Evidence mapPaperPMID 33464677Full record

SynthesisDiabetes, obesity & metabolism2021

Nonalcoholic fatty liver disease as a metabolic disease in humans: A literature review.

Bertrand Cariou, Christopher D Byrne, Rohit Loomba, Arun J Sanyal

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Diabetes, obesity & metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 7 pooled it
20.9field-weighted citation impact, top 1% 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

88 citing papers in PubMed, 7 syntheses or guidelines pooled it, 164 citations in OpenAlex.

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  4. Serum Ferritin and Non-alcoholic Fatty Liver Disease: A Meta-analysis and Systematic Review.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
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28 more citing papers are in PubMed but not listed here.

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

4 authors at 4 institutions in 3 countries.

Bertrand CariouL'institut du Thorax, Department of Endocrinology, UNIV Nantes, Inserm, CNRS, CHU Nantes, Nantes, France.ORCID 0000-0002-1580-8040
Christopher D ByrneEndocrinology and Metabolism, Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
Rohit LoombaNAFLD Research Center, Division of Gastroenterology, University of California San Diego, San Diego, California, USA.
Arun J SanyalDepartment of Internal Medicine, Division of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University, Richmond, Virginia, USA.
Centre National de la Recherche Scientifique · FRUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of California San Diego · USVirginia Commonwealth University · US

Funding

Yeast Genetics and Stress Response Genes-BiomedicalP42ES010337 · UNIVERSITY OF CALIFORNIA SAN DIEGO · 2000 to 2005
$19.5M
Nonalcoholic Steatohepatitis Clinical Research Network (NASH CRN)U01DK061731 · VIRGINIA COMMONWEALTH UNIVERSITY · 2002 to 2025
$2.0M
Ancillary Studies of NAFLD and NASH in HIV infected AdultsR01DK121378 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI NAGA P CHALASANI, ROHIT LOOMBA · 2023 to 2023
$1.5M
San Diego Digestive Diseases Research CenterP30DK120515 · UNIVERSITY OF CALIFORNIA, SAN DIEGO · 2025 to 2025
$1.2M
Integrated Therapies for Alcohol use in Alcohol-associated Liver Disease (ITAALD) - Virginia Commonwealth UniversityU01AA026979 · VIRGINIA COMMONWEALTH UNIVERSITY · 2025 to 2025
$342k
NCATS NIH HHS KL2 TR002648NCATS NIH HHS UL1 TR001442NCATS NIH HHS UL1 TR002649NCI NIH HHS R21 CA183954NIAAA NIH HHS U01 AA026966NIAAA NIH HHS U01 AA026979NIAAA NIH HHS UH2 AA026971NIDDK NIH HHS P30 DK120515NIDDK NIH HHS R01 DK106419NIDDK NIH HHS R01 DK121378NIDDK NIH HHS R01 DK124318NIDDK NIH HHS U01 DK061731NIEHS NIH HHS P42 ES010337
6 · The paper itself

Abstract

aimsTo conduct a systematic literature review to identify recent epidemiological, biomarker, genetic and clinical evidence that expands our understanding of nonalcoholic fatty liver disease (NAFLD) as a metabolic disorder. MATERIALS AND

methodsWe performed a literature search using PubMed to identify trials, observational studies and meta-analyses published in the past 5 years.

resultsA total of 95 publications met prespecified inclusion criteria and reported on the interplay between NAFLD/nonalcoholic steatohepatitis (NASH) and metabolic dysfunction, in terms of disease burden and/or epidemiology (n = 10), pathophysiology, risk factors and associated conditions (n = 29), diagnosis and biomarkers (n = 34), and treatment approaches (n = 22). There is a growing body of evidence on the links between NAFLD/NASH pathogenesis and mechanisms of metabolic dysfunction, through liver lipid accumulation, insulin resistance, inflammation, apoptosis, and fibrogenic remodelling within the liver. The frequent co-occurrence of NAFLD with obesity, metabolic syndrome and type 2 diabetes supports this premise. Therapeutic approaches originally envisaged for type 2 diabetes or obesity (such as glucagon-like peptide-1 receptor agonists, sodium-glucose co-transporter-2 inhibitors, insulin sensitizers and bariatric surgery) have shown promising signs of benefit for patients with NAFLD/NASH.

conclusionsGiven the complex interplay between NAFLD and metabolic dysfunction, there is an urgent need for multidisciplinary collaboration and established protocols for care of patients with NAFLD that are individualized and ideally support reduction of overall metabolic risk as well as treatment for NASH.

Indexed as

Diabetes Mellitus, Type 2Insulin ResistanceNon-alcoholic Fatty Liver DiseaseSodium-Glucose Transporter 2 InhibitorsHumansLiverSodium-Glucose Transporter 2 Inhibitorsfatty liver diseaseGLP-1insulin resistancepharmaco-epidemiologytype 2 diabetes

Identifiers

PMID33464677
PMCPMC8248154
OpenAlexW3123206126

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.