Evidence map›Paper›PMID 31040374›Full record

ArticleScientific reports2019

Metformin attenuates the onset of non-alcoholic fatty liver disease and affects intestinal microbiota and barrier in small intestine.

Annette Brandt, Angélica Hernández-Arriaga, Richard Kehm, Victor Sánchez, Cheng Jun Jin, Anika Nier, Anja Baumann, Amélia Camarinha-Silva, Ina Bergheim

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
8.6field-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.

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

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. IgM Antibodies Targeting Malondialdehyde Promote Complement-Mediated Liver Injury in Alcohol-Related Liver Disease.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. The Gut Microbiota-Related Antihyperglycemic Effect of Metformin.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  11. Advances in the Use of Metformin for Liver Disease.Current medicinal chemistry · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. The Effects of ProbioticInternational journal of molecular sciences · 2023
    Article
  20. Article

5 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

9 authors at 4 institutions in 2 countries.

Annette BrandtDepartment of Nutritional Sciences, R.F. Molecular Nutritional Science, University of Vienna, 1090, Vienna, Austria.
Angélica Hernández-ArriagaInstitute of Animal Science, University of Hohenheim, 70599, Stuttgart, Germany.
Richard KehmInstitute of Nutrition, SD Model Systems of Molecular Nutrition, Friedrich-Schiller-University Jena, 07743, Jena, Germany.
Victor SánchezDepartment of Nutritional Sciences, R.F. Molecular Nutritional Science, University of Vienna, 1090, Vienna, Austria.
Cheng Jun JinInstitute of Nutrition, SD Model Systems of Molecular Nutrition, Friedrich-Schiller-University Jena, 07743, Jena, Germany.
Anika NierDepartment of Nutritional Sciences, R.F. Molecular Nutritional Science, University of Vienna, 1090, Vienna, Austria.
Anja BaumannDepartment of Nutritional Sciences, R.F. Molecular Nutritional Science, University of Vienna, 1090, Vienna, Austria.
Amélia Camarinha-SilvaInstitute of Animal Science, University of Hohenheim, 70599, Stuttgart, Germany.
Ina BergheimDepartment of Nutritional Sciences, R.F. Molecular Nutritional Science, University of Vienna, 1090, Vienna, Austria. ina.bergheim@univie.ac.at.
University of Vienna · ATUniversity of Hohenheim · DEFriedrich Schiller University Jena · DEGerman Institute of Human Nutrition · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The antidiabetic drug metformin has been proposed to affect non-alcoholic fatty liver disease (NAFLD) through its effects on intestinal microbiota and barrier function. However, so far most studies focused on long-term effects and more progressed disease stages. The aim of this study was to assess in two experimental settings, if the onset of NAFLD is associated with changes of intestinal microbiota and barrier function and to determine effects of metformin herein. C57Bl/6J mice were fed a liquid control diet (C) or fat-, fructose- and cholesterol-rich diet (FFC) for four days or six weeks ±300 mg/kg BW/day metformin (Met). Markers of liver health, intestinal barrier function and microbiota composition were assessed. Metformin treatment markedly attenuated FFC-induced NAFLD in both experiments with markers of inflammation and lipidperoxidation in livers of FFC + Met-fed mice being almost at the level of controls. Metformin treatment attenuated the loss of tight junction proteins in small intestine and the increase of bacterial endotoxin levels in portal plasma. Changes of intestinal microbiota found in FFC-fed mice were also significantly blunted in FFC + Met-fed mice. Taken together, protective effects of metformin on the onset of NAFLD are associated with changes of intestinal microbiota composition and lower translocation of bacterial endotoxins.

Indexed as

AnimalsBiomarkersDisease Models, AnimalGastrointestinal MicrobiomeHypoglycemic AgentsIntestinal MucosaLipid MetabolismLipogenesisLiverMatrix Metalloproteinase 13MetforminMiceNon-alcoholic Fatty Liver DiseaseNutrition DisordersToll-Like Receptor 4BiomarkersHypoglycemic AgentsMatrix Metalloproteinase 13MetforminToll-Like Receptor 4

Identifiers

PMID31040374
PMCPMC6491483
OpenAlexW2943446469

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.