Evidence map›Paper›PMID 25907689›Full record

ArticleAmerican journal of physiology. Gastrointestinal and liver physiology2015

Decreased melatonin secretion is associated with increased intestinal permeability and marker of endotoxemia in alcoholics.

Garth R Swanson, Annika Gorenz, Maliha Shaikh, Vishal Desai, Christopher Forsyth, Louis Fogg, Helen J Burgess, Ali Keshavarzian

Registry-linked trialAbstract read
In one paragraph

Article in American journal of physiology. Gastrointestinal and liver physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04333810 (Remote Physiologic Monitoring to Detect Inflammatory Bowel Disease), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.0field-weighted citation impact, top 15% 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.

NCT04333810 completednot on this mapstarted 2020, after this paper: background citation

Remote Physiologic Monitoring to Detect Inflammatory Bowel Disease (IBD) Flares: A Feasibility Study

TypeobservationalSponsorMilton S. Hershey Medical CenterRan2020 to 2023Enrolled8ConditionsInflammatory Bowel DiseasesArmsWhoop strap 3.0
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. The circadian rhythm as therapeutic target in inflammatory bowel disease.Journal of the Canadian Association of Gastroenterology · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Gut Microbiome Dysbiosis in Alcoholism: Consequences for Health and Recovery.Frontiers in cellular and infection microbiology · 2022
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Hepatoprotective Effects ofOxidative medicine and cellular longevity · 2019
    Article
  20. Emerging role of circadian clock disruption in alcohol-induced liver disease.American journal of physiology. Gastrointestinal and liver physiology · 2018
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Garth R SwansonDepartment of Digestive Diseases, Rush University Medical Center, Chicago, Illinois; garth_swanson@rush.edu.
Annika GorenzDepartment of Digestive Diseases, Rush University Medical Center, Chicago, Illinois;
Maliha ShaikhDepartment of Digestive Diseases, Rush University Medical Center, Chicago, Illinois;
Vishal DesaiDepartment of Digestive Diseases, Rush University Medical Center, Chicago, Illinois;
Christopher ForsythDepartment of Digestive Diseases, Rush University Medical Center, Chicago, Illinois;
Louis FoggCommunity, Systems and Mental Health Nursing, Rush University, Chicago, Illinois.
Helen J BurgessDepartments of Behavioral Sciences and Internal Medicine, Rush University Medical Center, Chicago, Illinois;
Ali KeshavarzianDepartment of Digestive Diseases, Rush University Medical Center, Chicago, Illinois; Departments of Pharmacology, Molecular Biophysics & Physiology, Rush University Medical Center, Chicago, Illinois; and.
Rush University Medical Center · USRush University · US

Funding

Circadian Desynchrony in Alcohol Induced Gut LeakinessK23AA019966 · NIAAA · RUSH UNIVERSITY MEDICAL CENTER · PI SWANSON, GARTH R · 2012 to 2016
$867k
NIAAA NIH HHS AA-019966-KNIAAA NIH HHS K23 AA019966
6 · The paper itself

Abstract

Chronic heavy alcohol use is known to cause gut leakiness and alcoholic liver disease (ALD), but only 30% of heavy drinkers develop increased intestinal permeability and ALD. The hypothesis of this study was that disruption of circadian rhythms is a potential risk factor in actively drinking alcoholics for gut leakiness and endotoxemia. We studied 20 subjects with alcohol use disorder (AD) and 17 healthy controls (HC, 6 day workers, 11 night workers). Subjects wore a wrist actiwatch for 7 days and underwent a 24-h dim light phase assessment and urine collection for intestinal permeability. The AD group had significantly less total sleep time and increased fragmentation of sleep (P < 0.05). AD also had significantly lower plasma melatonin levels compared with the HC [mean area under the curve (AUC) 322.78 ± 228.21 vs. 568.75 ± 304.26 pg/ml, P = 0.03]. In the AD group, AUC of melatonin was inversely correlated with small bowel and colonic intestinal permeability (lactulose-to-mannitol ratio, r = -0.39, P = 0.03; urinary sucralose, r = -0.47, P = 0.01). Cosinor analysis of lipopolysaccharide-binding protein (marker of endotoxemia) and lipopolysaccharide every 4 h for 24 h in HC and AD subjects had a midline estimating statistic of rhythm of 5,026.15 ± 409.56 vs. 6,818.02 ± 628.78 ng/ml (P < 0.01) and 0.09 ± 0.03 vs. 0.15 ± 0.19 EU/ml (P < 0.05), respectively. We found plasma melatonin was significantly lower in the AD group, and lower melatonin levels correlated with increased intestinal permeability and a marker of endotoxemia. Our study suggests the suppression of melatonin in AD may promote gut leakiness and endotoxemia.

Indexed as

Acute-Phase ProteinsAdultAgedAged, 80 and overCarrier ProteinsCell Membrane PermeabilityCircadian RhythmEndotoxemiaFemaleHumansIntestinal AbsorptionIntestinal MucosaLipopolysaccharide-Binding ProteinLiver Diseases, AlcoholicMaleMelatoninAcute-Phase ProteinsCarrier ProteinsLipopolysaccharide-Binding ProteinMelatoninMembrane Glycoproteinsalcohollipopolysaccharidelipopolysaccharide-binding protein

Identifiers

PMID25907689
PMCPMC4469868
OpenAlexW2120468024

What OpenQuestion holds

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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.