Evidence map›Paper›PMID 40599490›Full record

ArticleOpen forum infectious diseases2025

Oxidative Stress Induced Liver Damage in Dengue Is Exacerbated in Those With Obesity.

Heshan Kuruppu, Maneshka Karunananda, Chandima Jeewandara, Laksiri Gomes, D M C B Dissanayake, Chathura Ranatunga, Padukkage Harshani Chathurangika, Nushara Senatilleke, Navanjana Warnakulasuriya, Rivindu H Wickramanayake and 4 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Heshan KuruppuAllergy, Immunology and Cell Biology Unit, Department of Immunology and Molecular Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Maneshka KarunanandaAllergy, Immunology and Cell Biology Unit, Department of Immunology and Molecular Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Chandima JeewandaraAllergy, Immunology and Cell Biology Unit, Department of Immunology and Molecular Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Laksiri GomesAllergy, Immunology and Cell Biology Unit, Department of Immunology and Molecular Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
D M C B DissanayakeAllergy, Immunology and Cell Biology Unit, Department of Immunology and Molecular Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Chathura RanatungaAllergy, Immunology and Cell Biology Unit, Department of Immunology and Molecular Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Padukkage Harshani ChathurangikaAllergy, Immunology and Cell Biology Unit, Department of Immunology and Molecular Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Nushara SenatillekeAllergy, Immunology and Cell Biology Unit, Department of Immunology and Molecular Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Navanjana WarnakulasuriyaAllergy, Immunology and Cell Biology Unit, Department of Immunology and Molecular Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Rivindu H WickramanayakeAllergy, Immunology and Cell Biology Unit, Department of Immunology and Molecular Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Ananda WijewickramaNational Institute of Infectious Diseases, Angoda, Sri Lanka.
Damayanthi IdampitiyaNational Institute of Infectious Diseases, Angoda, Sri Lanka.
Graham S OggMRC Translational Immune Discovery Unit, MRC Weatherall Institute of Molecular Medicine, University of Oxford, United Kingdom, University of Oxford, Oxford, UK.
Gathsaurie Neelika MalavigeAllergy, Immunology and Cell Biology Unit, Department of Immunology and Molecular Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.ORCID https://orcid.org/0000-0001-9201-0449

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: As there are limited data on the association of obesity with liver dysfunction and oxidative stress in patients with acute Dengue, we investigated liver dysfunction associated with obesity, oxidative stress, and inflammatory markers in a large cohort of patients with varying severity of illness. Methods: Five hundred seventy-seven adults with a duration of illness ≤4 days at time of admission were followed up from admission to discharge. Aspartate transaminase (AST), alanine transaminase (ALT), C-reactive protein, ferritin, 4-hydroxynonenal (4-HNE), and malondialdehyde (MDA) levels were measured, along with the height, weight, and waist circumference. Results: AST, ALT, CRP, and ferritin levels were significantly higher in patients with central obesity (waist circumference of ≥80 cm in women or ≥90 cm in men) compared with leaner individuals. ALT and CRP levels were also significantly higher in patients with a body mass index (BMI) of ≥23.9 kg/m Conclusions: 4-HNE and MDA appear to play different roles in the pathogenesis of Dengue, which should be further investigated for identification of therapeutic targets for treatment of Dengue.

Indexed as

acute liver failurebiomarkersDenguemortalityoxidative stress

Identifiers

PMID40599490
PMCPMC12207970

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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.