Evidence map›Paper›PMID 25244648›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2015

The role of intestinal microbiota in murine models of acetaminophen-induced hepatotoxicity.

Lucia A Possamai, Mark Jw McPhail, Wafa Khamri, Bishan Wu, Danilo Concas, Mark Harrison, Roger Williams, Roger D Cox, I Jane Cox, Quentin M Anstee and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Intestinal Dysbiosis Amplifies Acetaminophen-Induced Acute Liver Injury.Cellular and molecular gastroenterology and hepatology · 2021
    Article
  10. Review
  11. Review
  12. Article
  13. Mechanisms of gastrointestinal microflora on drug metabolism in clinical practice.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2019
    Review
  14. Article
  15. Review
  16. Gut microbiota in liver disease: too much is harmful, nothing at all is not helpful either.American journal of physiology. Gastrointestinal and liver physiology · 2019
    Review
  17. Article
  18. Article
  19. Article
  20. Drug-induced liver injury: Do we know everything?World journal of hepatology · 2017
    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

11 authors at 4 institutions in 1 country.

Lucia A PossamaiDepartment of Hepatology, Imperial College, London, W2 1NY, UK.
Mark Jw McPhail
Wafa Khamri
Bishan Wu
Danilo Concas
Mark Harrison
Roger Williams
Roger D Cox
I Jane Cox
Quentin M Anstee
Mark R Thursz
Imperial College London · GBMary Lyon Centre at MRC Harwell · GBFoundation for Liver Research · GBNewcastle University · GB

Funding

Medical Research Council G1000344Medical Research Council G84/6233Medical Research Council MC_U142661184Wellcome Trust
6 · The paper itself

Abstract

BACKGROUND &

aimsVariations in intestinal microbiota may influence acetaminophen metabolism. This study aimed to determine whether intestinal microbiota are a source of differential susceptibility to acetaminophen-induced hepatotoxicity.

methodsConventionally housed C3H/HeH (CH) and C3H/HeH germ-free (GF) mice were administered a 200 mg/kg IP dose of acetaminophen. The severity of hepatotoxicity at 8 h was assessed by histology and biochemical indices. A urinary metabolic profile was obtained using (1) H-NMR. Baseline hepatic glutathione content and CYP2E1 expression were quantified. An additional group of C3H/HeJ (LPS-r) mice were assessed to determine the contribution of LPS/TLR4 signalling.

resultsBaseline glutathione levels were significantly reduced (P = 0.03) in GF mice. CYP2E1 mRNA expression and protein levels were not altered. Interindividual variability did not differ between GF and CH groups. No significant differences in the extent of hepatocellular injury (ALT or percentage necrosis) were demonstrated. However, a milder acute liver failure (ALF) phenotype was shown in GF compared with CH mice, with reduced plasma bilirubin and creatinine and increased blood glucose. Differential acetaminophen metabolism was demonstrated. GF mice displayed a higher urinary acetaminophen-sulphate:glucuronide ratio compared with CH (P = 0.01). Urinary analysis showed metabolic differentiation of GF and CH groups at baseline and 8 h (cross-validated anova P = 1 × 10(-22) ). Interruption of TLR4 signalling in LPS-r mice had additional protective effects.

conclusionVariations in intestinal microbiota do not fully explain differential susceptibility to acetaminophen-induced hepatotoxicity. GF mice experienced some protection from secondary complications following acetaminophen overdose and this may be mediated through reduced TLR4/LPS signalling.

Indexed as

MicrobiotaAcetaminophenAlanine TransaminaseAnimalsChemical and Drug Induced Liver InjuryCytochrome P-450 CYP2E1CytokinesDisease Models, AnimalGlutathioneIntestinesLiverMaleMiceMice, Inbred C3HProton Magnetic Resonance SpectroscopyAcetaminophenAlanine TransaminaseCytochrome P-450 CYP2E1CytokinesGlutathioneacetaminophenacute liver failuregerm-freemetabonomicsmicrobiota

Identifiers

PMID25244648
PMCPMC5873516
OpenAlexW1981068051

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.