Evidence map›Paper›PMID 30574320›Full record

ArticleUnited European gastroenterology journal2018

Fecal SCFAs and SCFA-producing bacteria in gut microbiome of human NAFLD as a putative link to systemic T-cell activation and advanced disease.

Monika Rau, Ateequr Rehman, Marcus Dittrich, Albert K Groen, Heike M Hermanns, Florian Seyfried, Niklas Beyersdorf, Thomas Dandekar, Philip Rosenstiel, Andreas Geier

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in United European gastroenterology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06491342 (PROBIOTIC SUPPLEMENT VERSUS PLACEBO FOR DECREASE STEATOSIS IN METABOLIC DYSFUNCTION-ASSOCIATED STEATOTIC LIVER DISEASE), which is not on this map. Cited by 205 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
205citing papers in PubMed, 2 pooled it
7.9field-weighted citation impact, top 2% 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.

NCT06491342 nacompletednot on this mapstarted 2024, after this paper: background citation

Probiotic supplement versus placebo for decrease steatosis in metabolic dysfunction-associated steatotic liver disease (masld): a multicenter, randomized, double-blind, placebo-controlled trial

TypeinterventionalSponsorPhramongkutklao College of Medicine and HospitalRan2024 to 2025Enrolled90ConditionsFatty Liver, NonalcoholicArmsProbiotic, Placebo
3 · Its place in the literature

Who cites it

205 citing papers in PubMed, 2 syntheses or guidelines pooled it, 320 citations in OpenAlex.

  1. Pooled it
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  4. Nutrients · 2024
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  18. Comparative Evaluation of Different Fruit Parts ofFoods (Basel, Switzerland) · 2026
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  20. Review

145 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

10 authors at 4 institutions in 2 countries.

Monika RauDepartment of Medicine II, Division of Hepatology, University Hospital Würzburg, Germany.ORCID https://orcid.org/0000-0003-1219-4044
Ateequr RehmanInstitute of Clinical Molecular Biology, Christian-Albrechts-University of Kiel, Germany.
Marcus DittrichDepartment of Bioinformatics, Biocenter, University of Würzburg, Germany.
Albert K GroenDepartment of Pediatrics/Laboratory Medicine, UMCG, Groningen, The Netherlands.
Heike M HermannsDepartment of Medicine II, Division of Hepatology, University Hospital Würzburg, Germany.
Florian SeyfriedDepartment of General and Visceral Surgery, University Hospital Würzburg, Germany.
Niklas BeyersdorfInstitute for Virology and Immunobiology, University of Würzburg, Germany.
Thomas DandekarDepartment of Bioinformatics, Biocenter, University of Würzburg, Germany.
Philip RosenstielInstitute of Clinical Molecular Biology, Christian-Albrechts-University of Kiel, Germany.
Andreas GeierDepartment of Medicine II, Division of Hepatology, University Hospital Würzburg, Germany.
Universitätsklinikum Würzburg · DEUniversity of Würzburg · DEChristian-Albrechts-Universität zu Kiel · DEDialyse Centrum Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntestinal microbiota and their metabolites (e.g. short-chain fatty acids (SCFAs)) may influence nonalcoholic fatty liver disease (NAFLD).

objectiveThe objective of this article is to analyze gut bacterial diversity together with fecal SCFA concentrations and immunophenotyping of peripheral blood in histology-proven NAFLD patients.

methodsThirty-two NAFLD patients (14 nonalcoholic fatty liver (NAFL), 18 nonalcoholic steatohepatitis (NASH)) and 27 healthy controls (HCs)) were included in this study. Bacterial communities in feces were profiled by 16S ribosomal RNA gene sequencing of the V3-V4 region. Fecal SCFA levels were analyzed by high-performance liquid chromatography. Fluorescence-activated cell sorting analysis was performed of peripheral blood mononuclear cells.

resultsNASH patients were characterized by higher abundance of Fusobacteria and Fusobacteriaceae compared to NAFL and HCs. Conforming to our finding that NAFLD patients had higher fecal acetate and propionate levels, taxonomical differences of fecal bacteria were dominated by SCFA-producing bacteria. Higher fecal propionate and acetate levels were associated with lower resting regulatory T-cells (rTregs) (CD4+CD45RA+CD25++) as well as higher Th17/rTreg ratio in peripheral blood as immunological characteristics of NASH patients.

conclusionsNASH patients are characterized by a different gut microbiome composition with higher fecal SCFA levels and higher abundance of SCFA-producing bacteria in NAFLD. These changes are associated with immunological features of disease progression. Our data suggest an important role of the intestinal microbiome and immunomodulatory bacterial metabolites in human NAFLD.

Indexed as

MicrobiomeNAFLDSCFAT-cell activation

Identifiers

PMID30574320
PMCPMC6297934
OpenAlexW2894856581

What OpenQuestion holds

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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.