Evidence map›Paper›PMID 34877269›Full record

ArticleWorld journal of clinical cases2021

Gut-liver axis in cirrhosis: Are hemodynamic changes a missing link?

Roman Maslennikov, Vladimir Ivashkin, Irina Efremova, Elena Poluektova, Elena Shirokova

Registry-linked trialOpen access · diamondAbstract readEditorial
In one paragraph

Article in World journal of clinical cases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05231772 (The Effect of Probiotics on Hemodynamic Changes and Complications of Cirrhosis), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.9field-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.

NCT05231772 nacompletednot on this map

The Effect of Probiotics on Hemodynamic Changes and Complications of Cirrhosis

TypeinterventionalSponsorI.M. Sechenov First Moscow State Medical UniversityRan2021 to 2022Enrolled40ConditionsCirrhosisArmsSaccharomyces Boulardii Probiotic Supplement, Placebo
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Gut Microbiota and Cytokine Profile in Cirrhosis.Journal of clinical and translational hepatology · 2024
    Article
  7. Effect ofMicroorganisms · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Gut Microbiota and Biomarkers of Endothelial Dysfunction in Cirrhosis.International journal of molecular sciences · 2024
    Article
  12. Efficacy and Safety of a Probiotic ContainingJournal of clinical medicine · 2024
    Article
  13. Frontiers in nutrition · 2024
    Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Epidemiology of small intestinal bacterial overgrowth.World journal of gastroenterology · 2023
    Review
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

5 authors at 1 institution in 1 country.

Roman MaslennikovDepartment of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow 119435, Russia.
Vladimir IvashkinDepartment of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow 119435, Russia.
Irina EfremovaDepartment of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow 119435, Russia.
Elena PoluektovaDepartment of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow 119435, Russia.
Elena ShirokovaDepartment of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow 119435, Russia.
Sechenov University · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent evidence suggests that the condition of the gut and its microbiota greatly influence the course of liver disease, especially cirrhosis. This introduces the concept of the gut-liver axis, which can be imagined as a chain connected by several links. Gut dysbiosis, small intestinal bacterial overgrowth, and intestinal barrier alteration lead to bacterial translocation, resulting in systemic inflammation. Systemic inflammation further causes vasodilation, arterial hypotension, and hyperdynamic circulation, leading to the aggravation of portal hypertension, which contributes to the development of complications of cirrhosis, resulting in a poorer prognosis. The majority of the data underlying this model were obtained initially from animal experiments, and most of these correlations were further reproduced in studies including patients with cirrhosis. However, despite the published data on the relationship of the disorders of the gut microbiota with the complications of cirrhosis and the proposed pathogenetic role of hemodynamic disorders in their development, the direct relations between gut dysbiosis and hemodynamic changes in this disease are poorly studied. They remain a missing link in the gut-liver axis and a challenge for future research.

Indexed as

Bacterial translocationCardiac outputGut dysbiosisGut microbiomeGut microbiotaHyperdynamic circulationIntestinal barrierSmall intestinal bacterial overgrowthSystemic vascular resistanceVasodilation

Identifiers

PMID34877269
PMCPMC8610853
OpenAlexW3210451704

What OpenQuestion holds

Textmetadata
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.