Evidence map›Paper›PMID 34359857›Full record

ReviewCells2021

NNRTI and Liver Damage: Evidence of Their Association and the Mechanisms Involved.

Ana M Benedicto, Isabel Fuster-Martínez, Joan Tosca, Juan V Esplugues, Ana Blas-García, Nadezda Apostolova

Open access · goldAbstract readReview
In one paragraph

Review in Cells, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Ana M BenedictoDepartment of Pharmacology, Faculty of Medicine, University of Valencia, 46010 Valencia, Spain.
Isabel Fuster-MartínezDepartment of Pharmacology, Faculty of Medicine, University of Valencia, 46010 Valencia, Spain.
Joan ToscaDigestive Medicine Department, University Clinical Hospital of Valencia, 46010 Valencia, Spain.ORCID 0000-0003-1258-9513
Juan V EspluguesDepartment of Pharmacology, Faculty of Medicine, University of Valencia, 46010 Valencia, Spain.
Ana Blas-GarcíaFISABIO-University Hospital Dr Peset, 46017 Valencia, Spain.ORCID 0000-0001-7870-1470
Nadezda ApostolovaDepartment of Pharmacology, Faculty of Medicine, University of Valencia, 46010 Valencia, Spain.ORCID 0000-0002-4487-2471
Universitat de València · ESHospital Clínico Universitario de Valencia · ES

Funding

FISABIO UGP-19-033Generalitat Valenciana PROMETEO/2018/141Ministerio de Ciencia, Innovación y Universidades RTI2018-094436-B-I00Ministerio de Ciencia, Innovación y Universidades RTI2018-096748-B-I00Ministerio de Educación, Cultura y Deporte FPU18/02435Ministerio de Educación, Cultura y Deporte FPU19/05064Salud Carlos III, Ministerio de Economía y Competitividad CIBER CB06/04/0071Salud Carlos III, Ministerio de Economía y Competitividad EHD19PI03
6 · The paper itself

Abstract

Due to the improved effectiveness and safety of combined antiretroviral therapy, human immunodeficiency virus (HIV) infection has become a manageable, chronic condition rather than a mortal disease. However, HIV patients are at increased risk of experiencing non-AIDS-defining illnesses, with liver-related injury standing out as one of the leading causes of death among these patients. In addition to more HIV-specific processes, such as antiretroviral drug-related toxicity and direct injury to the liver by the virus itself, its pathogenesis is related to conditions that are also common in the general population, such as alcoholic and non-alcoholic fatty liver disease, viral hepatitis, and ageing. Non-nucleoside reverse transcriptase inhibitors (NNRTIs) are essential components of combined anti-HIV treatment due to their unique antiviral activity, high specificity, and acceptable toxicity. While first-generation NNRTIs (nevirapine and efavirenz) have been related largely to liver toxicity, those belonging to the second generation (etravirine, rilpivirine and doravirine) seem to be generally safe for the liver. Indeed, there is preclinical evidence of rilpivirine being hepatoprotective in different models of liver injury, independently of the presence of HIV. The present study aims to review the mechanisms by which currently available anti-HIV drugs belonging to the NNRTI family may participate in the development of liver disease.

Indexed as

AnimalsChemical and Drug Induced Liver InjuryChronic DiseaseDrug Therapy, CombinationHumansLiverReverse Transcriptase InhibitorsReverse Transcriptase Inhibitorsantiretroviral drugscARTDILIhepatotoxicityHIVliver

Identifiers

PMID34359857
PMCPMC8303744
OpenAlexW3178764307

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.