Evidence map›Paper›PMID 33637088›Full record

SynthesisLipids in health and disease2021

Compositional alterations of gut microbiota in nonalcoholic fatty liver disease patients: a systematic review and Meta-analysis.

Fuxi Li, Junzhao Ye, Congxiang Shao, Bihui Zhong

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Lipids in health and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% 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

85 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
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  7. Faecal Cathepsin B and S Are Associated With Liver Disease Severity and Adiposity in MASLD.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  8. Review
  9. [Research progress on the effects of time-restricted eating on metabolic associated fatty liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
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25 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

4 authors at 1 institution in 1 country.

Fuxi Li *Department of Gastroenterology, The First Affiliated Hospital, Sun Yat-sen University, NO 58 Zhongshan II Road, Yuexiu District, Guangzhou, 510080, P. R. China.
Junzhao Ye *Department of Gastroenterology, The First Affiliated Hospital, Sun Yat-sen University, NO 58 Zhongshan II Road, Yuexiu District, Guangzhou, 510080, P. R. China.
Congxiang ShaoDepartment of Gastroenterology, The First Affiliated Hospital, Sun Yat-sen University, NO 58 Zhongshan II Road, Yuexiu District, Guangzhou, 510080, P. R. China.
Bihui ZhongDepartment of Gastroenterology, The First Affiliated Hospital, Sun Yat-sen University, NO 58 Zhongshan II Road, Yuexiu District, Guangzhou, 510080, P. R. China. zhongbh@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0002-4638-7699
Sun Yat-sen University · CN

Funding

Medical Scientific Research Foundation of Guangdong Province A2019496National Natural Science Foundation of China 81870404, 81670518, 81170392Science and Technology Program of Guangdong province, China 2013B021800290, 2014A020212118, 2017A020215015Special Project on the Integration of Industry, Education and Research of Guangzhou, China 201604020155
6 · The paper itself

Abstract

backgroundAlthough imbalanced intestinal flora contributes to the pathogenesis of nonalcoholic fatty liver disease (NAFLD), conflicting results have been obtained for patient-derived microbiome composition analyses. A meta-analysis was performed to summarize the characteristics of intestinal microbiota at the species level in NAFLD patients.

methodsFollowing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement, a completed search (last update: December 30, 2020) of databases was performed to identify eligible case-control studies detecting gut microbiota in NAFLD patients. The meta-analysis results are presented as the standard mean difference (SMD) and 95% confidence interval (CI). Bias controls were evaluated with the Newcastle-Ottawa Scale (NOS), funnel plot analysis, and Egger's and Begg's tests.

resultsFifteen studies (NOS score range: 6-8) that detected the gut microbiota in the stools of 1265 individuals (577 NAFLD patients and 688 controls) were included. It was found that Escherichia, Prevotella and Streptococcus (SMD = 1.55 [95% CI: 0.57, 2.54], 1.89 [95% CI: 0.02, 3.76] and 1.33 [95% CI: 0.62, 2.05], respectively) exhibited increased abundance while Coprococcus, Faecalibacterium and Ruminococcus (SMD = - 1.75 [95% CI: - 3.13, - 0.37], - 9.84 [95% CI: - 13.21, - 6.47] and - 1.84 [95% CI, - 2.41, - 1.27], respectively) exhibited decreased abundance in the NAFLD patients compared with healthy controls. No differences in the abundance of Bacteroides, Bifidobacterium, Blautia, Clostridium, Dorea, Lactobacillus, Parabacteroides or Roseburia were confirmed between the NAFLD patients and healthy controls.

conclusionsThis meta-analysis revealed that changes in the abundance of Escherichia, Prevotella, Streptococcus, Coprococcus, Faecalibacterium and Ruminococcus were the universal intestinal bacterial signature of NAFLD.

Indexed as

BacteroidesBifidobacteriumCase-Control StudiesClostridiumDysbiosisEscherichiaFecesGastrointestinal MicrobiomeHumansLactobacillusLiverNon-alcoholic Fatty Liver DiseasePrevotellaStreptococcusBacterial compositionGutMicrobiomeMicrobiotaNonalcoholic fatty liver diseaseNonalcoholic steatohepatitis

Identifiers

PMID33637088
PMCPMC7908766
OpenAlexW3132347055

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.