Evidence map›Paper›PMID 33651661›Full record

ArticleGut microbes

Links between gut microbiome composition and fatty liver disease in a large population sample.

Matti O Ruuskanen, Fredrik Åberg, Ville Männistö, Aki S Havulinna, Guillaume Méric, Yang Liu, Rohit Loomba, Yoshiki Vázquez-Baeza, Anupriya Tripathi, Liisa M Valsta and 7 more

Abstract read
In one paragraph

Article in Gut microbes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

50 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Fatty liver index (FLI): more than a marker of hepatic steatosis.Journal of physiology and biochemistry · 2024
    Pooled it
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  17. Endogenous ethanol production in health and disease.Nature reviews. Gastroenterology & hepatology · 2024
    Review
  18. Review
  19. Nonalcoholic Fatty Liver Disease: Changes in Gut Microbiota and Blood Lipids.Journal of clinical and translational hepatology · 2024
    Article
  20. Article
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

17 authors.

Matti O RuuskanenDepartment of Internal Medicine, University of Turku, Turku, Finland.ORCID 0000-0003-4221-2880
Fredrik ÅbergTransplantation and Liver Surgery Clinic, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-3833-0705
Ville MännistöDepartment of Medicine, Kuopio University Hospital, University of Eastern Finland, Kuopio, Finland.ORCID 0000-0002-0735-400X
Aki S HavulinnaDepartment of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.ORCID 0000-0002-4787-8959
Guillaume MéricCambridge Baker Systems Genomics Initiative, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.ORCID 0000-0001-6288-9958
Yang LiuCambridge Baker Systems Genomics Initiative, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Rohit LoombaDepartment of Medicine, NAFLD Research Center, La Jolla, CA, USA.ORCID 0000-0002-4845-9991
Yoshiki Vázquez-BaezaCenter for Microbiome Innovation, Jacobs School of Engineering, University of California San Diego, La Jolla, CA, USA.ORCID 0000-0001-6014-2009
Anupriya TripathiCollaborative Mass Spectrometry Innovation Center, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA, USA.ORCID 0000-0001-8912-9684
Liisa M ValstaDepartment of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.
Michael InouyeCambridge Baker Systems Genomics Initiative, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.ORCID 0000-0001-9413-6520
Pekka JousilahtiDepartment of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.
Veikko SalomaaDepartment of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.ORCID 0000-0001-7563-5324
Mohit JainDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.ORCID 0000-0001-8628-2069
Rob KnightCenter for Microbiome Innovation, Jacobs School of Engineering, University of California San Diego, La Jolla, CA, USA.ORCID 0000-0002-0975-9019
Leo LahtiDeparment of Computing, University of Turku, Turku, Finland.ORCID 0000-0001-5537-637X
Teemu J NiiranenDepartment of Internal Medicine, University of Turku, Turku, Finland.ORCID 0000-0002-7394-7487

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
Yeast Genetics and Stress Response Genes-BiomedicalP42ES010337 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI TUKEY, ROBERT H · 2000 to 2022
$69.8M
Pediatric Trials in Non-Alcoholic Steatohepatitis (NASH)U01DK061734 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ROHIT LOOMBA · 2002 to 2026
$24.4M
San Diego Digestive Diseases Research CenterP30DK120515 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Bernd G. Schnabl · 2019 to 2026
$10.8M
HIV MASLD Clinical Research Network (HCRN)R01DK121378 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI NAGA P CHALASANI, ROHIT LOOMBA · 2020 to 2026
$8.7M
QUS Technology for Diagnosis and Grading of Hepatic Steatosis in NAFLDR01DK106419 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LOOMBA, ROHIT, SIRLIN, CLAUDE B · 2015 to 2019
$3.4M
Mapping the Plasma Exposome and its Association with Human Cardiovascular DiseaseR01ES027595 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JAIN, MOHIT · 2017 to 2021
$3.3M
Non-invasive screening of diabetics for advanced fibrosis due to NAFLDR01DK124318 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LOOMBA, ROHIT · 2020 to 2022
$1.7M
NCATS NIH HHS UL1 TR001442NIDDK NIH HHS P30 DK120515NIDDK NIH HHS R01 DK106419NIDDK NIH HHS R01 DK121378NIDDK NIH HHS R01 DK124318NIDDK NIH HHS U01 DK061734NIEHS NIH HHS P42 ES010337NIEHS NIH HHS R01 ES027595
6 · The paper itself

Abstract

Fatty liver disease is the most common liver disease in the world. Its connection with the gut microbiome has been known for at least 80 y, but this association remains mostly unstudied in the general population because of underdiagnosis and small sample sizes. To address this knowledge gap, we studied the link between the Fatty Liver Index (FLI), a well-established proxy for fatty liver disease, and gut microbiome composition in a representative, ethnically homogeneous population sample of 6,269 Finnish participants. We based our models on biometric covariates and gut microbiome compositions from shallow metagenome sequencing. Our classification models could discriminate between individuals with a high FLI (≥60, indicates likely liver steatosis) and low FLI (<60) in internal cross-region validation, consisting of 30% of the data not used in model training, with an average AUC of 0.75 and AUPRC of 0.56 (baseline at 0.30). In addition to age and sex, our models included differences in 11 microbial groups from class

Indexed as

Gastrointestinal MicrobiomeAdultAge FactorsBacteriaClostridiumCohort StudiesEthanolFatty LiverFemaleFermentationGenome, BacterialHumansMaleMetagenomeMiddle AgedPhylogenyEthanolfatty liverfatty liver indexhuman gutMetagenomicspopulation sample

Identifiers

PMID33651661
PMCPMC7928040

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Registered trials

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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.