Evidence map›Paper›PMID 23630018›Full record

ArticleJPEN. Journal of parenteral and enteral nutrition2013

Lactobacillus GG and tributyrin supplementation reduce antibiotic-induced intestinal injury.

Gail Cresci, Laura E Nagy, Vadivel Ganapathy

Open access · greenAbstract read
In one paragraph

Article in JPEN. Journal of parenteral and enteral nutrition, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

43 citing papers in PubMed, 68 citations in OpenAlex.

  1. Article
  2. Review
  3. Foods (Basel, Switzerland) · 2025
    Article
  4. Review
  5. [Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. TwoInternational journal of molecular sciences · 2024
    Article
  10. Article
  11. Article
  12. Frontiers in cellular and infection microbiology · 2024
    Article
  13. Article
  14. International journal of molecular sciences · 2023
    Article
  15. Advances inMicroorganisms · 2023
    Review
  16. Article
  17. Review
  18. Regulation of Oxygen Homeostasis at the Intestinal Epithelial Barrier Site.International journal of molecular sciences · 2021
    Review
  19. Article
  20. Postbiotics, Metabolic Signaling, and Cancer.Molecules (Basel, Switzerland) · 2021
    Review
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

3 authors at 2 institutions in 1 country.

Gail CresciCleveland Clinic, Cleveland, Ohio.
Laura E Nagy
Vadivel Ganapathy
Cleveland Clinic · USAugusta University Health · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Novel therapeutics for alcoholic hepatitis - Cleveland Translational ComponentU01AA021890 · NIAAA · CLEVELAND CLINIC LERNER COM-CWRU · PI NAGY, LAURA E. · 2012 to 2017
$1.6M
Role of Butyrate in the Gut-Liver Interaction of Ethanol Induced Liver InjuryF32AA021044 · NIAAA · CLEVELAND CLINIC LERNER COM-CWRU · PI CRESCI, GAIL ANN · 2011 to 2013
$155k
NCRR NIH HHS UL1 RR024989NCRR NIH HHS UL1RR024989NIAAA NIH HHS 1F32AA021044NIAAA NIH HHS F32 AA021044NIAAA NIH HHS U01 AA021890NIAAA NIH HHS U01AA021890
6 · The paper itself

Abstract

backgroundAntibiotic therapy negatively alters the gut microbiota. Lactobacillus GG (LGG) decreases antibiotic-associated diarrhea (AAD) symptoms, but the mechanisms are unknown. Butyrate has beneficial effects on gut health. Altered intestinal gene expression occurs in the absence of gut microbiota. We hypothesized that antibiotic-induced changes in gut microbiota reduce butyrate production, varying genes involved with gut barrier integrity and water and electrolyte absorption, lending to AAD, and that simultaneous supplementation with LGG and/or tributyrin would prevent these changes.

methodsC57BL/6 mice aged 6-8 weeks received a chow diet while divided into 8 treatment groups (± saline, ± LGG, ± tributyrin, or both). Mice received treatments orally for 7 days with ± broad-spectrum antibiotics. Water intake was recorded daily and body weight was measured. Intestine tissue samples were obtained and analyzed for expression of genes and proteins involved with water and electrolyte absorption, butyrate transport, and gut integrity via polymerase chain reaction and immunohistochemistry.

resultsAntibiotics decreased messenger RNA (mRNA) expression (butyrate transporter and receptor, Na(+)/H(+) exchanger, Cl(-)/HCO3 (-), and a water channel) and protein expression (butyrate transporter, Na(+)/H(+) exchanger, and tight junction proteins) in the intestinal tract. LGG and/or tributyrin supplementation maintained intestinal mRNA expression to that of the control animals, and tributyrin maintained intestinal protein intensity expression to that of control animals.

conclusionBroad-spectrum antibiotics decrease expression of anion exchangers, butyrate transporter and receptor, and tight junction proteins in mouse intestine. Simultaneous oral supplementation with LGG and/or tributyrin minimizes these losses. Optimizing intestinal health with LGG and/or tributyrin may offer a preventative therapy for AAD.

Indexed as

LactobacillusAnimalsAnti-Bacterial AgentsButyratesDysbiosisFemaleGene ExpressionIntestinal DiseasesIntestinal MucosaIntestinesMembrane ProteinsMiceMice, Inbred C57BLMicrobiotaProbioticsRNA, MessengerAnti-Bacterial AgentsButyratesMembrane ProteinsRNA, MessengerTight Junction ProteinstributyrinTriglyceridesantibioticsdiarrheaintestineprobioticstributyrin

Identifiers

PMID23630018
PMCPMC3818407
OpenAlexW2095863342

What OpenQuestion holds

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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.