Evidence map›Paper›PMID 25492994›Full record

ReviewWorld journal of gastroenterology2014

Microbiota and the gut-liver axis: bacterial translocation, inflammation and infection in cirrhosis.

Valerio Giannelli, Vincenza Di Gregorio, Valerio Iebba, Michela Giusto, Serena Schippa, Manuela Merli, Ulrich Thalheimer

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04244877 (Evaluation of the Therapeutic Effect of Rifaximin on Covert Hepatic Encephalopathy With Underlying Small Intestinal Bacterial Overgrowth and Gastrointestinal Dysmotility in Liver Cirrhosis Patients), which is not on this map. Cited by 116 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 4 pooled it
6.6field-weighted citation impact, top 2% 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.

NCT04244877 phase3withdrawnnot on this mapstarted 2021, after this paper: background citation

Evaluation of the Therapeutic Effect of Rifaximin on Covert Hepatic Encephalopathy With Underlying Small Intestinal Bacterial Overgrowth and Gastrointestinal Dysmotility in Liver Cirrhosis Patients

TypeinterventionalSponsorMetroHealth Medical CenterRan2021 to 2023Enrolled0ConditionsCirrhosis, Liver, Minimal Hepatic Encephalopathy, Small Intestinal Bacterial Overgrowth, Gastrointestinal Motility DisorderArmsRifaximin
3 · Its place in the literature

Who cites it

116 citing papers in PubMed, 4 syntheses or guidelines pooled it, 226 citations in OpenAlex.

  1. Pooled it
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  5. Trial
  6. [Advances in the diagnosis and treatment of patients with multidrug-resistant bacterial infections combined with severe liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Gluten's silent strike: Unmasking its impact on liver health.World journal of gastrointestinal pathophysiology · 2025
    Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Frontiers in medicine · 2025
    Article

56 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

7 authors at 1 institution in 1 country.

Valerio GiannelliValerio Giannelli, Vincenza Di Gregorio, Michela Giusto, Manuela Merli, Gastroenterology Department of Clinical Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Vincenza Di GregorioValerio Giannelli, Vincenza Di Gregorio, Michela Giusto, Manuela Merli, Gastroenterology Department of Clinical Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Valerio IebbaValerio Giannelli, Vincenza Di Gregorio, Michela Giusto, Manuela Merli, Gastroenterology Department of Clinical Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Michela GiustoValerio Giannelli, Vincenza Di Gregorio, Michela Giusto, Manuela Merli, Gastroenterology Department of Clinical Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Serena SchippaValerio Giannelli, Vincenza Di Gregorio, Michela Giusto, Manuela Merli, Gastroenterology Department of Clinical Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Manuela MerliValerio Giannelli, Vincenza Di Gregorio, Michela Giusto, Manuela Merli, Gastroenterology Department of Clinical Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Ulrich ThalheimerValerio Giannelli, Vincenza Di Gregorio, Michela Giusto, Manuela Merli, Gastroenterology Department of Clinical Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver disease is associated with qualitative and quantitative changes in the intestinal microbiota. In cirrhotic patients the alteration in gut microbiota is characterized by an overgrowth of potentially pathogenic bacteria (i.e., gram negative species) and a decrease in autochthonous familiae. Here we summarize the available literature on the risk of gut dysbiosis in liver cirrhosis and its clinical consequences. We therefore described the features of the complex interaction between gut microbiota and cirrhotic host, the so called "gut-liver axis", with a particular attention to the acquired risk of bacterial translocation, systemic inflammation and the relationship with systemic infections in the cirrhotic patient. Such knowledge might help to develop novel and innovative strategies for the prevention and therapy of gut dysbiosis and its complication in liver cirrhosis.

Indexed as

Bacterial TranslocationMicrobiotaAnimalsBacterial InfectionsDysbiosisHost-Pathogen InteractionsHumansInflammationIntestinesLiverLiver CirrhosisPrognosisBacterial overgrowthBacterial translocationCirrhosisDysbiosisGutInfectionInflammationLactuloseLiverPortal hypertensionRifaximine

Identifiers

PMID25492994
PMCPMC4258550
OpenAlexW2123008311

What OpenQuestion holds

Textmetadata
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.