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7/25/2025 12:09:40 PM | Browse: 4 | Download: 23
Publication Name World Journal of Hepatology
Manuscript ID 108051
Country United States
Received
2025-04-08 11:07
Peer-Review Started
2025-04-10 00:12
To Make the First Decision
Return for Revision
2025-04-25 09:31
Revised
2025-04-29 22:38
Second Decision
2025-06-13 02:50
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-06-13 08:32
Articles in Press
2025-06-13 08:32
Publication Fee Transferred
2025-05-05 20:06
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-07-16 01:15
Publish the Manuscript Online
2025-07-25 12:09
ISSN 1948-5182 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Retrospective Cohort Study
Article Title Three-year outcomes of tumor necrosis factor alpha inhibitor therapy in rheumatoid arthritis patients with elevated liver enzymes
Manuscript Source Unsolicited Manuscript
All Author List Shivangini Duggal, Lakshmi Kattamuri and Shrilekha Sairam
ORCID
Author(s) ORCID Number
Shivangini Duggal http://orcid.org/0009-0003-0461-6312
Funding Agency and Grant Number
Corresponding Author Shivangini Duggal, MD, Department of Internal Medicine, Texas Tech University Health Sciences Center, 4801 Alberta Ave, El Paso, TX 79905, United States. sduggal@ttuhsc.edu
Key Words Elevated liver enzymes; Rheumatoid arthritis; Etanercept; Adalimumab; Fibrosis-4 scores
Core Tip Rheumatoid arthritis (RA) patients often present with elevated liver enzymes, complicating the safe administration of immunosuppressive therapies. This retrospective study evaluated the hepatic safety of tumor necrosis factor inhibitors (TNFi)—etanercept and adalimumab—in RA patients with persistently elevated liver enzymes. Over a 3-year follow-up, TNFi therapy led to statistically significant improvements in aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, and fibrosis-4 scores, without hepatic decompensation or changes in Child-Pugh class. These findings suggest that TNFi therapy may be hepatologically safe and potentially beneficial in liver enzyme normalization among this high-risk population.
Publish Date 2025-07-25 12:09
Citation <p>Duggal S, Kattamuri L, Sairam S. Three-year outcomes of tumor necrosis factor alpha inhibitor therapy in rheumatoid arthritis patients with elevated liver enzymes. <i>World J Hepatol</i> 2025; 17(7): 108051</p>
URL https://www.wjgnet.com/1948-5182/full/v17/i7/108051.htm
DOI https://dx.doi.org/10.4254/wjh.v17.i7.108051
Full Article (PDF) WJH-17-108051-with-cover.pdf
STROBE Statement 108051-STROBE-statement.pdf
Manuscript File 108051_Auto_Edited_090058.docx
Answering Reviewers 108051-answering-reviewers.pdf
Audio Core Tip 108051-audio.m4a
Biostatistics Review Certificate 108051-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 108051-conflict-of-interest-statement.pdf
Copyright License Agreement 108051-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 108051-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 108051-institutional-review-board-statement.pdf
Supplementary Material 108051-supplementary-material.pdf
Peer-review Report 108051-peer-reviews.pdf
Scientific Misconduct Check 108051-scientific-misconduct-check.png
Scientific Editor Work List 108051-scientific-editor-work-list.pdf
CrossCheck Report 108051-crosscheck-report.pdf