Evidence map›Paper›PMID 36948576›Full record

ArticleGut2023

A mechanism by which gut microbiota elevates permeability and inflammation in obese/diabetic mice and human gut.

Sidharth P Mishra, Bo Wang, Shalini Jain, Jingzhong Ding, Jared Rejeski, Cristina M Furdui, Dalane W Kitzman, Subhash Taraphder, Christian Brechot, Ambuj Kumar and 1 more

2 registry-linked trialsOpen access · hybridAbstract 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. It is linked to 2 registered trials, which are not on this map. Cited by 168 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
168citing papers in PubMed, 2 pooled it
36.2field-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.

NCT02869659 nacompletednot on this map

Valued EpiGenetic Glycemic ImprovEments Through Weight Loss

TypeinterventionalSponsorWake Forest University Health SciencesRan2016 to 2020Enrolled138ConditionsObesity, Pre-diabetesArmsWeight Loss Group, Delayed Weight Loss
NCT03269032 nacompletednot on this map

Impact of the Mediterranean Diet on the Gut Microbiome and Symptoms of Diarrhea-Predominant Irritable Bowel Syndrome

TypeinterventionalSponsorWake Forest University Health SciencesRan2017 to 2021Enrolled10ConditionsIrritable Bowel SyndromeArmsAmerican Diet, Mediterranean-style Diet
3 · Its place in the literature

Who cites it

168 citing papers in PubMed, 2 syntheses or guidelines pooled it, 235 citations in OpenAlex.

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  5. A randomized, double-blind, placebo-controlled clinical study to evaluate the efficacy of the synbiotic medical food, SBD111, for the clinical dietary management of bone loss in menopausal women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
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  8. Gut microbes · 2026
    Article
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  20. Body mass index and gastrointestinal inflammation: Bio-molecular pathophysiology.World journal of gastrointestinal pathophysiology · 2026
    Review

108 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Sidharth P MishraNeurosurgery and Brain Repair, University of South Florida College of Medicine, Tampa, Florida, USA.ORCID 0000-0001-7586-846X
Bo WangDepartment of Biomedical and Chemical Engineering and Sciences, Florida Institute of Technology, Melbourne, Florida, USA.
Shalini JainNeurosurgery and Brain Repair, University of South Florida College of Medicine, Tampa, Florida, USA.
Jingzhong DingDepartment of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Jared RejeskiDepartment of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Cristina M FurduiDepartment of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Dalane W KitzmanDepartment of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Subhash TaraphderDepartment of Animal Genetics and Breeding, West Bengal University of Animal & Fishery Sciences, Kolkata, West Bengal, India.
Christian BrechotDeparment of Internal Medicine, University of South Florida College of Medicine, Tampa, Florida, USA.
Ambuj KumarDeparment of Internal Medicine, University of South Florida College of Medicine, Tampa, Florida, USA.
Hariom YadavNeurosurgery and Brain Repair, University of South Florida College of Medicine, Tampa, Florida, USA hyadav@usf.edu.ORCID 0000-0003-4504-1597
University of South Florida · USWake Forest University · USFlorida Institute of Technology · USWest Bengal University of Animal and Fishery Sciences · IN

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Denise Kathryn Houston · 2002 to 2026
$36.4M
Physical Rehabilitation for Older Patients with Acute HFpEF-The REHAB-HFpEF TrialR01AG078153 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2022 to 2025
$26.6M
Developing a NAMPT activator for Alzheimer’s diseaseU01AG079828 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Beibei Chen, Stacey J Rizzo · 2023 to 2026
$9.4M
REHAB-HF: A Trial of Rehabilitation Therapy in Older Acute Heart Failure PatientsR01AG045551 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2014 to 2018
$6.8M
Exercise Intolerance in Older HFPEF PatientsR01AG018915 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2001 to 2019
$5.2M
Wake Forest Atrium HeartShare Clinical CenterU01HL160272 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DALANE W KITZMAN · 2021 to 2026
$2.3M
Repurposing of Metormin for Older Patients with HFpEFU01AG076928 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W, YADAV, HARIOM · 2022 to 2024
$2.3M
Gut microbiota-based biomarkers of Alzheimer's disease and its modulation by a ketogenic dietR56AG064075 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI YADAV, HARIOM · 2020 to 2021
$1.2M
Microbial therapy improves gut permeability to reduce cognitive decline and Alzheimer’s diseaseRF1AG071762 · NIA · UNIVERSITY OF SOUTH FLORIDA · PI YADAV, HARIOM · 2021 to 2021
$1.1M
Microbial therapy improves gut permeability to reduce cognitive decline and Alzheimer’s diseaseR01AG071762 · NIA · UNIVERSITY OF SOUTH FLORIDA · PI YADAV, HARIOM · 2024 to 2025
$753k
The role of gut microbiota in the efficacy of ketogenic diet to ameliorate Alzheimer's diseaseR21AG072379 · NIA · UNIVERSITY OF SOUTH FLORIDA · PI YADAV, HARIOM · 2021 to 2021
$429k
Metformin and Alzheimer's disease: Underlying Mechanisms that Ameliorate ProgressionR56AG069676 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI YADAV, HARIOM · 2020 to 2020
$388k
NHLBI NIH HHS U01 HL160272NIA NIH HHS P30 AG021332NIA NIH HHS R01 AG018915NIA NIH HHS R01 AG045551NIA NIH HHS R01 AG071762NIA NIH HHS R01 AG078153NIA NIH HHS R21 AG072379NIA NIH HHS R56 AG064075NIA NIH HHS R56 AG069676NIA NIH HHS RF1 AG071762NIA NIH HHS U01 AG076928NIA NIH HHS U01 AG079828
6 · The paper itself

Abstract

objectiveAmple evidence exists for the role of abnormal gut microbiota composition and increased gut permeability ('leaky gut') in chronic inflammation that commonly co-occurs in the gut in both obesity and diabetes, yet the detailed mechanisms involved in this process have remained elusive.

designIn this study, we substantiate the causal role of the gut microbiota by use of faecal conditioned media along with faecal microbiota transplantation. Using untargeted and comprehensive approaches, we discovered the mechanism by which the obese microbiota instigates gut permeability, inflammation and abnormalities in glucose metabolism.

resultsWe demonstrated that the reduced capacity of the microbiota from both obese mice and humans to metabolise ethanolamine results in ethanolamine accumulation in the gut, accounting for induction of intestinal permeability. Elevated ethanolamine increased the expression of microRNA-

conclusionOverall, we discovered that the reduced capacity of obese microbiota to metabolise ethanolamine instigates gut permeability, inflammation and glucose metabolic dysfunctions, and restoring ethanolamine-metabolising capacity by a novel probiotic therapy reverses these abnormalities. TRIAL REGISTRATION NUMBER: NCT02869659 and NCT03269032.

Indexed as

Diabetes Mellitus, ExperimentalGastrointestinal MicrobiomeMicroRNAsAnimalsEthanolaminesGlucoseHumansInflammationMiceMice, ObeseObesityPermeabilityEthanolaminesGlucoseMicroRNAsdiabetes mellitusgut inflammationinflammationintestinal microbiologyobesity

Identifiers

PMID36948576
PMCPMC10512000
OpenAlexW4353055846

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.