Evidence map›Paper›PMID 36202969›Full record

ArticlePediatric research2023

Butyrate induces development-dependent necrotizing enterocolitis-like intestinal epithelial injury via necroptosis.

Kewei Wang, Guo-Zhong Tao, Fereshteh Salimi-Jazi, Po-Yu Lin, Zhen Sun, Bo Liu, Tiffany Sinclair, Mirko Mostaghimi, James Dunn, Karl G Sylvester

Abstract read
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Article in Pediatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 17 citations in OpenAlex.

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  8. Probiotics and the Risk of Infection.Clinics in perinatology · 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

10 authors at 3 institutions in 2 countries.

Kewei WangDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Guo-Zhong TaoDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA. gtao@stanford.edu.
Fereshteh Salimi-JaziDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Po-Yu LinDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Zhen SunDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Bo LiuDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Tiffany SinclairDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Mirko MostaghimiDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
James DunnDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Karl G SylvesterDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA. Sylvester@stanford.edu.
Stanford University · USChina Medical University · CNStanford Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe accumulation of short-chain fatty acids (SCFAs) from bacterial fermentation may adversely affect the under-developed gut as observed in premature newborns at risk for necrotizing enterocolitis (NEC). This study explores the mechanism by which specific SCFA fermentation products may injure the premature newborn intestine mucosa leading to NEC-like intestinal cell injury.

methodsIntraluminal injections of sodium butyrate were administered to 14- and 28-day-old mice, whose small intestine and stool were harvested for analysis. Human intestinal epithelial stem cells (hIESCs) and differentiated enterocytes from preterm and term infants were treated with sodium butyrate at varying concentrations. Necrosulfonamide (NSA) and necrostatin-1 (Nec-1) were used to determine the protective effects of necroptosis inhibitors on butyrate-induced cell injury.

resultsThe more severe intestinal epithelial injury was observed in younger mice upon exposure to butyrate (p = 0.02). Enterocytes from preterm newborns demonstrated a significant increase in sensitivity to butyrate-induced cell injury compared to term newborn enterocytes (p = 0.068, hIESCs; p = 0.038, differentiated cells). NSA and Nec-1 significantly inhibited the cell death induced by butyrate.

conclusionsButyrate induces developmental stage-dependent intestinal injury that resembles NEC. A primary mechanism of cell injury in NEC is necroptosis. Necroptosis inhibition may represent a potential preventive or therapeutic strategy for NEC. IMPACT: Butyrate induces developmental stage-dependent intestinal injury that resembles NEC. A primary mechanism of cell injury caused by butyrate in NEC is necroptosis. Necroptosis inhibitors proved effective at significantly ameliorating the enteral toxicity of butyrate and thereby suggest a novel mechanism and approach to the prevention and treatment of NEC in premature newborns.

Indexed as

Enterocolitis, NecrotizingAnimalsButyric AcidHumansInfant, NewbornIntestinal MucosaIntestinesMiceNecroptosisButyric Acid

Identifiers

PMID36202969
OpenAlexW4302362810

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.