Evidence map›Paper›PMID 25447847›Full record

ReviewGastroenterology2015

Gut-liver axis in alcoholic liver disease.

Gyongyi Szabo

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04543643 (Endoscopic and Microbiological Assessment of the Effect of Carvedilol Combined With Berberine on GOV in Cirrhosis), which is not on this map. Cited by 409 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
409citing papers in PubMed, 5 pooled it
27.2field-weighted citation impact, top 1% 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.

NCT04543643 phase3unknown statusnot on this mapstarted 2021, after this paper: background citation

Endoscopic and Microbiological Assessment of the Effect of Carvedilol Combined With Berberine on GOV in Cirrhosis: a Prospective Cohort Study

TypeinterventionalSponsorTianjin Second People's HospitalRan2021 to 2023Enrolled288ConditionsCirrhosis Due to Hepatitis B, Cirrhosis Due to Hepatitis C, Gastroesophageal VaricesArmsCarvedilol, Berberine
3 · Its place in the literature

Who cites it

409 citing papers in PubMed, 5 syntheses or guidelines pooled it, 707 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Precision pathophysiology in steatotic liver disease.Clinical and molecular hepatology · 2026
    Review
  8. Article
  9. [Alcohol liver disease: immunoregulatory mechanisms and precision therapeutic targets].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  10. Hepatic stellate cells in alcoholic liver cirrhosis: mechanisms of fibrogenesis, plasticity, and fibrosis reversal.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2026
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. International journal of molecular sciences · 2026
    Article
  17. Article
  18. Review
  19. Article
  20. Review

349 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

1 author at 1 institution in 1 country.

Gyongyi SzaboDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts. Electronic address: gyongyi.szabo@umassmed.edu.
University of Massachusetts Chan Medical School · US

Funding

MicroRNAs in Alcoholic Liver Disease Administrative SupplementR01AA020744 · NIAAA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SZABO, GYONGYI · 2011 to 2023
$5.3M
TLR4 Signaling in alcoholic liver diseaseR01AA017729 · NIAAA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SZABO, GYONGYI · 2009 to 2021
$4.3M
Novel Therapies in alcoholic hepatitis - UMMS Translational ProgramU01AA021907 · NIAAA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SZABO, GYONGYI · 2012 to 2017
$2.0M
Innate immune signaling in alcoholic liver diseaseR56AA017729 · NIAAA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SZABO, GYONGYI · 2024 to 2025
$579k
NIAAA NIH HHS AA010744NIAAA NIH HHS AA017729NIAAA NIH HHS AA021907NIAAA NIH HHS R01 AA017729NIAAA NIH HHS R01 AA020744NIAAA NIH HHS R56 AA017729NIAAA NIH HHS U01 AA021907
6 · The paper itself

Abstract

Alcoholic liver disease (ALD) has been among the leading causes of cirrhosis and liver-related death worldwide for decades. Early discoveries in alcoholic liver disease identified increased levels of bacterial endotoxin in the portal circulation, suggesting a role for gut-derived toxins in ALD. Indeed, alcohol consumption can disrupt the intestinal epithelial barrier and result in increased gut permeability that increasingly is recognized as a major factor in ALD. Bacterial endotoxin, lipopolysaccharide, is a prototypic microbe-derived inflammatory signal that contributes to inflammation in ALD through activation of the Toll-like receptor 4. Recent studies also have shown that alcohol consumption is associated with alterations in the gut microbiome, and the dysbalance of pathogenic and commensal organisms in the intestinal microbiome may contribute to the abnormal gut-liver axis in ALD. Indeed, bacterial decontamination improves ALD both in human and animal models. This short review summarizes recent findings and highlights emerging trends in the gut-liver axis relevant to ALD.

Indexed as

Intestinal MucosaLiverLiver Diseases, AlcoholicAnimalsBacteriaHumansIntestinesMicrobiotaPermeabilityPrognosisSignal TransductionGut PermeabilityInflammationLipopolysaccharideMicrobiome

Identifiers

PMID25447847
PMCPMC4274189
OpenAlexW2034801500

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.