Evidence map›Paper›PMID 32056227›Full record

ArticleHepatology (Baltimore, Md.)2020

Fecal Microbiome Distinguishes Alcohol Consumption From Alcoholic Hepatitis But Does Not Discriminate Disease Severity.

Ekaterina Smirnova, Puneet Puri, Mark D Muthiah, Kalyani Daitya, Robert Brown, Naga Chalasani, Suthat Liangpunsakul, Vijay H Shah, Kayla Gelow, Mohammed S Siddiqui and 5 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Hepatology (Baltimore, Md.), 2020. 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
10.0field-weighted citation impact, top 1% 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

96 citing papers in PubMed, 132 citations in OpenAlex.

  1. The Role ofInternational journal of molecular sciences · 2026
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  8. Cholestasis in Alcohol-Associated Liver Disease.The American journal of pathology · 2026
    Review
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  18. Comparing Efficacy of Chiglitazar, Pioglitazone, and Semaglutide in Type 2 Diabetes: A Retrospective Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
    Article
  19. Article
  20. Article

36 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 2 countries.

Ekaterina SmirnovaDepartment of Biostatistics, Virginia Commonwealth University, Richmond, VA.ORCID 0000-0001-9577-4102
Puneet PuriDivison of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA.
Mark D MuthiahDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Kalyani DaityaDivison of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA.
Robert BrownDepartment of Microbiology, George Mason University, Manassas, VA.
Naga ChalasaniDivision of Gastroenterology, Department of Internal Medicine, Indiana University, Indianapolis, IN.
Suthat LiangpunsakulDivision of Gastroenterology, Department of Internal Medicine, Indiana University, Indianapolis, IN.
Vijay H ShahDivision of Gastroenterology, Department of Internal Medicine, Mayo Clinic, Rochester, MN.ORCID 0000-0001-7620-573X
Kayla GelowDepartment of Biostatistics, Indiana University, Indianapolis, IN.
Mohammed S SiddiquiDivison of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA.
Sherry BoyettDivison of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA.
Faridoddin MirshahiDivison of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA.
Masoumeh SikaroodiDepartment of Microbiology, George Mason University, Manassas, VA.
Patrick GillevetDepartment of Microbiology, George Mason University, Manassas, VA.
Arun J SanyalDivison of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA.
Virginia Commonwealth University · USGeorge Mason University · USIndiana University – Purdue University Indianapolis · USMayo Clinic in Arizona · USNational University of Singapore · SG

Funding

Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
Training Grant in Digestive Diseases and Liver DiseasesT32DK007150 · NIDDK · VIRGINIA COMMONWEALTH UNIVERSITY · PI SANYAL, ARUN J · 1986 to 2017
$4.2M
Institutional Career Development CoreKL2TR002648 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI NANASINKAM, SERGE PATRICK, SANYAL, ARUN J · 2018 to 2022
$3.7M
Integrated Therapies for Alcohol use in Alcohol-associated Liver Disease (ITAALD) - Virginia Commonwealth UniversityU01AA026979 · NIAAA · VIRGINIA COMMONWEALTH UNIVERSITY · PI Juan Pablo Arab Verdugo, FREDERICK Gerard MOELLER · 2018 to 2026
$2.9M
TREAT-VCUU01AA021891 · NIAAA · VIRGINIA COMMONWEALTH UNIVERSITY · PI SANYAL, ARUN J · 2012 to 2017
$2.5M
Effect of alcohol on obesity related liver disease: Role of intestinal metabonomeK23AA021179 · NIAAA · VIRGINIA COMMONWEALTH UNIVERSITY · PI PURI, PUNEET · 2012 to 2016
$882k
NCATS NIH HHS KL2 TR002648NCATS NIH HHS UL1 TR002649NIAAA NIH HHS K23 AA021179NIAAA NIH HHS U01 AA021891NIAAA NIH HHS U01 AA026979NIDDK NIH HHS T32 DK007150NIH HHS CTSA UL1TR002649NIH HHS T32 DK07150-40NIH HHS UO1 AA021891-01
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe role of the intestinal microbiome in alcoholic hepatitis is not established. The aims of this study were to (1) characterize the fecal microbial ecology associated with alcoholic hepatitis, (2) relate microbiome changes to disease severity, and (3) infer the functional relevance of shifts in microbial ecology. APPROACH AND

resultsThe fecal microbiome in patients with moderate alcoholic hepatitis (MAH) or severe alcoholic hepatitis (SAH) was compared with healthy controls (HCs) and heavy drinking controls (HDCs). Microbial taxa were identified by 16S pyrosequencing. Functional metagenomics was performed using PICRUSt. Fecal short chain fatty acids (SCFAs) were measured using a liquid chromatography-mass spectrometry platform. A total of 78 participants (HC, n = 24; HDC, n = 20; MAH, n = 10; SAH, n = 24) were studied. HDC had a distinct signature compared with HC with depletion of Bacteroidetes (46% vs. 26%; P = 0.01). Alcoholic hepatitis was associated with a distinct microbiome signature compared with HDC (area under the curve = 0.826); differential abundance of Ruminococcaceae, Veillonellaceae, Lachnospiraceae, Porphyromonadaceae, and Rikenellaceae families were the key contributors to these differences. The beta diversity was significantly different among the groups (permutational multivariate analysis of variance [PERMANOVA] P < 0.001). SAH was associated with increased Proteobacteria (SAH 14% vs. HDC 7% and SAH vs. HC 2%, P = 0.20 and 0.01, respectively). Firmicutes abundance declined from HDC to MAH to SAH (63% vs. 53% vs. 48%, respectively; P = 0.09, HDC vs. SAH). Microbial taxa did not distinguish between MAH and SAH (PERMANOVA P = 0.785). SCFAs producing bacteria (Lachnospiraceae and Ruminococcaceae) were decreased in alcoholic hepatitis, and a similar decrease was observed in fecal SCFAs among alcoholic hepatitis patients.

conclusionsThere are distinct changes in fecal microbiome associated with the development, but not severity, of alcoholic hepatitis.

Indexed as

Alcohol DrinkingGastrointestinal MicrobiomeAdultDiagnosis, DifferentialFecesFemaleHepatitis, AlcoholicHumansMaleMiddle AgedSeverity of Illness Index

Identifiers

PMID32056227
PMCPMC7752764
OpenAlexW3005844927

What OpenQuestion holds

Textmetadata
LicenceTDM
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.