Evidence map›Paper›PMID 32443928›Full record

ArticleNutrients2020

Impaired Gut-Systemic Signaling Drives Total Parenteral Nutrition-Associated Injury.

Miguel Guzman, Chandrashekhara Manithody, Joseph Krebs, Christine Denton, Sherri Besmer, Pranjali Rajalakshmi, Sonali Jain, Gustavo Adolfo Villalona, Ajay Kumar Jain

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Effect ofFood science & nutrition · 2023
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Beyond lipids: Novel mechanisms for parenteral nutrition-associated liver disease.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2022
    Review
  14. Review
  15. 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

9 authors at 2 institutions in 1 country.

Miguel GuzmanDepartment of Pathology at Saint Louis University School of Medicine, SSM Cardinal Glennon Hospital, 1465 South Grand Blvd., St. Louis, MO 63104, USA.
Chandrashekhara ManithodyDepartment of Pediatrics at Saint Louis University School of Medicine, SSM Cardinal Glennon Hospital, 1465 South Grand Blvd., St. Louis, MO 63104, USA.
Joseph KrebsDepartment of Pediatrics at Saint Louis University School of Medicine, SSM Cardinal Glennon Hospital, 1465 South Grand Blvd., St. Louis, MO 63104, USA.
Christine DentonDepartment of Pediatrics at Saint Louis University School of Medicine, SSM Cardinal Glennon Hospital, 1465 South Grand Blvd., St. Louis, MO 63104, USA.ORCID 0000-0002-7166-3413
Sherri BesmerDepartment of Pathology at Saint Louis University School of Medicine, SSM Cardinal Glennon Hospital, 1465 South Grand Blvd., St. Louis, MO 63104, USA.
Pranjali RajalakshmiDepartment of Pediatrics at Saint Louis University School of Medicine, SSM Cardinal Glennon Hospital, 1465 South Grand Blvd., St. Louis, MO 63104, USA.
Sonali JainDepartment of Pediatrics at Saint Louis University School of Medicine, SSM Cardinal Glennon Hospital, 1465 South Grand Blvd., St. Louis, MO 63104, USA.
Gustavo Adolfo VillalonaDepartment of Surgery, Saint Louis University School of Medicine, 1402 South Grand Blvd. St. Louis, MO 63104, USA.
Ajay Kumar JainDepartment of Pediatrics at Saint Louis University School of Medicine, SSM Cardinal Glennon Hospital, 1465 South Grand Blvd., St. Louis, MO 63104, USA.ORCID 0000-0002-9420-5722
Cardinal Glennon Children’s Medical Center · USSaint Louis University · US

Funding

Role of the bile acid activated receptors FXR and TGR5 in Total Parenteral Nutrition associated hepatic and gut diseaseK08DK098623 · NIDDK · SAINT LOUIS UNIVERSITY · PI JAIN, AJAY K. · 2016 to 2021
$821k
Role of gut microbiota in total parenteral nutrition associated injuryR03DK121046 · NIDDK · SAINT LOUIS UNIVERSITY · PI JAIN, AJAY K. · 2019 to 2020
$227k
DeNardo Foundation DeNardoNIDDK NIH HHS K08 DK098623NIDDK NIH HHS R03 DK121046NIH HHS K08DK098623NIH HHS R03EB015955-01NIH HHS R13DK109671-01
6 · The paper itself

Abstract

backgroundTotal parenteral nutrition (TPN) provides all nutritional needs intravenously. Although lifesaving, enthusiasm is significantly tempered due to side effects of liver and gut injury, as well as lack of mechanistic understanding into drivers of TPN injury. We hypothesized that the state of luminal nutritional deprivation with TPN drives alterations in gut-systemic signaling, contributing to injury, and tested this hypothesis using our ambulatory TPN model.

methodsA total of 16 one-week-old piglets were allocated randomly to TPN (

resultsTPN resulted in significant hyperbilirubinemia and cholestatic liver injury,

conclusionWe report significant alterations in key hepatobiliary receptors driving gut-systemic signaling in a TPN piglet model. This presents a major advancement to our understanding of TPN-associated injury and suggests opportunities for strategic targeting of the gut-systemic axis, specifically, FXR, TGR5, and EGF in developing ameliorative strategies.

Indexed as

Alanine TransaminaseAnimalsCholestasisCholesterol 7-alpha-HydroxylaseConstitutive Androstane ReceptorEnteral NutritionGastrointestinal TractIntestinal MucosaKeratin-7LiverLiver DiseasesMitogen-Activated Protein Kinase 1Parenteral NutritionParenteral Nutrition, TotalReceptors, Cytoplasmic and NuclearSwineAlanine TransaminaseCholesterol 7-alpha-HydroxylaseConstitutive Androstane ReceptorKeratin-7Mitogen-Activated Protein Kinase 1Receptors, Cytoplasmic and Nucleargut injurygut–systemic crosstalkhepato-biliary receptors and transportersliver diseaseparenteral nutrition

Identifiers

PMID32443928
PMCPMC7284746
OpenAlexW3026462609

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.