Evidence map›Paper›PMID 31428718›Full record

ArticleJournal of the Endocrine Society2019

Effect of Rifaximin Treatment on Endotoxemia and Insulin Sensitivity in Humans.

Brian S Finlin, Beibei Zhu, Tania Boyechko, Philip M Westgate, Chee W Chia, Josephine M Egan, Philip A Kern

Open access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Brian S FinlinThe Department of Internal Medicine, Division of Endocrinology, and the Barnstable Brown Diabetes and Obesity Center, University of Kentucky, Lexington, Kentucky.ORCID 0000-0001-5594-1818
Beibei ZhuThe Department of Internal Medicine, Division of Endocrinology, and the Barnstable Brown Diabetes and Obesity Center, University of Kentucky, Lexington, Kentucky.
Tania BoyechkoThe Department of Internal Medicine, Division of Endocrinology, and the Barnstable Brown Diabetes and Obesity Center, University of Kentucky, Lexington, Kentucky.
Philip M WestgateCollege of Public Health, University of Kentucky, Lexington, Kentucky.
Chee W ChiaIntramural Research Program, National Institute on Aging, National Institutes of Health, Baltimore, Maryland.
Josephine M EganIntramural Research Program, National Institute on Aging, National Institutes of Health, Baltimore, Maryland.
Philip A KernThe Department of Internal Medicine, Division of Endocrinology, and the Barnstable Brown Diabetes and Obesity Center, University of Kentucky, Lexington, Kentucky.
University of Kentucky · USNational Institutes of Health · US

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
Dietary fat, lipoproteins, and lipopolysaccharide: role in insulin resistanceR21DK100258 · NIDDK · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2014 to 2015
$413k
NCATS NIH HHS UL1 TR001998NIDDK NIH HHS R21 DK100258
6 · The paper itself

Abstract

contextThe gut microbiome is a source of inflammatory factors such as lipopolysaccharide (LPS; endotoxin) that influence metabolic homeostasis. Rifaximin is a well-tolerated antibiotic that may reduce LPS.

objectiveWe sought to develop a method to accurately assess postprandial endotoxemia and to determine whether rifaximin treatment improves metabolic homeostasis in obese humans with metabolic syndrome. DESIGN AND

settingPlasma LPS, adipose inflammation, glucose and lipid metabolism, and insulin sensitivity were evaluated in a clinical research setting.

participantsTwelve obese human research participants with prediabetes or three features of metabolic syndrome participated.

interventionThe research participants were randomized to placebo control or rifaximin soluble solid dispersion (80 mg/d) treatment groups and treated for 12 weeks. OUTCOME MEASURES: We evaluated changes in insulin sensitivity with a euglycemic clamp; changes in lipid and glucose metabolism with oral lipid and glucose tolerance tests; changes in plasma LPS during the lipid tolerance test; and changes in adipose tissue and systemic inflammation by measuring inflammatory cytokines.

resultsRifaximin treatment slightly worsened insulin sensitivity (

conclusionsRifaximin treatment did not lower plasma LPS or improve metabolic homeostasis in obese humans.

Indexed as

insulin resistancelipopolysaccharideobesityrifaximin

Identifiers

PMID31428718
PMCPMC6691337
OpenAlexW2955727117

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.