Evidence map›Paper›PMID 33789895›Full record

ArticleScience advances2021

Processed foods drive intestinal barrier permeability and microvascular diseases.

Matthew Snelson, Sih Min Tan, Rachel E Clarke, Cassandra de Pasquale, Vicki Thallas-Bonke, Tuong-Vi Nguyen, Sally A Penfold, Brooke E Harcourt, Karly C Sourris, Runa S Lindblom and 12 more

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 1 pooled it
14.2field-weighted citation impact, top 1% 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

79 citing papers in PubMed, 1 synthesis or guideline pooled it, 148 citations in OpenAlex.

  1. Pooled it
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  14. Gut Microbiota Metabolites and the Development of CKD.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
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  17. Article
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  19. Diet, gut microbiota, and health: a review.Food science and biotechnology · 2025
    Review
  20. Article

19 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

22 authors at 9 institutions in 2 countries.

Matthew SnelsonDepartment of Diabetes, Central Clinical School, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0003-4829-9550
Sih Min TanDepartment of Diabetes, Central Clinical School, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0003-4195-0523
Rachel E ClarkeMonash Biomedicine Discovery Institute, Monash University, Clayton, Victoria, Australia.ORCID 0000-0003-4519-9183
Cassandra de PasqualeDepartment of Diabetes, Central Clinical School, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Victoria, Australia.
Vicki Thallas-BonkeDepartment of Diabetes, Central Clinical School, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Victoria, Australia.
Tuong-Vi NguyenDepartment of Diabetes, Central Clinical School, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Victoria, Australia.
Sally A PenfoldDepartment of Diabetes, Central Clinical School, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Victoria, Australia.
Brooke E HarcourtMurdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Victoria, Australia.ORCID 0000-0003-0028-873X
Karly C SourrisDepartment of Diabetes, Central Clinical School, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Victoria, Australia.
Runa S LindblomDepartment of Diabetes, Central Clinical School, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0001-6755-8744
Mark ZiemannDeakin University, School of Life and Environmental Sciences, Geelong, Victoria, Australia.ORCID 0000-0002-7688-6974
David SteerMonash Proteomics and Metabolomics Facility, Monash University, Melbourne, Victoria, Australia.
Assam El-OstaDepartment of Diabetes, Central Clinical School, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0001-7968-7375
Michael J DaviesDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-5196-6919
Leigh DonnellanHealth and Biomedical Innovation, School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, South Australia, Australia.
Permal DeoHealth and Biomedical Innovation, School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, South Australia, Australia.ORCID 0000-0002-6477-9127
Nicole J KellowDepartment of Nutrition, Dietetics and Food, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-4511-7259
Mark E CooperDepartment of Diabetes, Central Clinical School, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Victoria, Australia.
Trent M WoodruffSchool of Biomedical Sciences, University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0003-1382-911X
Charles R MackayInfection and Immunity Program, Monash Biomedicine Discovery Institute, Monash University, Melbourne, Victoria, Australia.
Josephine M ForbesGlycation and Diabetes Group, Mater Research Institute-The University of Queensland, Translational Research Institute, Woolloongabba, Queensland, Australia.ORCID 0000-0002-5595-8174
Melinda T CoughlanDepartment of Diabetes, Central Clinical School, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Victoria, Australia. melinda.coughlan@monash.edu.ORCID 0000-0001-8846-6443
Monash University · AUAustralian Regenerative Medicine Institute · AUUniversity of South Australia · AUBaker Heart and Diabetes Institute · AUDeakin University · AURoyal Children's Hospital · AUThe University of Queensland · AUTranslational Research Institute · AUUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intake of processed foods has increased markedly over the past decades, coinciding with increased microvascular diseases such as chronic kidney disease (CKD) and diabetes. Here, we show in rodent models that long-term consumption of a processed diet drives intestinal barrier permeability and an increased risk of CKD. Inhibition of the advanced glycation pathway, which generates Maillard reaction products within foods upon thermal processing, reversed kidney injury. Consequently, a processed diet leads to innate immune complement activation and local kidney inflammation and injury via the potent proinflammatory effector molecule complement 5a (C5a). In a mouse model of diabetes, a high resistant starch fiber diet maintained gut barrier integrity and decreased severity of kidney injury via suppression of complement. These results demonstrate mechanisms by which processed foods cause inflammation that leads to chronic disease.

Indexed as

InflammationRenal Insufficiency, ChronicAnimalsDietFemaleFoodHumansMaleMicePermeability

Identifiers

PMID33789895
PMCPMC8011970
OpenAlexW3147969516

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.