Evidence map›Paper›PMID 40978853›Full record

ArticleCureus2025

Association of Lower Alanine Transaminase (ALT) and Aspartate Aminotransferase (AST) Levels With Eyelid Edema in Graves' Orbitopathy: A Retrospective Cross-Sectional Study.

Yuying Xiang, Rui Li, Shuang Wang, Guang Zhao, Fagang Jiang, Junjie Yang

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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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

6 authors.

Yuying XiangDepartment of Ophthalmology, Wuhan Union Hospital, Wuhan, CHN.
Rui LiDepartment of Ophthalmology, Wuhan Union Hospital, Wuhan, CHN.
Shuang WangDepartment of Ophthalmology, Wuhan Union Hospital, Wuhan, CHN.
Guang ZhaoDepartment of Epidemiology and Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, CHN.
Fagang JiangDepartment of Ophthalmology, Wuhan Union Hospital, Wuhan, CHN.
Junjie YangDepartment of Ophthalmology, Wuhan Union Hospital, Wuhan, CHN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGraves' orbitopathy (GO) is a common autoimmune disorder affecting the eye muscles and orbital tissues, often leading to eyelid edema. The potential role of liver enzymes in this condition remains unclear.

methodsWe conducted a retrospective cross-sectional study on 303 GO patients from Wuhan Union Hospital between 2015 and 2025. Participants were grouped according to the presence of eyelid edema. Univariable and multivariable logistic regression models were applied to evaluate the associations between alanine transaminase (ALT), aspartate aminotransferase (AST), and eyelid edema, with adjustments for sex, age, and lymphocytes.

resultsOur analysis showed that lower ALT and AST levels were significantly associated with an increased likelihood of eyelid edema in the fully adjusted models (ALT per 10 U: OR = 0.813, 95% CI = 0.678-0.975; AST: OR = 0.681, 95% CI = 0.489-0.947). A linear dose-response relationship was observed: for each 10-unit decrease in ALT or AST, the observed prevalence of eyelid edema increased by 18.7%-31.9%.

conclusionThis study demonstrated an association between liver enzymes (AST and ALT) and eyelid edema in GO patients. The findings suggest a potential link between liver function and the pathogenesis of GO-related edema. Further prospective studies are required to clarify the causal relationship, explore the underlying mechanisms, and assess the clinical utility of liver enzymes as biomarkers for GO severity or progression.

Indexed as

altasteyelid edemagraves' orbitopathyinflammationliver enzymes

Identifiers

PMID40978853
PMCPMC12448780

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