Evidence map›Paper›PMID 33189892›Full record

ArticleCellular and molecular gastroenterology and hepatology2021

Intestinal Dysbiosis Amplifies Acetaminophen-Induced Acute Liver Injury.

Kai Markus Schneider, Carsten Elfers, Ahmed Ghallab, Carolin Victoria Schneider, Eric J C Galvez, Antje Mohs, Wenfang Gui, Lena Susanna Candels, Theresa Hildegard Wirtz, Sebastian Zuehlke and 14 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cellular and molecular gastroenterology and hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05465642 (Alterations of Gut Microbiota and Serum Biochemical Markers in Asian Patients With Drug-induced Liver Injury), which is not on this map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
4.7field-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.

NCT05465642 unknown statusnot on this mapstarted 2022, after this paper: background citation

Alterations of Gut Microbiota and Serum Biochemical Markers in Asian Patients With Drug-induced Liver Injury

Typeobservational_patient_registrySponsorUnion Hospital, Tongji Medical College, Huazhong University of Science and TechnologyRan2022 to 2024Enrolled90ConditionsDrug-induced Liver Injury, Gut Microbiota, Biochemical MarkersArmsCollect stool and blood samples from patients
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 99 citations in OpenAlex.

  1. Article
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  5. Review
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  8. Article
  9. Gut Microbiota-Derived Propionate Governs Hepatic N2 Neutrophils in Wilson's Disease.Cellular and molecular gastroenterology and hepatology · 2026
    Article
  10. Discovery of intrahepatic CD103Experimental & molecular medicine · 2025
    Article
  11. Article
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  13. Article
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  15. Article
  16. Review
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12 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

24 authors at 9 institutions in 6 countries.

Kai Markus SchneiderDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany; Department of Microbiology; Institute for Immunology; and Institute for Diabetes, Obesity, and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Carsten ElfersDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Ahmed GhallabLeibniz Research Centre for Working Environment and Human Factors at the Technical University Dortmund, Dortmund, Germany; Department of Forensic Medicine and Toxicology, Faculty of Veterinary Medicine, South Valley University, Qena, Egypt.
Carolin Victoria SchneiderDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Eric J C GalvezHelmholtz Centre for Infection Research, Braunschweig, Germany; and Hannover Medical School, Hannover, Germany.
Antje MohsDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Wenfang GuiDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Lena Susanna CandelsDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Theresa Hildegard WirtzDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Sebastian ZuehlkeDepartment of Chemistry and Chemical Biology, Institute of Experimental Research (INFU), TU Dortmund University, Dortmund, Germany.
Michael SpitellerDepartment of Chemistry and Chemical Biology, Institute of Experimental Research (INFU), TU Dortmund University, Dortmund, Germany.
Maiju MyllysLeibniz Research Centre for Working Environment and Human Factors at the Technical University Dortmund, Dortmund, Germany.
Alain RouletVaiomer, Labège, France.
Amirouche OuzerdineVaiomer, Labège, France.
Benjamin LelouvierVaiomer, Labège, France.
Konrad KilicDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Lijun LiaoDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany; Department of Anesthesiology and Pain Management, Shanghai East Hospital, Tongji University, Shanghai, China.
Anika NierDepartment of Nutritional Sciences, R.F. Molecular Nutritional Science, University of Vienna, Vienna, Austria.
Eicke LatzInstitute for Innate Immunity, University of Bonn, Bonn, Germany.
Ina BergheimDepartment of Nutritional Sciences, R.F. Molecular Nutritional Science, University of Vienna, Vienna, Austria.
Christoph A ThaissDepartment of Microbiology; Institute for Immunology; and Institute for Diabetes, Obesity, and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jan G HengstlerLeibniz Research Centre for Working Environment and Human Factors at the Technical University Dortmund, Dortmund, Germany.
Till StrowigHelmholtz Centre for Infection Research, Braunschweig, Germany; and Hannover Medical School, Hannover, Germany.
Christian TrautweinDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany. Electronic address: ctrautwein@ukaachen.de.
RWTH Aachen University · DETU Dortmund University · DEInstitute of Immunology · HRMedizinische Hochschule Hannover · DEUniversity of Vienna · ATShanghai East Hospital · CNSouth Valley University · EGUniversitätsklinikum Aachen · DEUniversity of Bonn · DE

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853
6 · The paper itself

Abstract

BACKGROUND &

aimsAcute liver failure (ALF) represents an unmet medical need in Western countries. Although the link between intestinal dysbiosis and chronic liver disease is well-established, there is little evidence for a functional role of gut-liver interaction during ALF. Here we hypothesized that intestinal dysbiosis may affect ALF.

methodsTo test this hypothesis, we assessed the association of proton pump inhibitor (PPI) or long-term antibiotics (ABx) intake, which have both been linked to intestinal dysbiosis, and occurrence of ALF in the 500,000 participants of the UK BioBank population-based cohort. For functional studies, male Nlrp6

resultsMultivariate Cox regression analyses revealed a significantly increased risk (odds ratio, 2.3-3) for developing ALF in UK BioBank participants with PPI or ABx. Similarly, dysbiotic Nlrp6

conclusionsOur data show an important yet unknown function of intestinal microbiota during ALF. Intestinal dysbiosis was transferrable to healthy WT mice via FMT and aggravated liver injury. Our study highlights intestinal microbiota as a targetable risk factor for ALF.

Indexed as

Disease Models, AnimalGastrointestinal MicrobiomeAcetaminophenAnalgesics, Non-NarcoticAnimalsChemical and Drug Induced Liver InjuryDysbiosisFemaleHumansMaleMiceMice, Inbred C57BLMice, KnockoutPermeabilityReceptors, Cell SurfaceAcetaminophenAnalgesics, Non-NarcoticNod-like receptor pyrin domain-containing protein 6, mouseReceptors, Cell SurfaceAcute Liver FailureDysbiosisGut-Liver-AxisMicrobiota

Identifiers

PMID33189892
PMCPMC7900526
OpenAlexW3104287035

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LicenceCC BY-NC-ND
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Registered trials

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.