Evidence map›Paper›PMID 34006193›Full record

ArticleGut microbes

Gut microbiota as prognosis markers for patients with HBV-related acute-on-chronic liver failure.

Ke Wang, Zhao Zhang, Zhi-Shuo Mo, Xiao-Hua Yang, Bing-Liang Lin, Liang Peng, Yang Xu, Chun-Yan Lei, Xiao-Dong Zhuang, Ling Lu and 3 more

Registry-linked trialOpen access · goldAbstract 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. It is linked to trial NCT05786859 (The Efficacy and Safety of Rifaximin In The Treatment of HBV Associated Acute-on-Chronic Liver Failure Patients With Mild to Moderate Hepatic Encephalopathy), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
2.4field-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.

NCT05786859 early_phase1unknown statusnot on this map

The Efficacy and Safety of Rifaximin In The Treatment of HBV Associated Acute-on-Chronic Liver Failure Patients With Mild to Moderate Hepatic Encephalopathy

TypeinterventionalSponsorSun Yat-sen UniversityRan2023 to 2025Enrolled124ConditionsLiver Failure, Acute on Chronic, Hepatic Encephalopathy, HBV, Hepatitis BArmsRifaximin 200 mg, Standard Treatment without Rifaximin
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Short-chain Fatty Acids and Bile Acids Signaling in Chronic Hepatitis B.Journal of clinical and translational hepatology · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. JHEP reports : innovation in hepatology · 2026
    Article
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  12. Article
  13. Review
  14. Article
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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

13 authors at 5 institutions in 2 countries.

Ke WangDepartment of Infectious Diseases and Guangdong Key Laboratory of Liver Disease Research, Third Affiliated Hospital of Sun Yat-sen University, Key Laboratory of Tropical Disease Control (Sun Yat-Sen University), Ministry of Education, Guangzhou, Guangdong, China.
Zhao ZhangResearch and Development Department, Guangdong Longsee Biomedical Corporation, Guangzhou, Guangdong, China.
Zhi-Shuo MoDepartment of Infectious Diseases and Guangdong Key Laboratory of Liver Disease Research, Third Affiliated Hospital of Sun Yat-sen University, Key Laboratory of Tropical Disease Control (Sun Yat-Sen University), Ministry of Education, Guangzhou, Guangdong, China.
Xiao-Hua YangDepartment of Infectious Diseases and Guangdong Key Laboratory of Liver Disease Research, Third Affiliated Hospital of Sun Yat-sen University, Key Laboratory of Tropical Disease Control (Sun Yat-Sen University), Ministry of Education, Guangzhou, Guangdong, China.
Bing-Liang LinDepartment of Infectious Diseases and Guangdong Key Laboratory of Liver Disease Research, Third Affiliated Hospital of Sun Yat-sen University, Key Laboratory of Tropical Disease Control (Sun Yat-Sen University), Ministry of Education, Guangzhou, Guangdong, China.
Liang PengDepartment of Infectious Diseases and Guangdong Key Laboratory of Liver Disease Research, Third Affiliated Hospital of Sun Yat-sen University, Key Laboratory of Tropical Disease Control (Sun Yat-Sen University), Ministry of Education, Guangzhou, Guangdong, China.
Yang XuResearch and Development Department, Guangdong Longsee Biomedical Corporation, Guangzhou, Guangdong, China.
Chun-Yan LeiResearch and Development Department, Guangdong Longsee Biomedical Corporation, Guangzhou, Guangdong, China.
Xiao-Dong ZhuangNuffield Department of Medicine, University of Oxford, Oxford, UK.
Ling LuHepatobiliary Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Rui-Fu YangState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Tao ChenResearch and Development Department, Guangdong Longsee Biomedical Corporation, Guangzhou, Guangdong, China.
Zhi-Liang GaoDepartment of Infectious Diseases and Guangdong Key Laboratory of Liver Disease Research, Third Affiliated Hospital of Sun Yat-sen University, Key Laboratory of Tropical Disease Control (Sun Yat-Sen University), Ministry of Education, Guangzhou, Guangdong, China.
Sun Yat-sen University · CNThird Affiliated Hospital of Sun Yat-sen University · CNInstitute of Microbiology · CNNanjing Medical University · CNUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The gut microbiota in the hepatitis B virus related acute-on-chronic liver failure (HBV-ACLF) is poorly defined. We aim to uncover the characteristics of the gut microbiota in HBV-ACLF and in other HBV associated pathologies. We analyzed the gut microbiome in patients with HBV-ACLF or other HBV associated pathologies and healthy individuals by 16S rRNA sequencing and metagenomic sequencing of fecal samples. 212 patients with HBV-ACLF, 252 with chronic hepatitis B (CHB), 162 with HBV-associated cirrhosis (HBV-LC) and 877 healthy individuals were recruited for the study. CHB and HBV-LC patients are grouped as HBV-Other. We discovered striking differences in the microbiome diversity between the HBV-ACLF, HBV-Other and healthy groups using 16S rRNA sequencing. The ratio of cocci to bacilli was significantly elevated in the HBV-ACLF group compared with healthy group. Further analysis within the HBV-ACLF group identified 52 genera showing distinct richness within the group where

Indexed as

Gastrointestinal MicrobiomeAcute-On-Chronic Liver FailureAdultBacteriaDisease ProgressionFecesFemaleHepatitis B, ChronicHepatitis B virusHumansMaleMetagenomicsMiddle Aged16S rRNA sequencingacute-on-chronic liver failuregut microbiotaHepatitis Bmetagenomic sequencing

Identifiers

PMID34006193
PMCPMC8143260
OpenAlexW3163368898

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.