Evidence map›Paper›PMID 30389414›Full record

ArticleImmunity2018

An Interleukin-23-Interleukin-22 Axis Regulates Intestinal Microbial Homeostasis to Protect from Diet-Induced Atherosclerosis.

Aliia R Fatkhullina, Iuliia O Peshkova, Amiran Dzutsev, Turan Aghayev, John A McCulloch, Vishal Thovarai, Jonathan H Badger, Ravi Vats, Prithu Sundd, Hsin-Yao Tang and 5 more

Abstract read
In one paragraph

Article in Immunity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 1 pooled it
9.7field-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

106 citing papers in PubMed, 1 synthesis or guideline pooled it, 182 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Pediatric and adult point of view on the gut-kidney axis in CKD.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. iMeta · 2025
    Article
  11. Article
  12. Review
  13. Regulation of innate lymphoid cell by microbial metabolites.Journal of molecular medicine (Berlin, Germany) · 2025
    Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Progress in macrophage immune regulation of atherosclerosis.American journal of translational research · 2025
    Review
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 1 country.

Aliia R FatkhullinaBlood Cell Development and Function Program, Fox Chase Cancer Center, Philadelphia, PA, 19111, USA.
Iuliia O PeshkovaBlood Cell Development and Function Program, Fox Chase Cancer Center, Philadelphia, PA, 19111, USA.
Amiran DzutsevCancer and Inflammation Program, Center for Cancer Research, NCI, NIH, Frederick National Laboratory for Cancer Research sponsored by the NCI, Bethesda, MD, 20892, USA.
Turan AghayevBlood Cell Development and Function Program, Fox Chase Cancer Center, Philadelphia, PA, 19111, USA.
John A McCullochCancer and Inflammation Program, Center for Cancer Research, NCI, NIH, Frederick National Laboratory for Cancer Research sponsored by the NCI, Bethesda, MD, 20892, USA.
Vishal ThovaraiCancer and Inflammation Program, Center for Cancer Research, NCI, NIH, Frederick National Laboratory for Cancer Research sponsored by the NCI, Bethesda, MD, 20892, USA; Basic Science Program, Frederick National Laboratory for Cancer Research sponsored by the NCI, Bethesda, MD, 20892, USA.
Jonathan H BadgerCancer and Inflammation Program, Center for Cancer Research, NCI, NIH, Frederick National Laboratory for Cancer Research sponsored by the NCI, Bethesda, MD, 20892, USA.
Ravi VatsPittsburgh Heart, Lung and Blood Vascular Medicine Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, 15213, USA.
Prithu SunddPittsburgh Heart, Lung and Blood Vascular Medicine Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, 15213, USA.
Hsin-Yao TangProteomics and Metabolomics, The Wistar Institute, Philadelphia, PA, 19104, USA.
Andrew V KossenkovBioinformatics Facilities, The Wistar Institute, Philadelphia, PA, 19104, USA.
Stanley L HazenDepartment of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44195, USA.
Giorgio TrinchieriCancer and Inflammation Program, Center for Cancer Research, NCI, NIH, Frederick National Laboratory for Cancer Research sponsored by the NCI, Bethesda, MD, 20892, USA.
Sergei I GrivennikovCancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, PA, 19111, USA.
Ekaterina K KoltsovaBlood Cell Development and Function Program, Fox Chase Cancer Center, Philadelphia, PA, 19111, USA. Electronic address: ekaterina.koltsova@fccc.edu.
Fox Chase Cancer Center · USFrederick National Laboratory for Cancer Research · USCenter for Cancer Research · USThe Wistar Institute · USUniversity of Pittsburgh · USCleveland Clinic Lerner College of Medicine · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
Gut Flora Metabolism of Dietary Phosphatidylcholine and CVDR01HL103866 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI HAZEN, STANLEY L · 2010 to 2023
$10.8M
Pulmonary arteriole occlusion by platelet-neutrophil micro-emboli in Acute Chest SyndromeR01HL128297 · NHLBI · VERSITI WISCONSIN, INC. · PI SUNDD, PRITHU · 2015 to 2025
$5.4M
Advancing Cancer Research through Comprehensive Proteomics and Metabolomics AnalysesR50CA221838 · NCI · WISTAR INSTITUTE · PI Hsin-Yao Tang · 2017 to 2026
$2.1M
The unexpected role of IL-23 cytokine in atherosclerosisR01HL133669 · NHLBI · RESEARCH INST OF FOX CHASE CAN CTR · PI KOLTSOVA, EKATERINA · 2017 to 2020
$2.1M
The unexpected role of IL23 cytokine in atherosclerosisR56HL133669 · NHLBI · RESEARCH INST OF FOX CHASE CAN CTR · PI KOLTSOVA, EKATERINA · 2016 to 2016
$446k
The role of IL-27 cytokine in hepatocellular carcinoma (HCC) developmentR21CA202396 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI KOLTSOVA, EKATERINA · 2016 to 2017
$432k
NCI NIH HHS HHSN261200800001ENCI NIH HHS P30 CA006927NCI NIH HHS R21 CA202396NCI NIH HHS R50 CA221838NHLBI NIH HHS R01 HL103866NHLBI NIH HHS R01 HL128297NHLBI NIH HHS R01 HL133669NHLBI NIH HHS R56 HL133669
6 · The paper itself

Abstract

Although commensal flora is involved in the regulation of immunity, the interplay between cytokine signaling and microbiota in atherosclerosis remains unknown. We found that interleukin (IL)-23 and its downstream target IL-22 restricted atherosclerosis by repressing pro-atherogenic microbiota. Inactivation of IL-23-IL-22 signaling led to deterioration of the intestinal barrier, dysbiosis, and expansion of pathogenic bacteria with distinct biosynthetic and metabolic properties, causing systemic increase in pro-atherogenic metabolites such as lipopolysaccharide (LPS) and trimethylamine N-oxide (TMAO). Augmented disease in the absence of the IL-23-IL-22 pathway was mediated in part by pro-atherogenic osteopontin, controlled by microbial metabolites. Microbiota transfer from IL-23-deficient mice accelerated atherosclerosis, whereas microbial depletion or IL-22 supplementation reduced inflammation and ameliorated disease. Our work uncovers the IL-23-IL-22 signaling as a regulator of atherosclerosis that restrains expansion of pro-atherogenic microbiota and argues for informed use of cytokine blockers to avoid cardiovascular side effects driven by microbiota and inflammation.

Indexed as

DietGastrointestinal MicrobiomeHomeostasisAnimalsAtherosclerosisBiomarkersDisease Models, AnimalDisease ProgressionGene ExpressionImmunophenotypingInterleukin-22Interleukin-23InterleukinsLipid MetabolismMiceMice, KnockoutBiomarkersInterleukin-22Interleukin-23InterleukinsOsteopontinatherosclerosiscytokineshost-microbe interactionIL-22IL-23inflammationmicrobiomemyeloid cells

Identifiers

PMID30389414
PMCPMC6257980
OpenAlexW2898798903

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.