Evidence map›Paper›PMID 34362210›Full record

ReviewJournal of clinical medicine2021

Neurotransmitter Dysfunction in Irritable Bowel Syndrome: Emerging Approaches for Management.

Mónica Gros, Belén Gros, José Emilio Mesonero, Eva Latorre

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06755489 (Evaluation of Quality of Life in a Cohort of Diarrhoeic Irritable Bowel Syndrome), which is not on this map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 pooled it
10.9field-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.

NCT06755489 nacompletednot on this mapstarted 2023, after this paper: background citation

Evaluation of Quality of Life in a Cohort of Diarrhoeic Irritable Bowel Syndrome (IBS-D) Patients Assuming GABA.

TypeinterventionalSponsorUniversity of PisaRan2023 to 2025Enrolled20ConditionsDiarrhoea Predominant Irritable Bowel SyndromeArmsPlacebo, GABA
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Pooled it
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  10. Intestinal muscularis in health and disease.Communications biology · 2026
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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

4 authors at 3 institutions in 1 country.

Mónica GrosCentro de Salud Univérsitas, Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, Spain.ORCID 0000-0002-5136-3237
Belén GrosInstituto de Investigación Sanitaria de Aragón (IIS Aragón), 50009 Zaragoza, Spain.ORCID 0000-0003-1207-3330
José Emilio MesoneroInstituto de Investigación Sanitaria de Aragón (IIS Aragón), 50009 Zaragoza, Spain.ORCID 0000-0003-4758-3998
Eva LatorreInstituto de Investigación Sanitaria de Aragón (IIS Aragón), 50009 Zaragoza, Spain.
Universidad de Zaragoza · ESHospital Clínico Universitario Lozano Blesa · ESHospital Universitario Miguel Servet · ES

Funding

ARAINF 2012/0567DGA A02_17 R
6 · The paper itself

Abstract

Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder whose aetiology is still unknown. Most hypotheses point out the gut-brain axis as a key factor for IBS. The axis is composed of different anatomic and functional structures intercommunicated through neurotransmitters. However, the implications of key neurotransmitters such as norepinephrine, serotonin, glutamate, GABA or acetylcholine in IBS are poorly studied. The aim of this review is to evaluate the current evidence about neurotransmitter dysfunction in IBS and explore the potential therapeutic approaches. IBS patients with altered colorectal motility show augmented norepinephrine and acetylcholine levels in plasma and an increased sensitivity of central serotonin receptors. A decrease of colonic mucosal serotonin transporter and a downregulation of α2 adrenoceptors are also correlated with visceral hypersensitivity and an increase of 5-hydroxyindole acetic acid levels, enhanced expression of high affinity choline transporter and lower levels of GABA. Given these neurotransmitter dysfunctions, novel pharmacological approaches such as 5-HT

Indexed as

colorectal motilityIBSmicrobiotavisceral hypersensitivity

Identifiers

PMID34362210
PMCPMC8347293
OpenAlexW3188636805

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.