandra van den Berg-FaayDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Elizabeth ShumbayawondaPerspectum Ltd., Oxford, United Kingdom.
Jurgen RungeDepartment of Radiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Michail DoukasDepartment of Pathology, Erasmus Medical Center, Rotterdam, The Netherlands.
Joanne VerheijAmsterdam Gastroenterology Endocrinology Metabolism (AGEM) Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Ulrich BeuersDepartment of Gastroenterology and Hepatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Max NieuwdorpDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Djuna L CahenDepartment of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Aart NederveenDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Oliver Gurney-ChampionDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Adriaan HolleboomDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NLDutch Cancer Society · NLErasmus MC · NLRadboud University Nijmegen · NLThe Netherlands Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & Aims: Individuals with obesity may develop intrapancreatic fat deposition (IPFD) and fatty pancreas disease (FPD). Whether this causes inflammation and fibrosis and leads to pancreatic dysfunction is less established than for liver damage in metabolic dysfunction-associated steatotic liver disease (MASLD). Moreover, the interrelations of FPD and MASLD are poorly understood. Therefore, we aimed to assess IPFD and fibro-inflammation in relation to pancreatic function and liver disease severity in individuals with MASLD. Methods: Seventy-six participants from the Amsterdam MASLD-MASH cohort (ANCHOR) study underwent liver biopsy and multiparametric MRI of the liver and pancreas, consisting of proton-density fat fraction sequences, T1 mapping and intravoxel incoherent motion diffusion-weighted imaging (IVIM-DWI). Results: The prevalence of FPD was 37.3%. There was a clear correlation between pancreatic T1 relaxation time, which indicates fibro-inflammation, and parameters of glycemic dysregulation, namely HbA1c ( Conclusions: Consistent relations exist between pancreatic fibro-inflammation on MRI and endocrine function in individuals with MASLD. However, despite shared dysmetabolic drivers, our study suggests IPFD is a separate pathophysiological process from MASLD. Impact and implications: Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most common chronic liver disease worldwide and 68% of people with type 2 diabetes have MASLD. However, fat infiltration and inflammation in the pancreas are understudied in individuals with MASLD. In this cross-sectional MRI study, we found no relationship between fat accumulation in the pancreas and liver in a cohort of patients with MASLD. However, our results show that inflammatory and fibrotic processes in the pancreas may be interrelated to features of type 2 diabetes and to the severity of liver disease in patients with MASLD. Overall, the results suggest that pancreatic endocrine dysfunction in individuals with MASLD may be more related to glucotoxicity than to lipotoxicity. Clinical trial number: NTR7191 (Dutch Trial Register).

Indexed as

fatty pancreas diseaseMASHMASLDmultiparametric MRIpancreatic steatosis

Identifiers

PMID38379586
PMCPMC10877191
OpenAlexW4390483107

What OpenQuestion holds

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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.