Evidence map›Paper›PMID 39640267›Full record

ArticleFrontiers in immunology2024

Disrupted balance between pro-inflammatory lipid mediators and anti-inflammatory specialized pro-resolving mediators is linked to hyperinflammation in patients with alcoholic hepatitis.

Wei Li, Ying Xia, Jing Yang, Arun J Sanyal, Vijay H Shah, Naga P Chalasani, Qigui Yu

Abstract read
In one paragraph

Article in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Wei LiDepartment of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, IN, United States.
Ying XiaDepartment of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, IN, United States.
Jing YangDepartment of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, IN, United States.
Arun J SanyalDivision of Gastroenterology and Hepatology, Department of Medicine, Virginia Commonwealth University, Richmond, VA, United States.
Vijay H ShahDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States.
Naga P ChalasaniDivision of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States.
Qigui YuDepartment of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, IN, United States.

Funding

Translational Research and Evolving Alcoholic hepatitis Treatment (TREAT-IU)U01AA021840 · NIAAA · INDIANA UNIVERSITY INDIANAPOLIS · PI NAGA P CHALASANI, Olawale Ojo · 2012 to 2026
$8.1M
TREAT-MayoU01AA021788 · NIAAA · MAYO CLINIC ROCHESTER · PI MALHI, HARMEET, SHAH, VIJAY H. · 2012 to 2022
$4.7M
TREAT-VCUU01AA021891 · NIAAA · VIRGINIA COMMONWEALTH UNIVERSITY · PI SANYAL, ARUN J · 2012 to 2017
$2.5M
Alcohol's impact on immunological and virological profiles in HIV patientsUH2AA026218 · NIAAA · INDIANA UNIVERSITY INDIANAPOLIS · PI YU, QIGUI A. · 2017 to 2018
$318k
Translational Research and Evolving Alcoholic hepatitis Treatment (TREAT-ADMIN)U01AA021883 · NIAAA · INDIANA UNIVERSITY INDIANAPOLIS · PI CRABB, DAVID W · 2012 to 2017
$229k
NIAAA NIH HHS U01 AA021788NIAAA NIH HHS U01 AA021840NIAAA NIH HHS U01 AA021883NIAAA NIH HHS U01 AA021891NIAAA NIH HHS UH2 AA026218
6 · The paper itself

Abstract

Background: Alcoholic hepatitis (AH) is characterized by intense systemic and liver inflammation, posing significant risks of health complications and mortality. While inflammation is a crucial defense mechanism against injury and infection, its timely resolution is essential to prevent tissue damage and restore tissue homeostasis. The resolution of inflammation is primarily governed by specialized pro-resolving mediators (SPMs), lipid metabolites derived from w-6 and w-3 poly-unsaturated fatty acids (PUFAs). Currently, the balance between pro-inflammatory lipid mediators (PLMs) and SPMs in the w-6 and w-3 PUFA metabolic pathways and the impact of alcohol abstinence on profiles of PLMs and SPMs in AH patients are not well studied. Methods: In this study, we used LC-MS/MS and ELISA to quantify levels of lipid mediators (LMs) and their precursors in the plasma samples from 58 AH patients, 29 heavy drinkers without overt liver diseases (HDCs), and 35 healthy controls (HCs). Subsequently, we assessed correlations of altered LMs with clinical parameters and inflammatory mediators. Furthermore, we conducted a longitudinal study to analyze the effects of alcohol abstinence on LMs over 6- and 12-month follow-ups. Results: AH patients exhibited significantly higher plasma levels of w-6 PLMs (PGD2 and LTB4) and SPM RvE1 compared to HDCs or HCs. Conversely, the SPM LXA4 was significantly downregulated in AH patients. Some of these altered LMs were found to correlate with AH disease severity and various inflammatory cytokines. Particularly, the LTB4/LXA4 ratio was substantially elevated in AH patients relative to HDCs and HCs. This altered ratio displayed a positive correlation with the MELD score. Importantly, the majority of dysregulated LMs, particularly PLMs, were normalized following alcohol abstinence.

Indexed as

Hepatitis, AlcoholicInflammation MediatorsAdultAlcohol AbstinenceBiomarkersFemaleHumansInflammationLipid MetabolismMaleMiddle AgedTandem Mass SpectrometryBiomarkersInflammation Mediatorsalcohol abstinencealcoholic hepatitislipid mediatorlongitudinal studyspecialized pro-resolving mediator

Identifiers

PMID39640267
PMCPMC11617321

What Socratic holds

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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.