Evidence map›Paper›PMID 36317513›Full record

ArticleGut and liver2023

Serum Anti-Fumarate Hydratase Autoantibody as a Biomarker for Predicting Prognosis of Acute-on-Chronic Liver Failure.

Linlin Wei, Ting Wang, Sisi Chen, Yeying Liu, Xueying Huang, Sujun Zheng, Bin Xu, Feng Ren, Mei Liu

Open access · diamondAbstract read
In one paragraph

Article in Gut and liver, 2023. 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
0.1field-weighted citation impact, top 51% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

9 authors at 1 institution in 1 country.

Linlin WeiThe Second Department of Liver Disease Center, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-2958-5925
Ting WangDepartments of Respiration and Infection, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-3965-3709
Sisi ChenDepartments of Oncology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0003-0163-194X
Yeying LiuDepartments of Oncology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-2957-8821
Xueying HuangDepartments of Oncology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0001-8427-6394
Sujun ZhengThe First Department of Liver Disease Center, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-6367-5764
Bin XuThe Second Department of Liver Disease Center, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-2123-7790
Feng RenBeijing Institute of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0001-7622-6274
Mei LiuDepartments of Oncology, Beijing Youan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0003-0851-3858
Capital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aims: To investigate the autoantibody against fumarate hydratase (FH), which is a specific liver failure-associated antigen (LFAA) and determine whether it can be used as a biomarker to evaluate the prognosis of acute-on-chronic liver failure (ACLF). Methods: An immunoproteomic approach was applied to screen specific LFAAs related to differential prognosis of ACLF (n=60). Enzyme-linked immunosorbent assay (ELISA) technology was employed for the validation of the frequency and titer of autoantibodies against FH in ACLF patients with different prognoses (n=82). Moreover, we clarified the expression of autoantibodies against FH in patients with chronic hepatitis B (n=60) and hepatitis B virus-related liver cirrhosis (n=60). The dynamic changes in the titers of autoantibodies against FH were analyzed by sample collection at multiple time points during the clinical course of eight ACLF patients with different prognoses. Results: Ultimately, 15 LFAAs were screened and identified by the immunoproteomic approach. Based on ELISA-based verification, anti-FH/Fumarate hydratase protein autoantibody was chosen to verify its expression in ACLF patients. ACLF patients had a much higher anti-FH autoantibody frequency (76.8%) than patients with liver cirrhosis (10%, p=0.000), patients with chronic hepatitis B (6.7%, p=0.022), and normal humans (0%, p=0.000). More importantly, the frequency and titer of anti-FH protein autoantibodies in the serum of ACLF patients with a good prognosis were much higher than that of patients with a poor prognosis (83.9% vs 61.5%, p=0.019; 1.41±0.85 vs 0.94±0.56, p=0.017, respectively). The titer of anti-FH autoantibodies showed dynamic changes in the clinical course of ACLF. Conclusions: The anti-FH autoantibody in serum may be a potential biomarker for predicting the prognosis of ACLF.

Indexed as

Acute-On-Chronic Liver FailureHepatitis B, ChronicBiomarkersDisease ProgressionFumarate HydrataseHepatitis B virusHumansLiver CirrhosisPrognosisBiomarkersFumarate HydrataseAcute-on-chronic liver failureFumarate hydrataseImmunoproteomicsLiver failure-associated antigensPrognosis

Identifiers

PMID36317513
PMCPMC10502492
OpenAlexW4307840778

What Socratic holds

Textmetadata
LicenceCC BY-NC
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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.