Evidence map›Paper›PMID 32168395›Full record

ArticleHepatology (Baltimore, Md.)2020

Intestinal Microbiome-Macrophage Crosstalk Contributes to Cholestatic Liver Disease by Promoting Intestinal Permeability in Mice.

Anna Isaacs-Ten, Marta Echeandia, Mar Moreno-Gonzalez, Arlaine Brion, Andrew Goldson, Mark Philo, Angela M Patterson, Aimee Parker, Mikel Galduroz, David Baker and 3 more

Open access · hybridAbstract read
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 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

49 citing papers in PubMed, 77 citations in OpenAlex.

  1. Gut microbes
    Trial
  2. Review
  3. Review
  4. Dysbiosis in the Gut-Liver Axis Is Associated With Low Bone Mass During Murine Cholestasis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Cholestasis in Alcohol-Associated Liver Disease.The American journal of pathology · 2026
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
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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

13 authors at 3 institutions in 1 country.

Anna Isaacs-Ten *Gut Microbes and Health Institute Strategic Programme, Quadram Institute Bioscience, Norwich Research Park, Norwich, United Kingdom.
Marta Echeandia *Gut Microbes and Health Institute Strategic Programme, Quadram Institute Bioscience, Norwich Research Park, Norwich, United Kingdom.
Mar Moreno-GonzalezGut Microbes and Health Institute Strategic Programme, Quadram Institute Bioscience, Norwich Research Park, Norwich, United Kingdom.
Arlaine BrionAnalytical Science Unit, Quadram Institute Bioscience, Norwich Research Park, Norwich, United Kingdom.
Andrew GoldsonAnalytical Science Unit, Quadram Institute Bioscience, Norwich Research Park, Norwich, United Kingdom.
Mark PhiloAnalytical Science Unit, Quadram Institute Bioscience, Norwich Research Park, Norwich, United Kingdom.
Angela M PattersonGut Microbes and Health Institute Strategic Programme, Quadram Institute Bioscience, Norwich Research Park, Norwich, United Kingdom.
Aimee ParkerGut Microbes and Health Institute Strategic Programme, Quadram Institute Bioscience, Norwich Research Park, Norwich, United Kingdom.
Mikel GaldurozGut Microbes and Health Institute Strategic Programme, Quadram Institute Bioscience, Norwich Research Park, Norwich, United Kingdom.
David BakerScience Operations, Quadram Institute Bioscience, Norwich Research Park, Norwich, United Kingdom.
Simon M RushbrookDepartment of Gastroenterology, Norfolk and Norwich University Hospital, Norwich, United Kingdom.
Falk HildebrandGut Microbes and Health Institute Strategic Programme, Quadram Institute Bioscience, Norwich Research Park, Norwich, United Kingdom.
Naiara BerazaGut Microbes and Health Institute Strategic Programme, Quadram Institute Bioscience, Norwich Research Park, Norwich, United Kingdom.
Norwich Research Park · GBQuadram Institute · GBNorfolk and Norwich University Hospital · GB

Funding

Biotechnology and Biological Sciences Research Council BB/CCG1860/1Biotechnology and Biological Sciences Research Council BB/J004529/1Biotechnology and Biological Sciences Research Council BB/R012490/1Biotechnology and Biological Sciences Research Council BB/R012512/1Biotechnology and Biological Sciences Research Council BBS/E/F/00044509Biotechnology and Biological Sciences Research Council BBS/E/F/000PR10347Biotechnology and Biological Sciences Research Council BBS/E/F/000PR10353Biotechnology and Biological Sciences Research Council BBS/E/F/000PR10355
6 · The paper itself

Abstract

BACKGROUND AND

aimsMounting evidence supports an association between cholestatic liver disease and changes in the composition of the microbiome. Still, the role of the microbiome in the pathogenesis of this condition remains largely undefined. APPROACH AND

resultsTo address this, we have used two experimental models, administering alpha-naphtylisocyanate or feeding a 0.1% 3,5-diethoxycarbonyl-1,4-dihydrocollidine diet, to induce cholestatic liver disease in germ-free mice and germ-free mice conventionalized with the microbiome from wild-type, specific pathogen-free animals. Next, we have inhibited macrophage activation by depleting these cells using clodronate liposomes and inhibiting the inflammasome with a specific inhibitor of NOD-, LRR-, and pyrin domain-containing protein 3. Our results demonstrate that cholestasis, the accumulation of bile acids in the liver, fails to promote liver injury in the absence of the microbiome in vivo. Additional in vitro studies supported that endotoxin sensitizes hepatocytes to bile-acid-induced cell death. We also demonstrate that during cholestasis, macrophages contribute to promoting intestinal permeability and to altered microbiome composition through activation of the inflammasome, overall leading to increased endotoxin flux into the cholestatic liver.

conclusionsWe demonstrate that the intestinal microbiome contributes to cholestasis-mediated cell death and inflammation through mechanisms involving activation of the inflammasome in macrophages.

Indexed as

AnimalsBile Acids and SaltsCholestasisDisease Models, AnimalGastrointestinal MicrobiomeGerm-Free LifeHumansInflammasomesIntestinal MucosaIsocyanatesLiverLiver DiseasesMacrophage ActivationMacrophagesMaleMice3,5-diethoxycarbonyl-1,4-dihydrocollidinealpha-naphthyl isocyanateBile Acids and SaltsInflammasomesIsocyanatesNaphthalenesPyridines

Identifiers

PMID32168395
PMCPMC7839474
OpenAlexW3010807724

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.