Evidence mapPaperPMID 33153126Full record

SynthesisNutrients2020

Inositol and Non-Alcoholic Fatty Liver Disease: A Systematic Review on Deficiencies and Supplementation.

Arianna Pani, Riccardo Giossi, Danilo Menichelli, Veronica Andrea Fittipaldo, Francesca Agnelli, Elvira Inglese, Alessandra Romandini, Rossana Roncato, Basilio Pintaudi, Francesco Del Sole and 1 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

30 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Frontiers in endocrinology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Lipidomic signatures in Colombian adults with metabolic syndrome.Journal of diabetes and metabolic disorders · 2024
    Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review
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 3 institutions in 1 country.

Arianna PaniDepartment of Oncology and Hemato-oncology, Postgraduate School of Clinical Pharmacology, University of Milan, 20129 Milan, Italy.
Riccardo GiossiDepartment of Oncology and Hemato-oncology, Postgraduate School of Clinical Pharmacology, University of Milan, 20129 Milan, Italy.ORCID 0000-0002-7352-9445
Danilo MenichelliDepartment of Clinical, Internal, Anesthesiologic and Cardiovascular Sciences, Atherothrombosis Center, I Medical Clinic l, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0001-9467-5903
Veronica Andrea FittipaldoOncology Department, Mario Negri Institute for Pharmacological Research I.R.C.C.S., 20156 Milan, Italy.
Francesca AgnelliInternal Medicine Department, ASST Great Metropolitan Hospital Niguarda, 20162 Milan, Italy.
Elvira IngleseDepartment of Laboratory Medicine, ASST Great Metropolitan Hospital Niguarda, 20162 Milan, Italy.ORCID 0000-0002-8856-3558
Alessandra RomandiniDepartment of Oncology and Hemato-oncology, Postgraduate School of Clinical Pharmacology, University of Milan, 20129 Milan, Italy.
Rossana RoncatoDepartment of Oncology and Hemato-oncology, Postgraduate School of Clinical Pharmacology, University of Milan, 20129 Milan, Italy.ORCID 0000-0002-4219-6182
Basilio PintaudiSSD Diabetes Unit, ASST Great Metropolitan Hospital Niguarda, 20162 Milan, Italy.
Francesco Del SoleDepartment of Clinical, Internal, Anesthesiologic and Cardiovascular Sciences, Atherothrombosis Center, I Medical Clinic l, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0002-7781-6636
Francesco ScaglioneDepartment of Oncology and Hemato-oncology, Postgraduate School of Clinical Pharmacology, University of Milan, 20129 Milan, Italy.ORCID 0000-0002-8554-2401
University of Milan · ITSapienza University of Rome · ITMario Negri Institute for Pharmacological Research · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver lipid accumulation is a hallmark of non-alcoholic fatty liver disease (NAFLD), broadly associated with insulin resistance. Inositols (INS) are ubiquitous polyols implied in many physiological functions. They are produced endogenously, are present in many foods and in dietary supplements. Alterations in INS metabolism seems to play a role in diseases involving insulin resistance such as diabetes and polycystic ovary syndrome. Given its role in other metabolic syndromes, the hypothesis of an INS role as a supplement in NAFLD is intriguing. We performed a systematic review of the literature to find preclinical and clinical evidence of INS supplementation efficacy in NAFLD patients. We retrieved 10 studies on animal models assessing Myoinosiol or Pinitol deficiency or supplementation and one human randomized controlled trial (RCT). Overall, INS deficiency was associated with increased fatty liver in animals. Conversely, INS supplementation in animal models of fatty liver reduced hepatic triglycerides and cholesterol accumulation and maintained a normal ultrastructural liver histopathology. In the one included RCT, Pinitol supplementation obtained similar results. Pinitol significantly reduced liver fat, post-prandial triglycerides, AST levels, lipid peroxidation increasing glutathione peroxidase activity. These results, despite being limited, indicate the need for further evaluation of INS in NAFLD in larger clinical trials.

Indexed as

Dietary SupplementsAnimalsCholesterolFemaleGlutathione PeroxidaseHumansInositolInsulin ResistanceLipid PeroxidationLiverMaleNon-alcoholic Fatty Liver DiseasePostprandial PeriodRandomized Controlled Trials as TopicTreatment OutcomeTriglyceridesCholesterolGlutathione PeroxidaseInositolpinitolTriglycerideschiro-inositolinositolmyoinositolNAFLDnon-alcoholic fatty liver diseasesystematic review

Identifiers

PMID33153126
PMCPMC7694137
OpenAlexW3096028567

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.