Evidence map›Paper›PMID 27592213›Full record

ArticleSurgery2016

Liver steatosis induced by small bowel resection is prevented by oral vancomycin.

Lauren K Barron, Christopher P Gayer, Anne Roberts, Jamie M Golden, Bola G Aladegbami, Jun Guo, Christopher R Erwin, Brad W Warner

Open access · greenAbstract read
In one paragraph

Article in Surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  8. Intestinal resection-associated metabolic syndrome.Journal of pediatric surgery · 2018
    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

8 authors at 4 institutions in 1 country.

Lauren K BarronDepartment Of Surgery, Washington University in St. Louis, St. Louis, MO; Division of Pediatric Surgery, St. Louis Children's Hospital, St. Louis, MO.
Christopher P GayerKeck School of Medicine, University of Southern California, Los Angeles, CA; Division of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA.
Anne RobertsDivision of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA.
Jamie M GoldenDivision of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA.
Bola G AladegbamiDepartment Of Surgery, Washington University in St. Louis, St. Louis, MO; Division of Pediatric Surgery, St. Louis Children's Hospital, St. Louis, MO.
Jun GuoDivision of Pediatric Surgery, St. Louis Children's Hospital, St. Louis, MO.
Christopher R ErwinDivision of Pediatric Surgery, St. Louis Children's Hospital, St. Louis, MO.
Brad W WarnerDepartment Of Surgery, Washington University in St. Louis, St. Louis, MO; Division of Pediatric Surgery, St. Louis Children's Hospital, St. Louis, MO. Electronic address: brad.warner@wustl.edu.
St. Louis Children's Hospital · USChildren's Hospital of Los Angeles · USUniversity of Southern California · USWashington University in St. Louis · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Brian N Finck · 1999 to 2026
$30.2M
The Microbiome in Short Bowel SyndromeF32DK103490 · NIDDK · WASHINGTON UNIVERSITY · PI BARRON, LAUREN K. M. · 2014 to 2015
$118k
NCATS NIH HHS UL1 TR000448NCI NIH HHS P30 CA091842NIDDK NIH HHS F32 DK103490NIDDK NIH HHS P30 DK052574NIDDK NIH HHS P30 DK056341
6 · The paper itself

Abstract

backgroundIntestinal failure-associated liver disease causes significant mortality in patients with short bowel syndrome. Steatosis, a major component of intestinal failure-associated liver disease has been shown to persist even after weaning from parenteral nutrition. We sought to determine whether steatosis occurs in our murine model of short bowel syndrome and whether steatosis was affected by manipulation of the intestinal microbiome.

methodsMale C57BL6 mice underwent 50% small bowel resection and orogastric gavage with vancomycin or vehicle for 10 weeks. DNA was extracted from stool samples then sequenced using 16s rRNA. Liver lipid content was analyzed. Bile acids were measured in liver and stool.

resultsCompared with unoperated mice, small bowel resection resulted in significant changes in the fecal microbiome and was associated with a >25-fold increase in steatosis. Oral vancomycin profoundly altered the gut microbiome and was associated with a 15-fold reduction in hepatic lipid content after resection. There was a 17-fold reduction in fecal secondary bile acids after vancomycin treatment.

conclusionMassive small bowel resection in mice is associated with development of steatosis and prevented by oral vancomycin. These findings implicate a critical role for gut bacteria in intestinal failure-associated liver disease pathogenesis and illuminate a novel, operative model for future investigation into this important morbidity.

Indexed as

Administration, OralAnimalsAnti-Bacterial AgentsDisease Models, AnimalFatty LiverFecesHumansIntestine, SmallMiceMice, Inbred C57BLShort Bowel SyndromeVancomycinAnti-Bacterial AgentsVancomycin

Identifiers

PMID27592213
PMCPMC5409838
OpenAlexW2509875561

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.