Evidence map›Paper›PMID 29802368›Full record

ArticleScientific reports2018

Long-Term Administration of Conjugated Estrogen and Bazedoxifene Decreased Murine Fecal β-Glucuronidase Activity Without Impacting Overall Microbiome Community.

Karen Lee Ann Chen, Xiaoji Liu, Yiru Chen Zhao, Kadriye Hieronymi, Gianluigi Rossi, Loretta Sue Auvil, Michael Welge, Colleen Bushell, Rebecca Lee Smith, Kathryn E Carlson and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
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  16. Effects of gut microbiota in breast cancer.Frontiers in oncology · 2025
    Review
  17. Impact of Physiological Fluctuations of Sex Hormones During the Menstrual Cycle on Glucose Metabolism and the Gut Microbiota.Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association · 2024
    Review
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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

14 authors at 2 institutions in 2 countries.

Karen Lee Ann ChenDivision of Nutritional Sciences, University of Illinois, Urbana-Champaign, Urbana, IL, USA.
Xiaoji LiuDepartment of Food Science and Human Nutrition, University of Illinois, Urbana-Champaign, Urbana, IL, USA.ORCID 0000-0002-6005-0769
Yiru Chen ZhaoDepartment of Food Science and Human Nutrition, University of Illinois, Urbana-Champaign, Urbana, IL, USA.
Kadriye HieronymiDepartment of Food Science and Human Nutrition, University of Illinois, Urbana-Champaign, Urbana, IL, USA.
Gianluigi RossiDepartment of Pathobiology, University of Illinois, Urbana-Champaign, Urbana, IL, USA.ORCID 0000-0002-6540-8467
Loretta Sue AuvilNational Center for Supercomputing Applications, University of Illinois, Urbana-Champaign, Urbana, IL, USA.
Michael WelgeNational Center for Supercomputing Applications, University of Illinois, Urbana-Champaign, Urbana, IL, USA.
Colleen BushellNational Center for Supercomputing Applications, University of Illinois, Urbana-Champaign, Urbana, IL, USA.
Rebecca Lee SmithDepartment of Pathobiology, University of Illinois, Urbana-Champaign, Urbana, IL, USA.ORCID 0000-0002-8343-794X
Kathryn E CarlsonDepartment of Chemistry, University of Illinois, Urbana-Champaign, Urbana, IL, USA.
Sung Hoon KimDepartment of Chemistry, University of Illinois, Urbana-Champaign, Urbana, IL, USA.ORCID 0000-0001-9167-5617
John A KatzenellenbogenDepartment of Chemistry, University of Illinois, Urbana-Champaign, Urbana, IL, USA.
Michael Joseph MillerDivision of Nutritional Sciences, University of Illinois, Urbana-Champaign, Urbana, IL, USA.
Zeynep Madak-ErdoganDivision of Nutritional Sciences, University of Illinois, Urbana-Champaign, Urbana, IL, USA. zmadake2@illinois.edu.
University of Illinois Urbana-Champaign · USRoslin Institute · GB

Funding

Novel Ligands and Mechanisms to Achieve Selective Nuclear Receptor ActivityR01DK015556 · NIDDK · UNIVERSITY OF ILLINOIS URBANA-CHAMPAIGN · PI KATZENELLENBOGEN, JOHN A. · 1986 to 2016
$1.6M
NIDDK NIH HHS R01 DK015556
6 · The paper itself

Abstract

Conjugated estrogens (CE) and Bazedoxifene (BZA) combination is used to alleviate menopause-associated symptoms in women. CE+BZA undergo first-pass-metabolism in the liver and deconjugation by gut microbiome via β-glucuronidase (GUS) enzyme inside the distal gut. To date, the impact of long-term exposure to CE+BZA on the gut microbiome or GUS activity has not been examined. Our study using an ovariectomized mouse model showed that CE+BZA administration did not affect the overall cecal or fecal microbiome community except that it decreased the abundance of Akkermansia, which was identified as a fecal biomarker correlated with weight gain. The fecal GUS activity was reduced significantly and was positively correlated with the abundance of Lactobacillaceae in the fecal microbiome. We further confirmed in Escherichia coli K12 and Lactobacillus gasseri ADH that Tamoxifen-, 4-hydroxy-Tamoxifen- and Estradiol-Glucuronides competed for GUS activity. Our study for the first time demonstrated that long-term estrogen supplementation directly modulated gut microbial GUS activity. Our findings implicate that long-term estrogen supplementation impacts composition of gut microbiota and microbial activity, which affects estrogen metabolism in the gut. Thus, it is possible to manipulate such activity to improve the efficacy and safety of long-term administered estrogens for postmenopausal women or breast cancer patients.

Indexed as

AnimalsBiomarkersDrug InteractionsEscherichia coli K12Estrogens, Conjugated (USP)FecesFemaleGastrointestinal MicrobiomeGlucuronidaseIndolesLactobacillus gasseriMiceMice, Inbred C57BLTime FactorsbazedoxifeneBiomarkersEstrogens, Conjugated (USP)GlucuronidaseIndoles

Identifiers

PMID29802368
PMCPMC5970144
OpenAlexW2804340576

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.