Evidence map›Paper›PMID 19389191›Full record

ArticleAlcoholism, clinical and experimental research2009

Nitric oxide-mediated intestinal injury is required for alcohol-induced gut leakiness and liver damage.

Yueming Tang, Christopher B Forsyth, Ashkan Farhadi, Jayanthi Rangan, Shriram Jakate, Maliha Shaikh, Ali Banan, Jeremy Z Fields, Ali Keshavarzian

Open access · greenAbstract readComparative Study
In one paragraph

Article in Alcoholism, clinical and experimental research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
6.5field-weighted citation impact, top 3% of its field
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

61 citing papers in PubMed, 114 citations in OpenAlex.

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  8. Heliyon · 2023
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  16. Changes in brain kynurenine levelsFASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019
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1 more citing papers are in PubMed but not listed here.

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

9 authors at 1 institution in 1 country.

Yueming TangDepartment of Internal Medicine, Division of Digestive Diseases and Nutrition, Rush University, Chicago, Illinois, USA.
Christopher B Forsyth
Ashkan Farhadi
Jayanthi Rangan
Shriram Jakate
Maliha Shaikh
Ali Banan
Jeremy Z Fields
Ali Keshavarzian
Rush University · US

Funding

Alcohol, iNOS upregulation, leaky gut &liver diseaseR01AA013745 · NIAAA · RUSH UNIVERSITY MEDICAL CENTER · PI KESHAVARZIAN, ALI · 2003 to 2009
$3.3M
NIAAA NIH HHS AA13745NIAAA NIH HHS R01 AA013745
6 · The paper itself

Abstract

backgroundAlcoholic liver disease (ALD) requires endotoxemia and is commonly associated with intestinal barrier leakiness. Using monolayers of intestinal epithelial cells as an in vitro barrier model, we showed that ethanol-induced intestinal barrier disruption is mediated by inducible nitric oxide synthase (iNOS) upregulation, nitric oxide (NO) overproduction, and oxidation/nitration of cytoskeletal proteins. We hypothesized that iNOS inhibitors [NG-nitro-l-arginine methyl ester (l-NAME), l-N(6)-(1-iminoethyl)-lysine (l-NIL)] in vivo will inhibit the above cascade and liver injury in an animal model of alcoholic steatohepatitis (ASH).

methodsMale Sprague-Dawley rats were gavaged daily with alcohol (6 g/kg/d) or dextrose for 10 weeks +/- l-NAME, l-NIL, or vehicle. Systemic and intestinal NO levels were measured by nitrites and nitrates in urine and tissue samples, oxidative damage to the intestinal mucosa by protein carbonyl and nitrotyrosine, intestinal permeability by urinary sugar tests, and liver injury by histological inflammation scores, liver fat, and myeloperoxidase activity.

resultsAlcohol caused tissue oxidation, gut leakiness, endotoxemia, and ASH. l-NIL and l-NAME, but not the d-enantiomers, attenuated all steps in the alcohol-induced cascade including NO overproduction, oxidative tissue damage, gut leakiness, endotoxemia, hepatic inflammation, and liver injury.

conclusionsThe mechanism we reported for alcohol-induced intestinal barrier disruption in vitro - NO overproduction, oxidative tissue damage, leaky gut, endotoxemia, and liver injury - appears to be relevant in vivo in an animal model of alcohol-induced liver injury. That iNOS inhibitors attenuated all steps of this cascade suggests that prevention of this cascade in alcoholics will protect the liver against the injurious effects of chronic alcohol and that iNOS may be a useful target for prevention of ALD.

Indexed as

AnimalsEnzyme InhibitorsEthanolIntestinal MucosaLiver Diseases, AlcoholicMaleNitric OxideNitric Oxide Synthase Type IIOxidative StressRatsRats, Sprague-DawleyEnzyme InhibitorsEthanolNitric OxideNitric Oxide Synthase Type II

Identifiers

PMID19389191
PMCPMC2950098
OpenAlexW2130200374

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

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 OpenQuestion graph.