2017
DOI: 10.1002/hep.28945
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Elevated FABP1 serum levels are associated with poorer survival in acetaminophen‐induced acute liver failure

Abstract: Background/Aim Acetaminophen (APAP)-induced Acute Liver Failure (ALF) is associated with significant mortality. Traditional prognostic scores lack sensitivity. Hypothesis: Serum Liver-type Fatty Acid Binding Protein (FABP1) early (day 1) or late (day 3–5) levels are associated with 21-day mortality in the absence of liver transplant. Methods Serum samples from 198 APAP-ALF patients (nested case control study with 99 survivors, 99 non-survivors) were analyzed by ELISA methods and assessed with clinical data f… Show more

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Cited by 58 publications
(46 citation statements)
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“…In addition, FABP1 is a promising indicator of ongoing liver injury as its levels were found to increase before those of ALT, and decreased after treatment stopped, while ALT levels remained unchanged (Mikus et al, 2017). Further, APAPinduced ALF survivors had significantly lower serum FABP1 levels than did non-survivors in early stage and late stage, indicating the elevated FABP1 levels in patients with APAPinduced ALF were associated with a poor outcome (Karvellas et al, 2017). Furthermore, a higher FABP1 concentration (> 350 ng/ml) was associated with increased mortality (Karvellas et al, 2017).…”
Section: Fatty Acid Binding Protein 1 (Fabp1)mentioning
confidence: 99%
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“…In addition, FABP1 is a promising indicator of ongoing liver injury as its levels were found to increase before those of ALT, and decreased after treatment stopped, while ALT levels remained unchanged (Mikus et al, 2017). Further, APAPinduced ALF survivors had significantly lower serum FABP1 levels than did non-survivors in early stage and late stage, indicating the elevated FABP1 levels in patients with APAPinduced ALF were associated with a poor outcome (Karvellas et al, 2017). Furthermore, a higher FABP1 concentration (> 350 ng/ml) was associated with increased mortality (Karvellas et al, 2017).…”
Section: Fatty Acid Binding Protein 1 (Fabp1)mentioning
confidence: 99%
“…• FABP1 has superior characteristics regarding tissue distribution and kinetics compared to ALT. Wu et al, 2016b;Karvellas et al, 2017;Mikus et al, 2017;Wu et al, 2017 CDH5…”
Section: High Mobility Group Box-1 Protein (Hmgb1)mentioning
confidence: 99%
“…We thank Fan et al for their recent interest in our publication on liver-type fatty acid binding protein (FABP1) in acetaminophen-induced acute liver failure (APAP-ALF). (1) In this study, we demonstrated that FABP1 may have good potential to discriminate survivors from nonsurvivors and improve models currently used in clinical practice in APAP-ALF.…”
Section: Replymentioning
confidence: 71%
“…In a recent issue of HEPATOLOGY, Karvellas et al (1) reported a study in which they investigated whether early (day 1) or late (day 3-5) elevations in levels of serum liver-type fatty acid binding protein (FABP1) are associated with 21-day mortality in the absence of liver transplantation. The authors concluded that in patients with acetaminophen (APAP)-induced acute liver failure (ALF), FABP1 may have good potential to discriminate survivors from nonsurvivors and may improve models currently used in clinical practice.…”
Section: To the Editormentioning
confidence: 99%
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