Evidence map›Paper›PMID 27818259›Full record

ArticleCell metabolism2016

Transintestinal Cholesterol Transport Is Active in Mice and Humans and Controls Ezetimibe-Induced Fecal Neutral Sterol Excretion.

Lily Jakulj, Theo H van Dijk, Jan Freark de Boer, Ruud S Kootte, Marleen Schonewille, Yared Paalvast, Theo Boer, Vincent W Bloks, Renze Boverhof, Max Nieuwdorp and 3 more

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In one paragraph

Article in Cell metabolism, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
16.0field-weighted citation impact, top 1% 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

69 citing papers in PubMed, 144 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Ezetimibe Increases Endogenous Cholesterol Excretion in Humans.Arteriosclerosis, thrombosis, and vascular biology · 2017
    Trial
  4. Review
  5. Recent advances in carotenoid absorption, distribution, and elimination.Biochimica et biophysica acta. Molecular and cell biology of lipids · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Spaceflight alters host-gut microbiota interactions.NPJ biofilms and microbiomes · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Review

9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Lily JakuljDepartment of Vascular Medicine, Academic Medical Center, Amsterdam 1105AZ, the Netherlands.
Theo H van DijkDepartment of Laboratory Medicine, University of Groningen, University Medical Center Groningen, Groningen 9713ZG, the Netherlands.
Jan Freark de BoerDepartment of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen 9713ZG, the Netherlands.
Ruud S KootteDepartment of Vascular Medicine, Academic Medical Center, Amsterdam 1105AZ, the Netherlands.
Marleen SchonewilleDepartment of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen 9713ZG, the Netherlands.
Yared PaalvastDepartment of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen 9713ZG, the Netherlands.
Theo BoerDepartment of Laboratory Medicine, University of Groningen, University Medical Center Groningen, Groningen 9713ZG, the Netherlands.
Vincent W BloksDepartment of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen 9713ZG, the Netherlands.
Renze BoverhofDepartment of Laboratory Medicine, University of Groningen, University Medical Center Groningen, Groningen 9713ZG, the Netherlands.
Max NieuwdorpDepartment of Vascular Medicine, Academic Medical Center, Amsterdam 1105AZ, the Netherlands.
Ulrich H W BeuersDepartment of Gastroenterology and Hepatology, Academic Medical Center, Amsterdam 1105AZ, the Netherlands.
Erik S G StroesDepartment of Vascular Medicine, Academic Medical Center, Amsterdam 1105AZ, the Netherlands.
Albert K GroenDepartment of Vascular Medicine, Academic Medical Center, Amsterdam 1105AZ, the Netherlands; Department of Laboratory Medicine, University of Groningen, University Medical Center Groningen, Groningen 9713ZG, the Netherlands; Department of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen 9713ZG, the Netherlands; Amsterdam Diabetes Research Center, Academic Medical Center, Amsterdam 1105AZ, the Netherlands; Groningen Center of Systems Biology, University Medical Center Groningen, Groningen 9713ZG, the Netherlands. Electronic address: a.k.groen@amc.uva.nl.
University Medical Center Groningen · NLAmsterdam UMC Location University of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Except for conversion to bile salts, there is no major cholesterol degradation pathway in mammals. Efficient excretion from the body is therefore a crucial element in cholesterol homeostasis. Yet, the existence and importance of cholesterol degradation pathways in humans is a matter of debate. We quantified cholesterol fluxes in 15 male volunteers using a cholesterol balance approach. Ten participants repeated the protocol after 4 weeks of treatment with ezetimibe, an inhibitor of intestinal and biliary cholesterol absorption. Under basal conditions, about 65% of daily fecal neutral sterol excretion was bile derived, with the remainder being contributed by direct transintestinal cholesterol excretion (TICE). Surprisingly, ezetimibe induced a 4-fold increase in cholesterol elimination via TICE. Mouse studies revealed that most of ezetimibe-induced TICE flux is mediated by the cholesterol transporter Abcg5/Abcg8. In conclusion, TICE is active in humans and may serve as a novel target to stimulate cholesterol elimination in patients at risk for cardiovascular disease.

Indexed as

AdultAnimalsATP Binding Cassette Transporter, Subfamily G, Member 8BileBile Acids and SaltsBiological TransportCholesterolEzetimibeFecesFemaleHumansIntestinal MucosaIntestinesKineticsLipoproteinsMaleABCG8 protein, mouseATP Binding Cassette Transporter, Subfamily G, Member 8Bile Acids and SaltsCholesterolEzetimibeLipoproteinsbile saltbiliary cholesterolreverse cholesterol transporttransintestinal cholesterol transport

Identifiers

PMID27818259
OpenAlexW2548652959

What OpenQuestion holds

Textmetadata
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.