Evidence map›Paper›PMID 39592772›Full record

ArticlePediatric research2025

Intestinal failure-associated liver disease model: a reduced phytosterol intravenous lipid emulsion prevents liver injury.

Scott C Fligor, Thomas I Hirsch, Savas T Tsikis, Amy Pan, Mikayla Quigley, Kathleen M Gura, Mark Puder

Abstract read
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In one paragraph

Article in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Updates in Intestinal Failure Management.Journal of clinical medicine · 2025
    Review
  4. 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

7 authors.

Scott C FligorVascular Biology Program and the Department of Surgery, Boston Children's Hospital, Boston, MA, USA.
Thomas I HirschVascular Biology Program and the Department of Surgery, Boston Children's Hospital, Boston, MA, USA.
Savas T TsikisVascular Biology Program and the Department of Surgery, Boston Children's Hospital, Boston, MA, USA.
Amy PanVascular Biology Program and the Department of Surgery, Boston Children's Hospital, Boston, MA, USA.
Mikayla QuigleyVascular Biology Program and the Department of Surgery, Boston Children's Hospital, Boston, MA, USA.
Kathleen M GuraHarvard Medical School, Boston, MA, USA.
Mark PuderVascular Biology Program and the Department of Surgery, Boston Children's Hospital, Boston, MA, USA. Mark.Puder@childrens.harvard.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term parenteral nutrition in children often results in intestinal failure-associated liver disease (IFALD). Phytosterols are plant steroids in vegetable oil-based intravenous lipid emulsions (ILEs) that are associated with IFALD. We investigated whether a phytosterol-depleted soybean oil ILE, compared to standard soybean oil ILE, prevented hepatotoxicity in a murine IFALD model.

methodsEight-week-old male C57BL/6 J mice were provided a fat-free high carbohydrate liquid diet for 19 days. Mice were intravenously administered ILEs as the sole fat source: Intralipid® (commercially available soybean oil ILE), Omegaven® (commercially available fish oil ILE), a low phytosterol soybean oil ILE (L-SOLE) or a high phytosterol soybean oil ILE (H-SOLE) with matched alpha tocopherol content. On days 6, 12, and 18 mice were administered escalating intraperitoneal doses of lipopolysaccharide.

resultsCompared to chow controls, mice that received Intralipid® demonstrated elevated plasma biomarkers of liver injury and histologic liver disease (hepatosteatosis, histologic inflammation, F4/80 staining). L-SOLE prevented both biochemical and histologic liver injury. Administration of H-SOLE also prevented biochemical liver injury, but not steatosis.

conclusionThe combination of phytosterol removal and alpha tocopherol supplementation may reduce the toxicity associated with parenteral use of soybean oil-based ILE. Low phytosterol soybean oil may be a valuable component in safer next generation ILEs. IMPACT: Half of children receiving long-term parenteral nutrition develop intestinal failure-associated liver disease (IFALD). Standard intravenous lipid emulsions (ILEs) in parenteral nutrition are vegetable oil based and high in phytosterols (plant steroids); no low phytosterol vegetable oil-based ILE is available. Phytosterols in ILEs are associated with IFALD. In this study, a new phytosterol-depleted soybean oil was utilized in a laboratory-generated ILE. Use of the phytosterol-depleted soybean oil ILE prevented liver injury in a murine model of IFALD. Phytosterol-depleted soybean oil may be utilized as a component of less toxic next-generation ILEs.

Indexed as

Fat Emulsions, IntravenousIntestinal FailureLiver DiseasesPhytosterolsAnimalsBiomarkersDisease Models, AnimalEmulsionsFish OilsLipopolysaccharidesLiverMaleMiceMice, Inbred C57BLParenteral NutritionPhospholipidsBiomarkersEmulsionsFat Emulsions, IntravenousFish OilsLipopolysaccharidesPhospholipidsPhytosterolsSoybean Oilsoybean oil, phospholipid emulsion

Identifiers

What Socratic holds

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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.