Evidence map›Paper›PMID 27617199›Full record

ArticleMolecular metabolism2016

Causality of small and large intestinal microbiota in weight regulation and insulin resistance.

Torsten P M Scheithauer, Geesje M Dallinga-Thie, Willem M de Vos, Max Nieuwdorp, Daniël H van Raalte

Open access · goldAbstract read
In one paragraph

Article in Molecular metabolism, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 3 pooled it
9.4field-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.

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

91 citing papers in PubMed, 3 syntheses or guidelines pooled it, 183 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Effect of pasteurizedGut microbes · 2026
    Trial
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  8. Deciphering themSphere · 2026
    Article
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  10. Article
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  13. Journal of diabetes and metabolic disorders · 2025
    Review
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  15. Article
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  18. Article
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  20. Article

31 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

5 authors at 3 institutions in 1 country.

Torsten P M ScheithauerDepartment of Vascular Medicine, Academic Medical Center (AMC), University of Amsterdam, Amsterdam, The Netherlands; Diabetes Center, Department of Internal Medicine, VU University Medical Center, Amsterdam, The Netherlands; Institute for Cardiovascular Research (ICaR), VU University Medical Center, Amsterdam, The Netherlands.
Geesje M Dallinga-ThieDepartment of Vascular Medicine, Academic Medical Center (AMC), University of Amsterdam, Amsterdam, The Netherlands.
Willem M de VosWU Agrotechnology and Food Sciences, Wagening University, Wageningen, The Netherlands.
Max NieuwdorpDepartment of Vascular Medicine, Academic Medical Center (AMC), University of Amsterdam, Amsterdam, The Netherlands; Diabetes Center, Department of Internal Medicine, VU University Medical Center, Amsterdam, The Netherlands; Institute for Cardiovascular Research (ICaR), VU University Medical Center, Amsterdam, The Netherlands.
Daniël H van RaalteDiabetes Center, Department of Internal Medicine, VU University Medical Center, Amsterdam, The Netherlands; Institute for Cardiovascular Research (ICaR), VU University Medical Center, Amsterdam, The Netherlands.
Amsterdam UMC Location VUmc · NLUniversity of Amsterdam · NLWageningen University & Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe twin pandemics of obesity and Type 2 diabetes (T2D) are a global challenge for health care systems. Changes in the environment, behavior, diet, and lifestyle during the last decades are considered the major causes. A Western diet, which is rich in saturated fat and simple sugars, may lead to changes in gut microbial composition and physiology, which have recently been linked to the development of metabolic diseases.

methodsWe will discuss evidence that demonstrates the influence of the small and large intestinal microbiota on weight regulation and the development of insulin resistance, based on literature search.

resultsAltered large intestinal microbial composition may promote obesity by increasing energy harvest through specialized gut microbes. In both large and small intestine, microbial alterations may increase gut permeability that facilitates the translocation of whole bacteria or endotoxic bacterial components into metabolic active tissues. Moreover, changed microbial communities may affect the production of satiety-inducing signals. Finally, bacterial metabolic products, such as short chain fatty acids (SCFAs) and their relative ratios, may be causal in disturbed immune and metabolic signaling, notably in the small intestine where the surface is large. The function of these organs (adipose tissue, brain, liver, muscle, pancreas) may be disturbed by the induction of low-grade inflammation, contributing to insulin resistance.

conclusionsInterventions aimed to restoring gut microbial homeostasis, such as ingestion of specific fibers or therapeutic microbes, are promising strategies to reduce insulin resistance and the related metabolic abnormalities in obesity, metabolic syndrome, and type 2 diabetes. This article is part of a special issue on microbiota.

Indexed as

16s rRNA, 16S ribosomal RNA (30S small subunit of prokaryotic ribosomes)AMP, adenosine monophosphateAMPK, AMP-activated protein kinaseAngptl4, Angiopoietin-like 4AS160, Akt substrate of 160 kDaCB1R, cannabinoid receptor type 1CCL2, Chemokine (C–C motif) ligand 2DiabetesDIO, diet-induced obesityGF, germ-freeGLP, glucagon-like peptideGpr, G-protein coupled receptorGut microbiotaHFD, high fat dietIL, interleukinInsulin resistanceIRS-1, insulin receptor substrate 1JNK, C-Jun N-terminal kinaseLBP, LPS-binding proteinLPL, lipoprotein lipaseLPS, lipopolysaccharideMCP-1, monocyte chemotactic protein 1NOD1, nucleotide-binding oligomerization domain-containing protein 1ObesityPKB, protein kinase B (also known as Akt)PYY, peptide YY (for tyrosine–tyrosine)RYGB, Roux-en-Y gastric bypassSCFA, short-chain fatty acidT2D, Type 2 diabetes mellitusTLR, toll-like receptorTNF-α, tumor necrosis factor alphaVLDL, very low density lipoproteinWeight regulationWHO, World Health OrganizationZO, zonula occludens

Identifiers

PMID27617199
PMCPMC5004227
OpenAlexW2418054056

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.