Evidence map›Paper›PMID 31767915›Full record

ArticleScientific reports2019

Gastric acid inhibitor aggravates indomethacin-induced small intestinal injury via reducing Lactobacillus johnsonii.

Yuji Nadatani, Toshio Watanabe, Wataru Suda, Akinobu Nakata, Yuji Matsumoto, Satoshi Kosaka, Akira Higashimori, Koji Otani, Shuhei Hosomi, Fumio Tanaka and 7 more

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 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Frontiers in microbiology · 2025
    Article
  10. Unveiling the potential ofFrontiers in microbiology · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Frontiers in microbiomes · 2023
    Review
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

17 authors at 3 institutions in 1 country.

Yuji NadataniDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Toshio WatanabeDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan. watanabet@med.osaka-cu.ac.jp.
Wataru SudaLaboratory for Microbiome Sciences, Center for Integrative Medical Sciences, RIKEN, Kanagawa, Japan.
Akinobu NakataDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Yuji MatsumotoDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Satoshi KosakaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Akira HigashimoriDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Koji OtaniDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0001-9075-6415
Shuhei HosomiDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Fumio TanakaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Yasuaki NagamiDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Noriko KamataDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Koichi TairaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Hirokazu YamagamiDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Tetsuya TanigawaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Masahira HattoriLaboratory for Microbiome Sciences, Center for Integrative Medical Sciences, RIKEN, Kanagawa, Japan.
Yasuhiro FujiwaraDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Osaka City University · JPRIKEN Center for Integrative Medical Sciences · JPWaseda University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proton pump inhibitors (PPIs) alter the composition of the intestinal microbiome, exacerbating indomethacin (IND)-induced small intestinal damage. Vonoprazan fumarate inhibits gastric acid secretion using a different mechanism from PPIs. We investigated the effects of both drugs on the intestinal microbiome and IND-induced small intestinal damage. We sought to clarify whether PPI-induced dysbiosis and worsening of the damage were due to a specific drug class effect of PPIs. Rabeprazole administration increased operational taxonomic unit numbers in the small intestines of C57BL/6 J mice, whereas the difference was not significant in the vonoprazan-treated group but exhibited a trend. Permutational multivariate analysis of variance of the unweighted UniFrac distances showed significant differences between vehicle- and vonoprazan- or rabeprazole-treated groups. L. johnsonii was the predominant microbial species, and the population ratio decreased after vonoprazan and rabeprazole administration. The vonoprazan- and rabeprazole-treated groups showed increased IND-induced damage. This high sensitivity to IND-induced damage was evaluated by transplantation with contents from the small intestine of mice treated with either vonoprazan or rabeprazole. Supplementation of L. johnsonii orally in mice treated with rabeprazole and vonoprazan prevented the increase in IND-induced small intestinal damage. In conclusion, both rabeprazole and vonoprazan aggravated NSAID-induced small intestinal injury by reducing the population of L. johnsonii in the small intestine via suppressing gastric acid secretion.

Indexed as

AnimalsDisease Models, AnimalDysbiosisFecal Microbiota TransplantationHigh-Throughput Nucleotide SequencingHumansIndomethacinInjections, IntraperitonealIntestine, SmallLactobacillus johnsoniiMaleMiceMice, Inbred C57BLProton Pump InhibitorsPyrrolesRabeprazole1-(5-(2-fluorophenyl)-1-(pyridin-3-ylsulfonyl)-1H-pyrrol-3-yl)-N-methylmethanamineIndomethacinProton Pump InhibitorsPyrrolesRabeprazoleRNA, Ribosomal, 16SSulfonamides

Identifiers

PMID31767915
PMCPMC6877529
OpenAlexW2990347969

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.