Evidence map›Paper›PMID 34694070›Full record

Trial reportMolecular systems biology2021

Combined metabolic activators therapy ameliorates liver fat in nonalcoholic fatty liver disease patients.

Mujdat Zeybel, Ozlem Altay, Muhammad Arif, Xiangyu Li, Hong Yang, Claudia Fredolini, Murat Akyildiz, Burcin Saglam, Mehmet Gokhan Gonenli, Dilek Ural and 8 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Molecular systems biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 33 citations in OpenAlex.

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  7. Genome-scale models in human metabologenomics.Nature reviews. Genetics · 2025
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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

18 authors at 6 institutions in 4 countries.

Mujdat ZeybelNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust & University of Nottingham, Nottingham, UK.
Ozlem AltayScience for Life Laboratory, KTH - Royal Institute of Technology, Stockholm, Sweden.
Muhammad ArifScience for Life Laboratory, KTH - Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0003-2261-0881
Xiangyu LiScience for Life Laboratory, KTH - Royal Institute of Technology, Stockholm, Sweden.
Hong YangScience for Life Laboratory, KTH - Royal Institute of Technology, Stockholm, Sweden.
Claudia FredoliniScience for Life Laboratory, KTH - Royal Institute of Technology, Stockholm, Sweden.
Murat AkyildizDepartment of Gastroenterology and Hepatology, School of Medicine, Koç University, Istanbul, Turkey.
Burcin SaglamDepartment of Gastroenterology and Hepatology, School of Medicine, Koç University, Istanbul, Turkey.
Mehmet Gokhan GonenliDepartment of Gastroenterology and Hepatology, School of Medicine, Koç University, Istanbul, Turkey.ORCID 0000-0003-2925-7048
Dilek UralDepartment of Cardiology, School of Medicine, Koç University, Istanbul, Turkey.ORCID 0000-0003-0224-1433
Woonghee KimScience for Life Laboratory, KTH - Royal Institute of Technology, Stockholm, Sweden.
Jochen M SchwenkScience for Life Laboratory, KTH - Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0001-8141-8449
Cheng ZhangScience for Life Laboratory, KTH - Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0002-3721-8586
Saeed ShoaieScience for Life Laboratory, KTH - Royal Institute of Technology, Stockholm, Sweden.
Jens NielsenDepartment of Biology and Biological Engineering, Chalmers University of Technology, Gothenburg, Sweden.ORCID 0000-0002-9955-6003
Mathias UhlénScience for Life Laboratory, KTH - Royal Institute of Technology, Stockholm, Sweden.
Jan BorénDepartment of Molecular and Clinical Medicine, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.ORCID 0000-0003-0786-8091
Adil MardinogluScience for Life Laboratory, KTH - Royal Institute of Technology, Stockholm, Sweden.ORCID 0000-0002-4254-6090
Science for Life Laboratory · SEKoç University · TRKing's College London · GBChalmers University of Technology · SENottingham University Hospitals NHS Trust · GBSahlgrenska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonalcoholic fatty liver disease (NAFLD) refers to excess fat accumulation in the liver. In animal experiments and human kinetic study, we found that administration of combined metabolic activators (CMAs) promotes the oxidation of fat, attenuates the resulting oxidative stress, activates mitochondria, and eventually removes excess fat from the liver. Here, we tested the safety and efficacy of CMA in NAFLD patients in a placebo-controlled 10-week study. We found that CMA significantly decreased hepatic steatosis and levels of aspartate aminotransferase, alanine aminotransferase, uric acid, and creatinine, whereas found no differences on these variables in the placebo group after adjustment for weight loss. By integrating clinical data with plasma metabolomics and inflammatory proteomics as well as oral and gut metagenomic data, we revealed the underlying molecular mechanisms associated with the reduced hepatic fat and inflammation in NAFLD patients and identified the key players involved in the host-microbiome interactions. In conclusion, we showed that CMA can be used to develop a pharmacological treatment strategy in NAFLD patients.

Indexed as

Non-alcoholic Fatty Liver DiseaseAnimalsDiet, High-FatHumansInflammationLiverMiceMice, Inbred C57BLWeight LossCMAmulti-omicsNAFLDsystems biology

Identifiers

PMID34694070
PMCPMC8724764
OpenAlexW3210867599

What OpenQuestion holds

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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.