Evidence map›Paper›PMID 29094594›Full record

ArticleACS infectious diseases2018

Nonsteroidal Anti-Inflammatory Drug-Induced Leaky Gut Modeled Using Polarized Monolayers of Primary Human Intestinal Epithelial Cells.

Aadra P Bhatt, Dulan B Gunasekara, Jennifer Speer, Mark I Reed, Alexis N Peña, Bentley R Midkiff, Scott T Magness, Scott J Bultman, Nancy L Allbritton, Matthew R Redinbo

Abstract readLetter
In one paragraph

Article in ACS infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. From pain relief to mucosal grief: A comprehensive review of NSAID enteropathy.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  3. Article
  4. Review
  5. Identification ofMicrobiology spectrum · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. A leaky human colon model reveals uncoupled apical/basal cytotoxicity in earlyAmerican journal of physiology. Gastrointestinal and liver physiology · 2023
    Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
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

10 authors at 1 institution in 1 country.

Aadra P BhattDepartment of Chemistry, University of North Carolina , 250 Bell Tower Drive, Chapel Hill, North Carolina 27599-3290, United States.
Dulan B GunasekaraDepartment of Chemistry, University of North Carolina , 250 Bell Tower Drive, Chapel Hill, North Carolina 27599-3290, United States.
Jennifer SpeerDepartment of Chemistry, University of North Carolina , 250 Bell Tower Drive, Chapel Hill, North Carolina 27599-3290, United States.
Mark I ReedDepartment of Chemistry, University of North Carolina , 250 Bell Tower Drive, Chapel Hill, North Carolina 27599-3290, United States.
Alexis N PeñaDepartment of Chemistry, University of North Carolina , 250 Bell Tower Drive, Chapel Hill, North Carolina 27599-3290, United States.
Bentley R MidkiffTranslational Pathology Laboratory, Lineberger Comprehensive Cancer Center, University of North Carolina , 160 North Medical Drive, Chapel Hill, North Carolina 27599-7525, United States.
Scott T MagnessDepartment of Biomedical Engineering, University of North Carolina , Chapel Hill, North Carolina 27599, United States , and North Carolina State University, Raleigh, North Carolina 27607, United States.
Scott J BultmanDepartment of Genetics, University of North Carolina , 120 Mason Farm Road, Chapel Hill, North Carolina 27599-7264, United States.
Nancy L AllbrittonDepartment of Chemistry, University of North Carolina , 250 Bell Tower Drive, Chapel Hill, North Carolina 27599-3290, United States.ORCID 0000-0002-9242-768X
Matthew R RedinboDepartment of Chemistry, University of North Carolina , 250 Bell Tower Drive, Chapel Hill, North Carolina 27599-3290, United States.ORCID 0000-0003-0814-5346
University of North Carolina at Chapel Hill · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A. Troester · 2001 to 2026
$36.3M
GASTROENTEROLOGY RESEARCH TRAININGT32DK007737 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SHEHZAD Z. SHEIKH · 1996 to 2026
$7.8M
DEVELOPMENT OF HUMAN INTESTINAL SIMULACRAR01DK109559 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ALLBRITTON, NANCY L., BULTMAN, SCOTT J · 2015 to 2019
$5.2M
Improving CPT-11 Efficacy Using Structural BiologyR01CA098468 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI REDINBO, MATTHEW R · 2003 to 2018
$3.9M
Microbiome-Targeted Probes to Eliminate Chemotherapy-Induced GI ToxicityR01CA207416 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI REDINBO, MATTHEW R · 2016 to 2018
$1.7M
Training Program in Nigeria for NCD Research (TRAPING - NCD)D43TW009106 · FIC · UNIVERSITY OF MARYLAND BALTIMORE · PI ADEBAMOWO, CLEMENT ADEBAYO · 2011 to 2015
$1.1M
Growth hormone secretagogue MK-677 therapy in CKD and ESRDR21DK077372 · NIDDK · UNIVERSITY OF VIRGINIA · PI BOLTON, WARREN KLINE · 2007 to 2008
$412k
NCI NIH HHS P30 CA016086NCI NIH HHS R01 CA098468NCI NIH HHS R01 CA207416NIDDK NIH HHS R01 DK109559NIDDK NIH HHS R21 DK077372NIDDK NIH HHS T32 DK007737NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

The intestinal epithelium provides a critical barrier that separates the gut microbiota from host tissues. Nonsteroidal anti-inflammatory drugs (NSAIDs) are efficacious analgesics and antipyretics and are among the most frequently used drugs worldwide. In addition to gastric damage, NSAIDs are toxic to the intestinal epithelium, causing erosions, perforations, and longitudinal ulcers in the gut. Here, we use a unique in vitro human primary small intestinal cell monolayer system to pinpoint the intestinal consequences of NSAID treatment. We found that physiologically relevant doses of the NSAID diclofenac (DCF) are cytotoxic because they uncouple mitochondrial oxidative phosphorylation and generate reactive oxygen species. We also find that DCF induces intestinal barrier permeability, facilitating the translocation of compounds from the luminal to the basolateral side of the intestinal epithelium. The results we outline here establish the utility of this novel platform, representative of the human small intestinal epithelium, to understand NSAID toxicity, which can be applied to study multiple aspects of gut barrier function including defense against infectious pathogens and host-microbiota interactions.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalCell Membrane PermeabilityEpithelial CellsHumansIntestinal MucosaMitochondriaAnti-Inflammatory Agents, Non-Steroidalbacterial translocationleaky gutmitochondriaNSAIDssmall intestinesuperoxide

Identifiers

PMID29094594
PMCPMC6013262
OpenAlexW2766743604

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.