Evidence map›Paper›PMID 35706376›Full record

ArticleAnnals of medicine2022

Lower systemic inflammation is associated with gut firmicutes dominance and reduced liver injury in a novel ambulatory model of parenteral nutrition.

Ashish Samaddar, Johan van Nispen, Austin Armstrong, Eric Song, Marcus Voigt, Vidul Murali, Joseph Krebs, Chandra Manithody, Christine Denton, Aaron C Ericsson and 1 more

Open access · goldAbstract read
In one paragraph

Article in Annals of medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

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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

11 authors at 3 institutions in 2 countries.

Ashish SamaddarDepartment of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.
Johan van NispenDepartment of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.
Austin ArmstrongDepartment of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.
Eric SongDepartment of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.
Marcus VoigtDepartment of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.
Vidul MuraliDepartment of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.
Joseph KrebsDepartment of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.
Chandra ManithodyDepartment of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.
Christine DentonDepartment of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.
Aaron C EricssonDepartment of Veterinary Pathobiology, College of Veterinary Medicine, University of Missouri, Columbia, MO, USA.
Ajay Kumar JainDepartment of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.
Saint Louis University · USUCLouvain Saint-Louis Brussels · BEMissouri College · US

Funding

Role of bile acid receptors FXR and TGR5 in preventing injury in short bowel syndromeR01DK131136 · NIDDK · SAINT LOUIS UNIVERSITY · PI JAIN, AJAY K. · 2021 to 2025
$1.9M
Role of the bile acid activated receptors FXR and TGR5 in Total Parenteral Nutrition associated hepatic and gut diseaseK08DK098623 · NIDDK · SAINT LOUIS UNIVERSITY · PI JAIN, AJAY K. · 2016 to 2021
$821k
Role of intestinal microbiota in driving injury mechanisms in short bowel syndromeR21AI169487 · NIAID · SAINT LOUIS UNIVERSITY · PI JAIN, AJAY K. · 2022 to 2023
$428k
Enhancing Health Care Access with Cellular TechnologyR03EB015955 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI JAIN, SANJAY · 2015 to 2016
$256k
Role of gut microbiota in total parenteral nutrition associated injuryR03DK121046 · NIDDK · SAINT LOUIS UNIVERSITY · PI JAIN, AJAY K. · 2019 to 2020
$227k
NIAID NIH HHS R21 AI169487NIBIB NIH HHS R03 EB015955NIDDK NIH HHS K08 DK098623NIDDK NIH HHS R01 DK131136NIDDK NIH HHS R03 DK121046
6 · The paper itself

Abstract

backgroundTotal Parenteral Nutrition (TPN) provides lifesaving nutritional support to patients unable to maintain regular enteral nutrition (EN). Unfortunately, cholestasis is a significant side effect affecting 20-40% of paediatric patients. While the aetiology of TPN-associated injury remains ill-defined, an altered enterohepatic circulation in the absence of gut luminal nutrient content during TPN results in major gut microbial clonal shifts, resulting in metabolic endotoxemia and systemic inflammation driving liver injury and cholestasis. HYPOTHESIS: To interrogate the role of gut microbiota, using our novel ambulatory TPN piglet model, we hypothesized that clonal reduction of bacteria in

methodsUpon institutional approval, 16 animals were allocated to receive either TPN (

resultsPiglets on TPN, in the TPN-HSI group, noted a loss of enterocyte protective Firmicutes bacteria and clonal proliferation of potent inflammatory and lipopolysaccharide containing pathogens:

conclusionWe demonstrate a novel relationship between the gut microbiota and systemic inflammation in a TPN animal model. Pertinently, the degree of gut dysbiosis correlated with the severity of systemic inflammation. This study underscores the role of gut microbiota in driving liver injury mechanisms during TPN and supports a paradigm change in therapeutic targeting of the gut microbiota to mitigate TPN-related injury. KEY MESSAGESThis study identified a differential link between gut microbiota and inflammation-the higher the dysbiosis, the worse the systemic inflammatory markers.Higher levels of

Indexed as

CholestasisDysbiosisAnimalsBacillotaChildHumansInflammationLipopolysaccharidesLiverParenteral NutritionParenteral Nutrition, TotalRNA, Ribosomal, 16SSwineLipopolysaccharidesRNA, Ribosomal, 16SFirmicutesinflammationlipopolysaccharideMicrobiotaRuminococcaceaetotal parenteral nutrition

Identifiers

PMID35706376
PMCPMC9225736
OpenAlexW4282968803

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.