Evidence map›Paper›PMID 37545638›Full record

ReviewWorld journal of gastroenterology2023

Sarcopenia in cirrhosis: Prospects for therapy targeted to gut microbiota.

Roman Maslennikov, Aliya Alieva, Elena Poluektova, Yury Zharikov, Andrey Suslov, Yana Letyagina, Ekaterina Vasileva, Anna Levshina, Evgenii Kozlov, Vladimir Ivashkin

Abstract readReview
In one paragraph

Review in World journal of gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. A Review of Recent Advances in Fecal Microbiota Transplantation for the Treatment of Hepatic Encephalopathy.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Efficacy and Safety of a Probiotic ContainingJournal of clinical medicine · 2024
    Article
  16. Body Composition in Chronic Liver Disease.International journal of molecular sciences · 2024
    Review
  17. Frontiers in nutrition · 2024
    Article
  18. 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

10 authors.

Roman MaslennikovDepartment of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow 119435, Russia.
Aliya AlievaDepartment of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow 119435, Russia.
Elena PoluektovaDepartment of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow 119435, Russia.
Yury ZharikovDepartment of Human Anatomy and Histology, Sechenov University, Moscow 119435, Russia.
Andrey SuslovDepartment of Human Anatomy and Histology, Sechenov University, Moscow 119435, Russia.
Yana LetyaginaDepartment of Human Anatomy and Histology, Sechenov University, Moscow 119435, Russia.
Ekaterina VasilevaDepartment of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow 119435, Russia.
Anna LevshinaDepartment of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow 119435, Russia.
Evgenii KozlovLaboratory of Immunopathology, Department of Clinical Immunology and Allergy, Sechenov University, Moscow 119991, Russia.
Vladimir IvashkinDepartment of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow 119435, Russia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Decreased muscle mass and function, also known as sarcopenia, is common in patients with cirrhosis and is associated with a poor prognosis. Although the pathogenesis of this disorder has not been fully elucidated, a disordered gut-muscle axis probably plays an important role. Decreased barrier function of the gut and liver, gut dysbiosis, and small intestinal bacterial overgrowth (SIBO) can lead to increased blood levels of ammonia, lipopolysaccharides, pro-inflammatory mediators, and myostatin. These factors have complex negative effects on muscle mass and function. Drug interventions that target the gut microbiota (long-term use of rifaximin, lactulose, lactitol, or probiotics) positively affect most links of the compromised gut-muscle axis in patients with cirrhosis by decreasing the levels of hyperammonemia, bacterial translocation, and systemic inflammation and correcting gut dysbiosis and SIBO. However, although these drugs are promising, they have not yet been investigated in randomized controlled trials specifically for the treatment and prevention of sarcopenia in patients with cirrhosis. No data exist on the effects of fecal transplantation on most links of gut-muscle axis in cirrhosis; however, the results of animal experimental studies are promising.

Indexed as

Gastrointestinal MicrobiomeSarcopeniaAnimalsDysbiosisLiver CirrhosisCirrhosisFragilityLiverMicrobiomeMicrobiotaMuscle

Identifiers

PMID37545638
PMCPMC10401661

What OpenQuestion holds

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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.