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1 State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, National Medical Center for Infectious Diseases, Collaborative Innovation Center, Department of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
2 European Foundation for the Study of Chronic Liver Failure (EF CLIF), Barcelona, Spain.
3 Department of Biomedical Sciences, University of Barcelona, Barcelona, Spain.
4 Biochemistry and Molecular Genetics Service, Hospital Clinic of Barcelona-IDIBAPS, Barcelona, Spain.
5 Department of Internal Medicine B, University of Münster, Munster, Germany.
6 Bioinformatics Platform, CIBER of Hepatic and Digestive Diseases (CIBERehd), Barcelona, Spain.
7 Department of Clinical and Experimental Medicine, University of Padova, Padova, Italy.
8 Department of Gastroenterology, Hospital das Clinicas, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
9 INSERM, Université Paris Cité, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
10 Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Beaujon, Service d'Hépatologie, Clichy, France.
11 Department of Gastroenterology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
12 State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, National Medical Center for Infectious Diseases, Collaborative Innovation Center, Department of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China yidayang65@zju.edu.cn zjushiyu@zju.edu.cn.
1 State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, National Medical Center for Infectious Diseases, Collaborative Innovation Center, Department of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
2 European Foundation for the Study of Chronic Liver Failure (EF CLIF), Barcelona, Spain.
3 Department of Biomedical Sciences, University of Barcelona, Barcelona, Spain.
4 Biochemistry and Molecular Genetics Service, Hospital Clinic of Barcelona-IDIBAPS, Barcelona, Spain.
5 Department of Internal Medicine B, University of Münster, Munster, Germany.
6 Bioinformatics Platform, CIBER of Hepatic and Digestive Diseases (CIBERehd), Barcelona, Spain.
7 Department of Clinical and Experimental Medicine, University of Padova, Padova, Italy.
8 Department of Gastroenterology, Hospital das Clinicas, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
9 INSERM, Université Paris Cité, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
10 Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Beaujon, Service d'Hépatologie, Clichy, France.
11 Department of Gastroenterology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
12 State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, National Medical Center for Infectious Diseases, Collaborative Innovation Center, Department of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China yidayang65@zju.edu.cn zjushiyu@zju.edu.cn.
Figure 1. Validation of the CLIF-SIG score in patients with HBV-related acutely decompensated cirrhosis. ( …
Figure 1. Validation of the CLIF-SIG score in patients with HBV-related acutely decompensated cirrhosis. (A) Heatmap displaying expression profiles of the 28 genes comprising the CLIF-SIG score across healthy controls (HC), patients with acute decompensation (AD) and acute-on-chronic liver failure (ACLF). (B) Distribution of CLIF-SIG scores across HC, AD and ACLF groups. (C) Comparison of CLIF-SIG scores among subgroups within the AD cohort, including SDC, UDC and pre-ACLF classifications. (D) Kaplan-Meier curves of 90-day transplant-mortality between patients with CLIF-SIG scores >0.386 and those with lower scores. (E, F) ROC curves of CLIF-SIG, MELD and MELD-Na scores in predicting 90-day mortality in the entire AD cohort (E) and in ACLF patients (F). (G) ROC curves of CLIF-SIG, MELD-Na and their combination in classifying AD severity. (H) ROC curves of CLIF-SIG, MELD-Na and their combination in predicting AD-ACLF progression. Results in B and C were presented as mean±SD. Statistical significance was determined using one-way ANOVA with Tukey’s multiple comparison test. *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. ANOVA, analysis of variance; AUC, area under the curve; CLIF, Chronic Liver Failure Consortium; HBV, hepatitis B virus; MELD, Model for End-Stage Liver Disease; ROC, receiver operating characteristic; SDC, stable decompensated cirrhosis; SIG, systemic inflammation gene; UDC, unstable decompensated cirrhosis.
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