Evidence map›Paper›PMID 42509734›Full record

Observational studyBiomolecules2026

Dissociation of the Hepatic and Pulmonary Axes in Alpha-1 Antitrypsin Deficiency: Independent Trajectories of Organ-Specific Disease.

Juan Luis Rodríguez Hermosa, Soha Esmaili, Iman Esmaili, Maria Torres-Duran, Hanan Tanash, Alice M Turner, Carlota Rodríguez-García, Miriam Barrecheguren, Jens-Ulrik Stæhr Jensen, Vincent Bunel and 10 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Biomolecules, 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

20 authors.

Juan Luis Rodríguez HermosaPulmonology Department, Hospital Clínico San Carlos, 28040 Madrid, Spain.ORCID 0000-0003-0552-2484
Soha EsmailiInstituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain.ORCID 0009-0007-3984-3557
Iman EsmailiISNS Data Analytics and Research, Vancouver, BC V6Z 1Y6, Canada.ORCID 0009-0004-5089-664X
Maria Torres-DuranNeumoVigo I+i Research Group, Pneumology Department, Hospital Álvaro Cunqueiro, IIS Galicia Sur, 36211 Vigo, Spain.
Hanan TanashDepartment of Respiratory Medicine and Allergology, Skåne University Hospital, Lund University, 214 28 Malmö, Sweden.
Alice M TurnerRespiratory Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2GW, UK.ORCID 0000-0002-5947-3254
Carlota Rodríguez-GarcíaPneumology Department, Complejo Hospitalario Universitario de Ferrol, 15405 El Ferrol, Spain.
Miriam BarrechegurenCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, 28029 Madrid, Spain.
Jens-Ulrik Stæhr JensenSection of Respiratory Medicine, Department of Medicine, Herlev and Gentofte Hospital, University of Copenhagen, 2830 Gentofte, Denmark.ORCID 0000-0003-4036-0521
Vincent BunelDepartment of Pulmonology, Allergology, and Transplantation, AP-HP, Bichat Hospital, Paris Cité University, Inserm, Centre de Recherche de l'Inflammation, F-75018 Paris, France.
Angelo Guido CorsicoDepartment of Internal Medicine and Therapeutics, University of Pavia, 27100, Pavia, Italy.ORCID 0000-0002-8716-4694
Kenneth R ChapmanDivision of Respiratory Medicine, Department of Medicine, University of Toronto, Toronto, ON M5T 2S8, Canada.
Jean-François MornexHospices Civils de Lyon, OrphaLung, Respifil and CHU de Saint Etienne, F-69000 Lyon, France.
Eva Bartošovská-KlinkováDepartment of Pneumology, Thomayer Hospital, First Faculty of Medicine, Charles University, CZ-121 08 Prague, Czech Republic.
Beatriz LaraDepartment of Respiratory Medicine, University Hospitals Coventry and Warwickshire NHS Trust, Coventry CV2 2DX, UK.ORCID 0000-0003-0090-8206
José Luis López-CamposCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, 28029 Madrid, Spain.
Christian F ClarenbachPulmonary Clinic, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland.ORCID 0000-0003-2158-2321
Emily F A van 't WoutDepartment of Pulmonology, Leiden University Medical Centre, 2333 ZA Leiden, The Netherlands.ORCID 0009-0001-6299-9943
Mariano Fernandez-AcquierHospital Zonal Especializado de Agudos y Crónicos Dr. Antonio Cetrángolo, Vicente López, Buenos Aires 1802, Argentina.
Myriam Calle RubioPulmonology Department, Hospital Clínico San Carlos, 28040 Madrid, Spain.ORCID 0000-0002-3890-2742

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The interindividual phenotypic heterogeneity in Alpha-1 Antitrypsin Deficiency (AATD), despite a shared genetic etiology (the Z-allele of

methodsThis international multicenter study utilized the European Alpha-1 Research Collaboration (EARCO) registry (

resultsCross-domain correlations between respiratory metrics and liver stiffness were near zero (r = -0.03), demonstrating statistical independence. Phenotypic dominance classification isolated distinct profiles; the lung-dominant group exhibited a higher age (57.0 vs. 54.0 years;

conclusionsHepatic and pulmonary impairments in AATD operate as independent clinical dimensions modulated by distinct metabolic and environmental factors. Risk stratification must transition toward organ-specific prognostic models.

Indexed as

alpha 1-Antitrypsin DeficiencyLiverLungAdultalpha 1-AntitrypsinFemaleHumansMaleMiddle AgedPhenotypealpha 1-Antitrypsinalpha-1 antitrypsin deficiencygeometric mappingliver fibrosisphenotypic dominancepulmonary emphysemarisk stratificationSERPINA1

Identifiers

PMID42509734
PMCPMC13407244

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.