Evidence map›Paper›PMID 42233960›Full record

SynthesisCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2026

Helicobacter pylori Infection and Metabolic Dysfunction-Associated Steatotic Liver Disease: A Prospective Study and Meta-Analysis.

Longgang Zhao, Yun Chen, Xinyuan Zhang, Catherine Mezzacappa, Xiaomei Ma, Bubu Banini, Jung Eun Lee, Chen Liu, Xuchen Zhang, Ann W Hsing and 7 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Longgang ZhaoYale University School of Nursing, Orange, Connecticut.ORCID 0000-0001-9254-1952
Yun ChenYale University School of Nursing, Orange, Connecticut.ORCID 0000-0002-2516-0946
Xinyuan ZhangChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-2974-8392
Catherine MezzacappaDepartment of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0001-7181-6902
Xiaomei MaDepartment of Epidemiology, Yale School of Public Health, New Haven, Connecticut.ORCID 0000-0001-9472-8032
Bubu BaniniDepartment of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0002-2972-9263
Jung Eun LeeDepartment of Food and Nutrition, Seoul National University, Seoul, South Korea.ORCID 0000-0003-1141-878X
Chen LiuDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut.ORCID 0009-0003-0430-6146
Xuchen ZhangDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0002-1484-4672
Ann W HsingDepartment of Medicine, Stanford School of Medicine, Palo Alto, California.ORCID 0000-0003-0756-3511
Mindie H NguyenDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Redwood City, California.ORCID 0000-0002-6275-4989
Chul S HyunDepartment of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0002-7213-2761
M Constanza CamargoDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institute of Health, Bethesda, Maryland.ORCID 0000-0002-1065-2198
Katherine A McGlynnDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institute of Health, Bethesda, Maryland.ORCID 0000-0003-2329-9933
Lifang HouCenter for Population Epigenetics, Robert H. Lurie Comprehensive Cancer Center and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0003-4877-0031
Tamar H TaddeiDepartment of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0002-6500-1739
Xuehong ZhangYale University School of Nursing, Orange, Connecticut.ORCID 0000-0002-8260-8508

Funding

Helicobacter Infection and Liver Cancer Risk among African Americans andWhites in the United StatesR37CA262299 · NCI · YALE UNIVERSITY · PI Xuehong Zhang · 2021 to 2026
$2.4M
American Cancer Society (ACS) PASD-22-1003396American Cancer Society (ACS) RSG NEC-130476NCI NIH HHS R37 CA262299
6 · The paper itself

Abstract

backgroundHelicobacter pylori infection and metabolic dysfunction-associated steatotic liver disease (MASLD) are significant global health concerns, but their association remains unclear, with evidence mainly from cross-sectional studies and Asian populations.

methodsWe analyzed UK Biobank (UKB) participants ages 40 to 69 years with objectively measured H. pylori serostatus data (N = 4,246). Cox models estimated hazard ratios (HR) and 95% confidence intervals (CI), adjusting for demographic, lifestyle, and cardiometabolic factors. We meta-analyzed seven prospective cohorts (all from non-European populations) and the UKB (8 cohorts in total with 36,145 participants and 6,979 cases) to evaluate the association between H. pylori seropositivity and MASLD risk.

resultsAbout 35.1% of the participants were seropositive for H. pylori in the UKB. With a median follow-up of 11.1 years, we identified 32 MASLD cases. H. pylori seropositivity was marginally associated with higher MASLD risk (HR, 1.88; 95% CI, 0.92-3.82), whereas cytotoxin-associated gene A (CagA) seropositivity was significantly associated with higher risk (2.40; 1.17-4.92). Participants seropositive for both H. pylori and CagA had a higher MASLD risk than participants seronegative for both markers (2.58; 1.19-5.61). The meta-analysis showed that H. pylori was associated with a 24% higher MASLD risk (risk ratio, 1.24; 95% CI, 1.17-1.31).

conclusionsH. pylori infection, particularly CagA seropositivity, was associated with higher MASLD risk in prospective studies. IMPACT: Our findings support a potential role of H. pylori virulence serology (CagA) in MASLD development. If confirmed, these findings could have implications for risk stratification and inform targeted eradication or prevention strategies.

Indexed as

Fatty LiverHelicobacter InfectionsHelicobacter pyloriAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsUnited Kingdom

Identifiers

PMID42233960
PMCPMC13320657

What Socratic holds

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Registered trials

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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.