Evidence map›Paper›PMID 36939195›Full record

ArticleGut microbes

Gut microbiota modulates visceral sensitivity through calcitonin gene-related peptide (CGRP) production.

Julien Pujo, Giada De Palma, Jun Lu, Heather J Galipeau, Michael G Surette, Stephen M Collins, Premysl Bercik

Open access · goldFull text read
In one paragraph

Article in Gut microbes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
9.4field-weighted citation impact, top 1% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Progress in pain mechanisms and management.Signal transduction and targeted therapy · 2026
    Review
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  19. Gut-Brain Dialogues in Fruit Fly (Current drug targets · 2025
    Review
  20. 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

7 authors at 1 institution in 1 country.

Julien PujoFarncombe Family Digestive Health Research Institute, Department of Medicine, McMaster University, Hamilton, Canada.
Giada De PalmaFarncombe Family Digestive Health Research Institute, Department of Medicine, McMaster University, Hamilton, Canada.
Jun LuFarncombe Family Digestive Health Research Institute, Department of Medicine, McMaster University, Hamilton, Canada.
Heather J GalipeauFarncombe Family Digestive Health Research Institute, Department of Medicine, McMaster University, Hamilton, Canada.
Michael G SuretteFarncombe Family Digestive Health Research Institute, Department of Medicine, McMaster University, Hamilton, Canada.
Stephen M CollinsFarncombe Family Digestive Health Research Institute, Department of Medicine, McMaster University, Hamilton, Canada.
Premysl BercikFarncombe Family Digestive Health Research Institute, Department of Medicine, McMaster University, Hamilton, Canada.ORCID 0000-0001-8707-1781
Population Health Research Institute · CA

Funding

CIHR
6 · The paper itself

Abstract

Abdominal pain is common in patients with gastrointestinal disorders, but its pathophysiology is unclear, in part due to poor understanding of basic mechanisms underlying visceral sensitivity. Accumulating evidence suggests that gut microbiota is an important determinant of visceral sensitivity. Clinical and basic research studies also show that sex plays a role in pain perception, although the precise pathways are not elucidated. We investigated pain responses in germ-free and conventionally raised mice of both sexes, and assessed visceral sensitivity to colorectal distension, neuronal excitability of dorsal root ganglia (DRG) neurons and the production of substance P and calcitonin gene-related peptide (CGRP) in response to capsaicin or a mixture of G-protein coupled receptor (GPCR) agonists. Germ-free mice displayed greater in vivo responses to colonic distention than conventional mice, with no differences between males and females. Pretreatment with intracolonic capsaicin or GPCR agonists increased responses in conventional, but not in germ-free mice. In DRG neurons, gut microbiota and sex had no effect on neuronal activation by capsaicin or GPCR agonists. While stimulated production of substance P by DRG neurons was similar in germ-free and conventional mice, with no additional effect of sex, the CGRP production was higher in germ-free mice, mainly in females. Absence of gut microbiota increases visceral sensitivity to colorectal distention in both male and female mice. This is, at least in part, due to increased production of CGRP by DRG neurons, which is mainly evident in female mice. However, central mechanisms are also likely involved in this process.

Indexed as

Colorectal NeoplasmsGastrointestinal MicrobiomeAnimalsCalcitonin Gene-Related PeptideCapsaicinFemaleMaleMiceSubstance PCalcitonin Gene-Related PeptideCapsaicinSubstance Pbacteriacalcitonin-gene-related peptide (CGRP)dorsal root ganglia (DRG)germ-freesubstance P (SP)Visceral pain

Identifiers

PMID36939195
PMCPMC10038053
OpenAlexW4327902007

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read44
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.