Evidence map›Paper›PMID 26022694›Full record

ArticleJournal of hepatology2015

Gut microbiota inhibit Asbt-dependent intestinal bile acid reabsorption via Gata4.

Carolien Out, Jay V Patankar, Marcela Doktorova, Marije Boesjes, Trijnie Bos, Sanna de Boer, Rick Havinga, Henk Wolters, Renze Boverhof, Theo H van Dijk and 7 more

Open access · greenAbstract read
In one paragraph

Article in Journal of hepatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
4.5field-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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 117 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  10. Foods (Basel, Switzerland) · 2025
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  14. OraliScience · 2024
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1 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

17 authors at 5 institutions in 4 countries.

Carolien OutDepartment of Pediatrics, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Jay V PatankarInstitute of Molecular Biology and Biochemistry, Medical University of Graz, Graz, Austria; Centre for Molecular Medicine and Therapeutics, University of British Columbia, Vancouver, BC, Canada.
Marcela DoktorovaDepartment of Pediatrics, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Marije BoesjesDepartment of Pediatrics, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Trijnie BosDepartment of Pediatrics, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Sanna de BoerDepartment of Pediatrics, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Rick HavingaDepartment of Pediatrics, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Henk WoltersDepartment of Pediatrics, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Renze BoverhofDepartment of Laboratory Medicine, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Theo H van DijkDepartment of Laboratory Medicine, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Anna SmoczekZentrales Tierlaboratorium und Institut für Versuchstierkunde, Medizinische Hochschule Hannover, Hannover, Germany.
André BleichZentrales Tierlaboratorium und Institut für Versuchstierkunde, Medizinische Hochschule Hannover, Hannover, Germany.
Vinay SachdevInstitute of Molecular Biology and Biochemistry, Medical University of Graz, Graz, Austria.
Dagmar KratkyInstitute of Molecular Biology and Biochemistry, Medical University of Graz, Graz, Austria.
Folkert KuipersDepartment of Pediatrics, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Henkjan J VerkadeDepartment of Pediatrics, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Albert K GroenDepartment of Pediatrics, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands; Department of Laboratory Medicine, Center for Liver, Digestive, and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. Electronic address: a.k.groen@umcg.nl.
University Medical Center Groningen · NLUniversity of Groningen · NLMedical University of Graz · ATMedizinische Hochschule Hannover · DEUniversity of British Columbia · CA

Funding

Austrian Science Fund FWF F 3004Austrian Science Fund FWF P 22832Austrian Science Fund FWF W 1226
6 · The paper itself

Abstract

BACKGROUND &

aimsRegulation of bile acid homeostasis in mammals is a complex process regulated via extensive cross-talk between liver, intestine and intestinal microbiota. Here we studied the effects of gut microbiota on bile acid homeostasis in mice.

methodsBile acid homeostasis was assessed in four mouse models. Germfree mice, conventionally-raised mice, Asbt-KO mice and intestinal-specific Gata4-iKO mice were treated with antibiotics (bacitracin, neomycin and vancomycin; 100 mg/kg) for five days and subsequently compared with untreated mice.

resultsAttenuation of the bacterial flora by antibiotics strongly reduced fecal excretion and synthesis of bile acids, but increased the expression of the bile acid synthesis enzyme CYP7A1. Similar effects were seen in germfree mice. Intestinal bile acid absorption was increased and accompanied by increases in plasma bile acid levels, biliary bile acid secretion and enterohepatic cycling of bile acids. In the absence of microbiota, the expression of the intestinal bile salt transporter Asbt was strongly increased in the ileum and was also expressed in more proximal parts of the small intestine. Most of the effects of antibiotic treatment on bile acid homeostasis could be prevented by genetic inactivation of either Asbt or the transcription factor Gata4.

conclusionsAttenuation of gut microbiota alters Gata4-controlled expression of Asbt, increasing absorption and decreasing synthesis of bile acids. Our data support the concept that under physiological conditions microbiota stimulate Gata4, which suppresses Asbt expression, limiting the expression of this transporter to the terminal ileum. Our studies expand current knowledge on the bacterial control of bile acid homeostasis.

Indexed as

Intestinal AbsorptionAnimalsAnti-Bacterial AgentsBile Acids and SaltsCholesterol 7-alpha-HydroxylaseGastrointestinal MicrobiomeGATA4 Transcription FactorHomeostasisMaleMiceMice, Inbred C57BLOrganic Anion Transporters, Sodium-DependentRNA, MessengerSymportersAnti-Bacterial AgentsBile Acids and SaltsCholesterol 7-alpha-HydroxylaseCyp7a1 protein, mouseGata4 protein, mouseGATA4 Transcription FactorOrganic Anion Transporters, Sodium-DependentRNA, Messengersodium-bile acid cotransporterSymportersAntibiotic treatmentAsbtBile acid reabsorptionBile acid synthesisCyp7a1Enterohepatic circulationFgf15Gata4GermfreeGut microbiotaIntestinal bacteria

Identifiers

PMID26022694
PMCPMC5293168
OpenAlexW1554164117

What OpenQuestion holds

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Registered trials

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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.