Evidence map›Paper›PMID 40806277›Full record

Observational studyInternational journal of molecular sciences2025

Elevated Plasma BDNF in Early Primary Biliary Cholangitis: Associations with Liver Fibrosis, IL-6, IL-18, Fatigue, and Cognitive Impairment.

Magdalena Rogalska, Sławomir Ławicki, Agnieszka Błachnio-Zabielska, Piotr Zabielski, Kamila Roszczyc-Owsiejczuk, Jacek Janica, Dagmara Bogdanowska-Charkiewicz, Aleksandra Andrzejuk, Andrzej Dąbrowski, Robert Flisiak and 1 more

Abstract readObservational Study
In one paragraph

Observational study in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Current Treatment of Primary Biliary Cholangitis and Primary Sclerosing Cholangitis: A Comprehensive Review.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    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

11 authors.

Magdalena RogalskaDepartment of Infectious Diseases and Hepatology, Medical University of Białystok, 15-089 Białystok, Poland.
Sławomir ŁawickiDepartment of Population Medicine and Lifestyle Diseases Prevention, Medical University of Białystok, 15-089 Białystok, Poland.ORCID 0000-0001-6747-2123
Agnieszka Błachnio-ZabielskaHygiene, Epidemiology and Metabolic Disorders Department, Medical University of Białystok, 15-089 Białystok, Poland.
Piotr ZabielskiDepartment of Medical Biology, Medical University of Białystok, 15-089 Białystok, Poland.ORCID 0000-0002-4901-5217
Kamila Roszczyc-OwsiejczukHygiene, Epidemiology and Metabolic Disorders Department, Medical University of Białystok, 15-089 Białystok, Poland.
Jacek JanicaDepartment of Paediatric Radiology, Medical University of Białystok, 15-089 Białystok, Poland.ORCID 0000-0001-8448-3158
Dagmara Bogdanowska-CharkiewiczDepartment of Gastroenterology and Internal Medicine, Medical University of Białystok, 15-089 Białystok, Poland.ORCID 0000-0001-9034-9238
Aleksandra AndrzejukFaculty of Medicine, Medical University of Białystok, 15-089 Białystok, Poland.
Andrzej DąbrowskiDepartment of Gastroenterology and Internal Medicine, Medical University of Białystok, 15-089 Białystok, Poland.
Robert FlisiakDepartment of Infectious Diseases and Hepatology, Medical University of Białystok, 15-089 Białystok, Poland.ORCID 0000-0003-3394-1635
Paweł RogalskiDepartment of Gastroenterology and Internal Medicine, Medical University of Białystok, 15-089 Białystok, Poland.ORCID 0000-0002-1884-2500

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsPrimary biliary cholangitis (PBC) is a chronic autoimmune liver disease frequently associated with fatigue and mild cognitive impairment. Brain-derived neurotrophic factor (BDNF) plays key roles in neuroplasticity, immune regulation, and metabolism. This study aimed to evaluate plasma BDNF levels in early-stage PBC and examine their clinical and biochemical associations.

methodsIn this observational study, plasma BDNF, IL-6, and IL-18 concentrations were measured by ELISA in 45 patients with early-stage PBC and 31 age- and sex-matched healthy controls (mean age 60.5 years; 96% women). All participants underwent liver elastography using point shear wave elastography (ElastPQ), Doppler ultrasound, laboratory testing, and assessment of cognitive function (PHES) and fatigue severity (MFIS). Non-invasive fibrosis scores (APRI, FIB-4) were calculated.

resultsMedian plasma BDNF concentrations were significantly higher in PBC patients than in controls [median: 21.04 ng/mL (IQR: 10.68-38.07) vs. 5.80 ng/mL (IQR: 4.58-7.54);

conclusionsPlasma BDNF concentrations are elevated in early-stage PBC and inversely correlate with liver fibrosis severity. No significant associations were found with hepatocellular injury, cognitive function, or fatigue. These findings suggest that BDNF may play a protective role against hepatic fibrogenesis, or alternatively, that BDNF concentrations may decline with advancing liver disease. Further studies are needed to clarify its significance in PBC.

Indexed as

Brain-Derived Neurotrophic FactorCognitive DysfunctionFatigueInterleukin-18Interleukin-6Liver CirrhosisLiver Cirrhosis, BiliaryAgedBiomarkersCase-Control StudiesElasticity Imaging TechniquesFemaleHumansMaleMiddle AgedBDNF protein, humanBiomarkersBrain-Derived Neurotrophic FactorIL18 protein, humanIL6 protein, humanInterleukin-18Interleukin-6brain-derived neurotrophic factor (BDNF)cognition disorderselastographyfatiguefibrosishepatic encephalopathyinflammationInterleukin-18Interleukin-6liverliver cirrhosisliver function testsprimary biliary cholangitisultrasonography

Identifiers

PMID40806277
PMCPMC12346204

What Socratic holds

Textmetadata
LicenceCC BY
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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.