Evidence map›Paper›PMID 31543676›Full record

ReviewWorld journal of gastroenterology2019

Intestinal permeability in the pathogenesis of liver damage: From non-alcoholic fatty liver disease to liver transplantation.

Alberto Nicoletti, Francesca Romana Ponziani, Marco Biolato, Venanzio Valenza, Giuseppe Marrone, Gabriele Sganga, Antonio Gasbarrini, Luca Miele, Antonio Grieco

Abstract readReview
In one paragraph

Review in World journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed
–field-weighted citation impact
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

96 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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  5. Article
  6. Frontiers in immunology · 2026
    Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Beneficial effects of probiotic supplementation (Bioscience of microbiota, food and health · 2025
    Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Review

36 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.

Alberto NicolettiFondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Francesca Romana PonzianiFondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Marco BiolatoFondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Venanzio ValenzaFondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Giuseppe MarroneFondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Gabriele SgangaFondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Antonio GasbarriniFondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Luca MieleFondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Antonio GriecoFondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy. antonio.grieco@unicatt.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The intimate connection and the strict mutual cooperation between the gut and the liver realizes a functional entity called gut-liver axis. The integrity of intestinal barrier is crucial for the maintenance of liver homeostasis. In this mutual relationship, the liver acts as a second firewall towards potentially harmful substances translocated from the gut, and is, in turn, is implicated in the regulation of the barrier. Increasing evidence has highlighted the relevance of increased intestinal permeability and consequent bacterial translocation in the development of liver damage. In particular, in patients with non-alcoholic fatty liver disease recent hypotheses are considering intestinal permeability impairment, diet and gut dysbiosis as the primary pathogenic trigger. In advanced liver disease, intestinal permeability is enhanced by portal hypertension. The clinical consequence is an increased bacterial translocation that further worsens liver damage. Furthermore, this pathogenic mechanism is implicated in most of liver cirrhosis complications, such as spontaneous bacterial peritonitis, hepatorenal syndrome, portal vein thrombosis, hepatic encephalopathy, and hepatocellular carcinoma. After liver transplantation, the decrease in portal pressure should determine beneficial effects on the gut-liver axis, although are incompletely understood data on the modifications of the intestinal permeability and gut microbiota composition are still lacking. How the modulation of the intestinal permeability could prevent the initiation and progression of liver disease is still an uncovered area, which deserves further attention.

Indexed as

Liver TransplantationBacterial TranslocationDisease ProgressionDysbiosisHumansHypertension, PortalIntestinal MucosaLiverLiver CirrhosisNon-alcoholic Fatty Liver DiseasePermeabilityTreatment OutcomeBacterial translocationCirrhosisGut-liver axisGut microbiotaLiver diseaseMediterranean dietPersonalized medicine

Identifiers

PMID31543676
PMCPMC6737313

What OpenQuestion holds

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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.