Evidence map›Paper›PMID 40540404›Full record

Observational studyLiver international : official journal of the International Association for the Study of the Liver2025

Hepatitis B Virus Variants and Cytokine Patterns in Acute Liver Failure and Transplant-Free Survival.

Nishi H Patel, Annie Y Chen, Carla Osiowy, Valerie Durkalski Mauldin, William M Lee, Carla S Coffin, Constantine J Karvellas, US Acute Liver Failure Study Group

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Liver international : official journal of the International Association for the Study of the Liver, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00518440 (A Multi-Center Trial to Study Acute Liver Failure in Adults), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT00518440 completednot on this map

A Multi-Center Trial to Study Acute Liver Failure in Adults

TypeobservationalSponsorWilliam LeeRan1998 to 2019Enrolled3,488ConditionsAcute Liver Failure, Fulminant Hepatic Failure, Acute Liver Injury
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Hepatitis B Virus Variants and Cytokine Patterns in Acute Liver Failure and Transplant-Free Survival.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Observational
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

8 authors.

Nishi H PatelDepartment of Medicine, Cross-Appointment to Microbiology and Infectious Diseases, Snyder Institute, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Annie Y ChenDepartment of Medicine, Cross-Appointment to Microbiology and Infectious Diseases, Snyder Institute, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Carla OsiowyNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada.
Valerie Durkalski MauldinDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, USA.
William M LeeDivision of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, Dallas, USA.ORCID 0000-0002-2783-5441
Carla S CoffinDepartment of Medicine, Cross-Appointment to Microbiology and Infectious Diseases, Snyder Institute, Cumming School of Medicine, University of Calgary, Calgary, Canada.ORCID 0000-0002-1472-0901
Constantine J KarvellasDepartment of Critical Care Medicine and Division of Gastroenterology (Liver Unit), School of Health Sciences, University of Alberta, Edmonton, Canada.ORCID 0000-0002-1555-1089
US Acute Liver Failure Study Group

Funding

NIDDK NIH HHS
6 · The paper itself

Abstract

BACKGROUND &

aimsOnly 25% of hepatitis B-related acute liver failure (HBV-ALF) patients survive without liver transplantation (transplant-free survival, TFS). There is limited study of immunological and virological profiles in these patients. We analysed the association between hepatitis B viremia and cytokine patterns on TFS of HBV-ALF patients.

methodsWe identified 48 acute and 20 history of HBV infection ALF patients from the US ALF Study Group registry (> 3400 patients). The inclusion criteria were age > 18 years, diagnosis of HBV-ALF with hepatic encephalopathy and INR ≥ 1.5. Data were collected from ICU admission through day 21. Serum collected at admission and at days 3-5 were used for cytokine quantification by Luminex and novel HBV biomarkers, genotypes and variants.

resultsIn 48 acute (50% F, median age 40 years) and 20 history/reactivation (40% F, median age 53 years) HBV-ALF patients, there were 26 (54%) and 5 (25%) TFS, respectively. Detectable HBV DNA by clinical PCR assay (median 3.39 log

conclusionsAcute HBV-ALF patients with TFS were often viremic with immune escape variants, increased angiogenic factors and decreased pro-inflammatory cytokines.

trial registrationClinicalTrials.gov identifier: NCT00518440.

Indexed as

CytokinesHepatitis BHepatitis B virusLiver Failure, AcuteAdultBiomarkersDNA, ViralFemaleGenotypeHumansLiver TransplantationMaleMiddle AgedRegistriesUnited StatesViral LoadBiomarkersCytokinesDNA, Viralacute liver failurecytokineshepatitis Bhepatitis B virus quasispeciestransplant‐free survival

Identifiers

PMID40540404
PMCPMC12180610

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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.