Evidence map›Paper›PMID 29097439›Full record

ArticleGut2018

Mucosa-associated invariant T cells link intestinal immunity with antibacterial immune defects in alcoholic liver disease.

Antonio Riva, Vishal Patel, Ayako Kurioka, Hannah C Jeffery, Gavin Wright, Sarah Tarff, Debbie Shawcross, Jennifer M Ryan, Alexander Evans, Sarah Azarian and 14 more

Open access · hybridAbstract read
In one paragraph

Article in Gut, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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

98 citing papers in PubMed, 1 synthesis or guideline pooled it, 150 citations in OpenAlex.

  1. Influence of Alcohol on the Intestinal Immune System.Alcohol research : current reviews · 2025
    Pooled it
  2. Review
  3. Review
  4. [Alcohol liver disease: immunoregulatory mechanisms and precision therapeutic targets].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  5. Mucosal-Associated Invariant T Cells in Rheumatic Diseases.Arthritis & rheumatology (Hoboken, N.J.) · 2026
    Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Liver transplant-facilitated CD161Nature communications · 2025
    Article
  16. The alcohol exposome.Alcohol (Fayetteville, N.Y.) · 2025
    Review
  17. Article
  18. Review
  19. Article
  20. Review

38 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

24 authors at 9 institutions in 3 countries.

Antonio RivaInstitute of Hepatology London, Foundation for Liver Research, London, UK.ORCID 0000-0002-4974-2780
Vishal PatelInstitute of Hepatology London, Foundation for Liver Research, London, UK.
Ayako KuriokaPeter Medawar Building for Pathogen Research, University of Oxford, Oxford, UK.
Hannah C JefferyCentre for Liver Research and NIHR BRU in Liver Disease, University of Birmingham, Birmingham, UK.
Gavin WrightDepartment of Gastroenterology, Basildon University Hospital, Basildon, UK.
Sarah TarffDepartment of Gastroenterology, Basildon University Hospital, Basildon, UK.
Debbie ShawcrossDivision of Transplantation, Immunology and Mucosal Biology, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Jennifer M RyanInstitute of Liver Studies, King's College London, London, UK.
Alexander EvansDepartment of Gastroenterology, Royal Berkshire Hospital, Reading, UK.
Sarah AzarianInstitute of Hepatology London, Foundation for Liver Research, London, UK.
Jasmohan S BajajDepartment of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University and McGuire VAMC, Richmond, Virginia, USA.
Andrew FaganDepartment of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University and McGuire VAMC, Richmond, Virginia, USA.
Vinood PatelDepartment of Biomedical Sciences, University of Westminster, London, UK.
Kosha MehtaDepartment of Biomedical Sciences, University of Westminster, London, UK.
Carlos LopezDepartment of Biomedical Sciences, University of Westminster, London, UK.
Marieta SimonovaDepartment of Gastroenterology, Military Medical Academy, Sofia, Bulgaria.
Krum KatzarovDepartment of Gastroenterology, Military Medical Academy, Sofia, Bulgaria.
Tanya HadzhiolovaDepartment of Gastroenterology, Military Medical Academy, Sofia, Bulgaria.
Slava PavlovaDepartment of Gastroenterology, Military Medical Academy, Sofia, Bulgaria.
Julia A WendonInstitute of Liver Studies, King's College London, London, UK.
Ye Htun OoCentre for Liver Research and NIHR BRU in Liver Disease, University of Birmingham, Birmingham, UK.
Paul KlenermanPeter Medawar Building for Pathogen Research, University of Oxford, Oxford, UK.
Roger WilliamsInstitute of Hepatology London, Foundation for Liver Research, London, UK.
Shilpa ChokshiInstitute of Hepatology London, Foundation for Liver Research, London, UK.
King's College London · GBMilitary Medical Academy · BGBasildon Hospital · GBNIHR Birmingham Liver Biomedical Research Unit · GBUniversity of Oxford · GBUniversity of Westminster · GBVirginia Commonwealth University · USFoundation for Liver Research · GBRoyal Berkshire Hospital · GB

Funding

Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
Wellcome Trust 109965/Z/15/Z
6 · The paper itself

Abstract

BACKGROUND/

aimsIntestinal permeability with systemic distribution of bacterial products are central in the immunopathogenesis of alcoholic liver disease (ALD), yet links with intestinal immunity remain elusive. Mucosa-associated invariant T cells (MAIT) are found in liver, blood and intestinal mucosa and are a key component of antibacterial host defences. Their role in ALD is unknown. METHODS/

designWe analysed frequency, phenotype, transcriptional regulation and function of blood MAIT cells in severe alcoholic hepatitis (SAH), alcohol-related cirrhosis (ARC) and healthy controls (HC). We also examined direct impact of ethanol, bacterial products from faecal extracts and antigenic hyperstimulation on MAIT cell functionality. Presence of MAIT cells in colon and liver was assessed by quantitative PCR and immunohistochemistry/gene expression respectively.

resultsIn ARC and SAH, blood MAIT cells were dramatically depleted, hyperactivated and displayed defective antibacterial cytokine/cytotoxic responses. These correlated with suppression of lineage-specific transcription factors and hyperexpression of homing receptors in the liver with intrahepatic preservation of MAIT cells in ALD. These alterations were stronger in SAH, where surrogate markers of bacterial infection and microbial translocation were higher than ARC. Ethanol exposure in vitro, in vivo alcohol withdrawal and treatment with

conclusionsIn ALD, the antibacterial potency of MAIT cells is compromised as a consequence of contact with microbial products and microbiota, suggesting that the 'leaky' gut observed in ALD drives MAIT cell dysfunction and susceptibility to infection in these patients.

Indexed as

AdultCell Culture TechniquesCytokinesEthanolFecesFemaleGene Expression ProfilingHumansImmunohistochemistryIntestinal MucosaLiver Diseases, AlcoholicMaleMiddle AgedMucosal-Associated Invariant T CellsReal-Time Polymerase Chain ReactionCytokinesEthanolalcoholic liver diseasebacterial translocationinflammationmucosal immunityt lymphocytes

Identifiers

PMID29097439
PMCPMC5890654
OpenAlexW2765152120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.