Evidence map›Paper›PMID 27198191›Full record

ArticleAmerican journal of physiology. Gastrointestinal and liver physiology2016

Night workers with circadian misalignment are susceptible to alcohol-induced intestinal hyperpermeability with social drinking.

Garth R Swanson, Annika Gorenz, Maliha Shaikh, Vishal Desai, Thomas Kaminsky, Jolice Van Den Berg, Terrence Murphy, Shohreh Raeisi, Louis Fogg, Martha Hotz Vitaterna and 4 more

Registry-linked trialOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in American journal of physiology. Gastrointestinal and liver physiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04637399 (Circadian Misalignment as a Disease Risk Factor in Inflammatory Bowel Disease), which is not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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.

NCT04637399 completednot on this map

Circadian Misalignment as a Disease Risk Factor in Inflammatory Bowel Disease

TypeobservationalSponsorRush University Medical CenterRan2016 to 2021Enrolled52ConditionsInflammatory Bowel Diseases, Crohn Disease, Ulcerative Colitis
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Review
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  11. The circadian rhythm as therapeutic target in inflammatory bowel disease.Journal of the Canadian Association of Gastroenterology · 2025
    Article
  12. Biological rhythms of the liver.Clinical and experimental hepatology · 2024
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Sleep Modulates Alcohol Toxicity inInternational journal of molecular sciences · 2022
    Article
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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

14 authors at 3 institutions in 1 country.

Garth R SwansonDepartment Digestive Diseases, Rush University Medical Center, Chicago, Illinois; garth_r_swanson@rush.edu.
Annika GorenzDepartment Digestive Diseases, Rush University Medical Center, Chicago, Illinois;
Maliha ShaikhDepartment Digestive Diseases, Rush University Medical Center, Chicago, Illinois;
Vishal DesaiDepartment Digestive Diseases, Rush University Medical Center, Chicago, Illinois;
Thomas KaminskyDepartment Digestive Diseases, Rush University Medical Center, Chicago, Illinois;
Jolice Van Den BergDepartment Digestive Diseases, Rush University Medical Center, Chicago, Illinois;
Terrence MurphyDepartment Digestive Diseases, Rush University Medical Center, Chicago, Illinois;
Shohreh RaeisiDepartment Digestive Diseases, Rush University Medical Center, Chicago, Illinois;
Louis Foggommunity, Systems and Mental Health Nursing, Rush University, Chicago, Illinois;
Martha Hotz VitaternaDepartment of Neurobiology, Center for Sleep and Circadian Biology, Northwestern University, Evanston, Illinois; Northwestern University Feinberg School of Medicine, Chicago, Illinois;
Christopher ForsythDepartment Digestive Diseases, Rush University Medical Center, Chicago, Illinois;
Fred TurekDepartment of Neurobiology, Center for Sleep and Circadian Biology, Northwestern University, Evanston, Illinois; Northwestern University Feinberg School of Medicine, Chicago, Illinois;
Helen J BurgessDepartment Digestive Diseases, Rush University Medical Center, Chicago, Illinois; Department of Behavioral Sciences, Rush University Medical Center, Chicago, Illinois; and.
Ali KeshavarzianDepartment Digestive Diseases, Rush University Medical Center, Chicago, Illinois; Departments of Pharmacology; Molecular Biophysics & Physiology, Rush University Medical Center, Chicago, Illinois.
Rush University Medical Center · USNorthwestern University · 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 K23 AA019966
6 · The paper itself

Abstract

Alcohol-induced intestinal hyperpermeability (AIHP) is a known risk factor for alcoholic liver disease (ALD), but only 20-30% of heavy alcoholics develop AIHP and ALD. The hypothesis of this study is that circadian misalignment would promote AIHP. We studied two groups of healthy subjects on a stable work schedule for 3 mo [day workers (DW) and night workers (NW)]. Subjects underwent two circadian phase assessments with sugar challenge to access intestinal permeability between which they drank 0.5 g/kg alcohol daily for 7 days. Sleep architecture by actigraphy did not differ at baseline or after alcohol between either group. After alcohol, the dim light melatonin onset (DLMO) in the DW group did not change significantly, but in the NW group there was a significant 2-h phase delay. Both the NW and DW groups had no change in small bowel permeability with alcohol, but only in the NW group was there an increase in colonic and whole gut permeability. A lower area under the curve of melatonin inversely correlated with increased colonic permeability. Alcohol also altered peripheral clock gene amplitude of peripheral blood mononuclear cells in CLOCK, BMAL, PER1, CRY1, and CRY2 in both groups, and inflammatory markers lipopolysaccharide-binding protein, LPS, and IL-6 had an elevated mesor at baseline in NW vs. DW and became arrhythmic with alcohol consumption. Together, our data suggest that central circadian misalignment is a previously unappreciated risk factor for AIHP and that night workers may be at increased risk for developing liver injury with alcohol consumption.

Indexed as

Circadian RhythmPersonnel Staffing and SchedulingSleepWork Schedule ToleranceAdultAlcohol DrinkingBiomarkersCircadian Rhythm Signaling Peptides and ProteinsColonGene Expression RegulationHumansInflammation MediatorsIntestine, SmallMelatoninMiddle AgedPermeabilityBiomarkersCircadian Rhythm Signaling Peptides and ProteinsInflammation MediatorsMelatoninalcoholic liver diseaseintestinal permeabilitymelatonin

Identifiers

PMID27198191
PMCPMC4967173
OpenAlexW2398362382

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.