Evidence map›Paper›PMID 36343978›Full record

ArticleGut2023

Longitudinal transkingdom gut microbial approach towards decompensation in outpatients with cirrhosis.

Jasmohan S Bajaj, Marcela Peña-Rodriguez, Alex La Reau, Wendy Phillips, Michael Fuchs, Brian C Davis, Richard K Sterling, Masoumeh Sikaroodi, Andrew Fagan, Amirhossein Shamsaddini and 5 more

Open access · greenAbstract read
In one paragraph

Article in Gut, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Noninvasive Tests for Predicting Decompensation in Compensated Advanced Chronic Liver Disease: A Comprehensive Review.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Review
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  6. JHEP reports : innovation in hepatology · 2026
    Article
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  8. Review
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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

15 authors at 4 institutions in 2 countries.

Jasmohan S BajajGastroenterology, Hepatology and Nutrition, Virginia Commonwealth University Health System, Richmond, Virginia, USA jasmohan@gmail.com.ORCID 0000-0003-4928-3681
Marcela Peña-RodriguezUniversity of Guadalajara, Guadalajara, Mexico.
Alex La ReauDiversigen Inc, New Brighton, Minnesota, USA.
Wendy PhillipsDiversigen Inc, New Brighton, Minnesota, USA.
Michael FuchsGastroenterology, Hepatology and Nutrition, Virginia Commonwealth University Health System, Richmond, Virginia, USA.
Brian C DavisGastroenterology, Hepatology and Nutrition, Virginia Commonwealth University Health System, Richmond, Virginia, USA.
Richard K SterlingGastroenterology, Hepatology and Nutrition, Virginia Commonwealth University Health System, Richmond, Virginia, USA.
Masoumeh SikaroodiMicrobiome Analysis Center, George Mason University, Manassas, Virginia, USA.
Andrew FaganGI Section, Central Virginia Veterans Healthcare System, Richmond, Virginia, USA.
Amirhossein ShamsaddiniMicrobiome Analysis Center, George Mason University, Manassas, Virginia, USA.
Zachariah HenselerDiversigen Inc, New Brighton, Minnesota, USA.
Tonya WardDiversigen Inc, New Brighton, Minnesota, USA.
Puneet PuriGastroenterology, Hepatology and Nutrition, Virginia Commonwealth University Health System, Richmond, Virginia, USA.
Hannah LeeGastroenterology, Hepatology and Nutrition, Virginia Commonwealth University Health System, Richmond, Virginia, USA.
Patrick M GillevetMicrobiome Analysis Center, George Mason University, Manassas, Virginia, USA.ORCID 0000-0001-7734-5566
Virginia Commonwealth University · USDiversitech (United States) · USGeorge Mason University · USUniversidad de Guadalajara · MX

Funding

Fecal microbiota transplant for Alcohol-Associated CirrhosisR01AA029398 · NIAAA · VIRGINIA COMMONWEALTH UNIVERSITY · PI Jasmohan S Bajaj, ALEXANDER KHORUTS · 2022 to 2026
$2.9M
Health IT generated PROs to Improve Outcomes in CirrhosisR01HS025412 · AHRQ · VIRGINIA COMMONWEALTH UNIVERSITY · PI BAJAJ, JASMOHAN S · 2018 to 2022
$2.0M
Gut Microbiota in the Modulation of Outcomes after Liver TransplantR21TR003095 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI BAJAJ, JASMOHAN S, VERNA, ELIZABETH CLARICE · 2020 to 2021
$448k
Modulation of Gut-Brain Axis Using Fecal Microbiome Transplant Capsules in CirrhosisR21TR002024 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI BAJAJ, JASMOHAN S · 2017 to 2018
$414k
Fecal Microbiota Transplant in Veterans with CirrhosisI01CX001076 · VA · VA VETERANS ADMINISTRATION HOSPITAL · PI BAJAJ, JASMOHAN S · 2015 to 2024
–
AHRQ HHS R01 HS025412CSRD VA I01 CX001076NCATS NIH HHS R21 TR002024NCATS NIH HHS R21 TR003095NIAAA NIH HHS R01 AA029398
6 · The paper itself

Abstract

objectiveFirst decompensation development is a critical milestone that needs to be predicted. Transkingdom gut microbial interactions, including archaeal methanogens, may be important targets and predictors but a longitudinal approach is needed.

designCirrhosis outpatients who provided stool twice were included. Group 1: compensated, group 2: 1 decompensation (decomp), group 3: >1 decompensationwere followed and divided into those who remained stable or decompensated. Bacteria, viral and archaeal presence, α/β diversity and taxa changes over time adjusted for clinical variables were analysed. Correlation networks between kingdoms were analysed.

results157 outpatients (72 group 1, 33 group 2 and 52 group 3) were followed and 28%-47% developed outcomes. Baseline between those who remained stable/developed outcome: While no α/β diversity differences were seen, commensals were lower and pathobionts were higher in those who decompensated. After decompensation: those experiencing their first decompensation showed greater decrease in α/β-diversity, bacterial change (↑

conclusionIn this longitudinal study of cirrhosis outpatients, the greatest transkingdom gut microbial changes were seen in those reaching the first decompensation, compared with subsequent decompensating events. A transkingdom approach may refine prediction and provide therapeutic targets to prevent cirrhosis progression.

Indexed as

BacteriophagesGastrointestinal MicrobiomeHumansLactobacillusLiver CirrhosisLongitudinal StudiesOutpatientsASCITESCIRRHOSISENTERIC BACTERIAL MICROFLORAHEPATIC ENCEPHALOPATHY

Identifiers

PMID36343978
PMCPMC9998342
OpenAlexW4308459163

What OpenQuestion holds

Textmetadata
LicenceTDM
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.