Evidence map›Paper›PMID 29942096›Full record

ArticleNature medicine2018

Molecular phenomics and metagenomics of hepatic steatosis in non-diabetic obese women.

Lesley Hoyles, José-Manuel Fernández-Real, Massimo Federici, Matteo Serino, James Abbott, Julie Charpentier, Christophe Heymes, Jèssica Latorre Luque, Elodie Anthony, Richard H Barton and 25 more

Erratum issued 2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Nature medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 404 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
404citing papers in PubMed, 2 pooled it
28.1field-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.

NCT03990753 unknown statusnot on this mapstarted 2019, after this paper: background citation

Microbiome/Peptidome-based Model for Non-invasive Detection of High-risk Gastroesophageal Varices in Compensated Cirrhosis (CHESS1901/APPHA1901): A Prospective Multicenter Study

TypeobservationalSponsorNanfang Hospital, Southern Medical UniversityRan2019 to 2022Enrolled1,000ConditionsCompensated CirrhosisArmsesophagogastroduodenoscopy
NCT04543643 phase3unknown statusnot on this mapstarted 2021, after this paper: background citation

Endoscopic and Microbiological Assessment of the Effect of Carvedilol Combined With Berberine on GOV in Cirrhosis: a Prospective Cohort Study

TypeinterventionalSponsorTianjin Second People's HospitalRan2021 to 2023Enrolled288ConditionsCirrhosis Due to Hepatitis B, Cirrhosis Due to Hepatitis C, Gastroesophageal VaricesArmsCarvedilol, Berberine
3 · Its place in the literature

Who cites it

404 citing papers in PubMed, 2 syntheses or guidelines pooled it, 692 citations in OpenAlex.

  1. Pooled it
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  10. The Role of Gut Microbiota in Liver Regeneration After Partial Hepatectomy: New Evidence From Animal and Human Studies.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  16. NovelGut · 2026
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344 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors at 6 institutions in 4 countries.

Lesley HoylesDivision of Integrative Systems Medicine and Digestive Diseases, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-6418-342X
José-Manuel Fernández-RealDepartment of Endocrinology, Diabetes and Nutrition and Department of Medicine, Hospital of Girona "Dr Josep Trueta", Universitat of Girona and CIBERobn Pathophysiology of Obesity and Nutrition, Instituto de Salud Carlos III, Madrid, Spain. jmfreal@idibgi.org.
Massimo FedericiDepartment of Systems Medicine, University of Rome Tor Vergata, Via Montpellier, Rome, Italy. federicm@uniroma2.it.ORCID http://orcid.org/0000-0003-4989-5194
Matteo SerinoInstitut National de la Santé et de la Recherche Médicale (INSERM), Toulouse, France.ORCID http://orcid.org/0000-0003-4644-8532
James AbbottDivision of Integrative Systems Medicine and Digestive Diseases, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-7701-4249
Julie CharpentierInstitut National de la Santé et de la Recherche Médicale (INSERM), Toulouse, France.
Christophe HeymesInstitut National de la Santé et de la Recherche Médicale (INSERM), Toulouse, France.
Jèssica Latorre LuqueDepartment of Endocrinology, Diabetes and Nutrition and Department of Medicine, Hospital of Girona "Dr Josep Trueta", Universitat of Girona and CIBERobn Pathophysiology of Obesity and Nutrition, Instituto de Salud Carlos III, Madrid, Spain.ORCID http://orcid.org/0000-0002-7603-1458
Elodie AnthonyInstitut Cochin Inserm U1016 CNRS UMR 8104, Université Paris Descartes, Paris, France.
Richard H BartonDivision of Integrative Systems Medicine and Digestive Diseases, Department of Surgery and Cancer, Imperial College London, London, UK.
Julien ChillouxDivision of Integrative Systems Medicine and Digestive Diseases, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-0384-7317
Antonis MyridakisDivision of Integrative Systems Medicine and Digestive Diseases, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0003-1690-6651
Laura Martinez-GiliDivision of Integrative Systems Medicine and Digestive Diseases, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-5271-9672
José Maria Moreno-NavarreteDepartment of Endocrinology, Diabetes and Nutrition and Department of Medicine, Hospital of Girona "Dr Josep Trueta", Universitat of Girona and CIBERobn Pathophysiology of Obesity and Nutrition, Instituto de Salud Carlos III, Madrid, Spain.
Fadila BenhamedInstitut Cochin Inserm U1016 CNRS UMR 8104, Université Paris Descartes, Paris, France.
Vincent AzalbertInstitut National de la Santé et de la Recherche Médicale (INSERM), Toulouse, France.
Vincent Blasco-BaqueInstitut National de la Santé et de la Recherche Médicale (INSERM), Toulouse, France.
Josep PuigDepartment of Endocrinology, Diabetes and Nutrition and Department of Medicine, Hospital of Girona "Dr Josep Trueta", Universitat of Girona and CIBERobn Pathophysiology of Obesity and Nutrition, Instituto de Salud Carlos III, Madrid, Spain.
Gemma XifraDepartment of Endocrinology, Diabetes and Nutrition and Department of Medicine, Hospital of Girona "Dr Josep Trueta", Universitat of Girona and CIBERobn Pathophysiology of Obesity and Nutrition, Instituto de Salud Carlos III, Madrid, Spain.
Wifredo RicartDepartment of Endocrinology, Diabetes and Nutrition and Department of Medicine, Hospital of Girona "Dr Josep Trueta", Universitat of Girona and CIBERobn Pathophysiology of Obesity and Nutrition, Instituto de Salud Carlos III, Madrid, Spain.
Christopher TomlinsonDivision of Integrative Systems Medicine and Digestive Diseases, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-8634-6111
Mark WoodbridgeDivision of Integrative Systems Medicine and Digestive Diseases, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-0650-9751
Marina CardelliniDepartment of Systems Medicine, University of Rome Tor Vergata, Via Montpellier, Rome, Italy.
Francesca DavatoDepartment of Systems Medicine, University of Rome Tor Vergata, Via Montpellier, Rome, Italy.
Iris CardoliniDepartment of Systems Medicine, University of Rome Tor Vergata, Via Montpellier, Rome, Italy.
Ottavia PorzioDepartment of Experimental Medicine and Surgery, University of Rome Tor Vergata, Rome, Italy.
Paolo GentileschiDepartment of Experimental Medicine and Surgery, University of Rome Tor Vergata, Rome, Italy.
Frédéric LopezInstitut National de la Santé et de la Recherche Médicale (INSERM), Toulouse, France.
Fabienne FoufelleSorbonne Universités, UPMC Univ Paris 06, UMRS 1138, Centre de Recherche des Cordeliers, Paris, France.
Sarah A ButcherDivision of Integrative Systems Medicine and Digestive Diseases, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-4494-5124
Elaine HolmesDivision of Integrative Systems Medicine and Digestive Diseases, Department of Surgery and Cancer, Imperial College London, London, UK.
Jeremy K NicholsonDivision of Integrative Systems Medicine and Digestive Diseases, Department of Surgery and Cancer, Imperial College London, London, UK.
Catherine PosticInstitut Cochin Inserm U1016 CNRS UMR 8104, Université Paris Descartes, Paris, France.
Rémy BurcelinInstitut National de la Santé et de la Recherche Médicale (INSERM), Toulouse, France. remy.burcelin@inserm.fr.
Marc-Emmanuel DumasDivision of Integrative Systems Medicine and Digestive Diseases, Department of Surgery and Cancer, Imperial College London, London, UK. m.dumas@imperial.ac.uk.ORCID http://orcid.org/0000-0001-9523-7024
Imperial College London · GBUniversité Toulouse III - Paul Sabatier · FRInstituto de Salud Carlos III · ESUniversity of Rome Tor Vergata · ITCentre National de la Recherche Scientifique · FRSorbonne Université · FR

Funding

Medical Research Council MR/L01632X/1Medical Research Council MR/M501797/1
6 · The paper itself

Abstract

Hepatic steatosis is a multifactorial condition that is often observed in obese patients and is a prelude to non-alcoholic fatty liver disease. Here, we combine shotgun sequencing of fecal metagenomes with molecular phenomics (hepatic transcriptome and plasma and urine metabolomes) in two well-characterized cohorts of morbidly obese women recruited to the FLORINASH study. We reveal molecular networks linking the gut microbiome and the host phenome to hepatic steatosis. Patients with steatosis have low microbial gene richness and increased genetic potential for the processing of dietary lipids and endotoxin biosynthesis (notably from Proteobacteria), hepatic inflammation and dysregulation of aromatic and branched-chain amino acid metabolism. We demonstrated that fecal microbiota transplants and chronic treatment with phenylacetic acid, a microbial product of aromatic amino acid metabolism, successfully trigger steatosis and branched-chain amino acid metabolism. Molecular phenomic signatures were predictive (area under the curve = 87%) and consistent with the gut microbiome having an effect on the steatosis phenome (>75% shared variation) and, therefore, actionable via microbiome-based therapies.

Indexed as

MetagenomicsAnimalsCells, CulturedCohort StudiesConfounding Factors, EpidemiologicDiabetes MellitusFecal Microbiota TransplantationFemaleHepatocytesHumansMetabolomeMetabolomicsMiceMicrobiotaNon-alcoholic Fatty Liver DiseaseObesity

Identifiers

PMID29942096
PMCPMC6140997
OpenAlexW2790364467

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Registered trials

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.