Evidence map›Paper›PMID 37591886›Full record

ArticleNature communications2023

Gut microbiota-derived tryptamine and phenethylamine impair insulin sensitivity in metabolic syndrome and irritable bowel syndrome.

Lixiang Zhai, Haitao Xiao, Chengyuan Lin, Hoi Leong Xavier Wong, Yan Y Lam, Mengxue Gong, Guojun Wu, Ziwan Ning, Chunhua Huang, Yijing Zhang and 11 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
14.2field-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.

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

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Gut microbes · 2026
    Article
  4. Tracing NADCell reports · 2026
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9 more citing papers are in PubMed but not listed here.

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

21 authors at 4 institutions in 3 countries.

Lixiang Zhai *Centre for Chinese Herbal Medicine Drug Development, Hong Kong Baptist University, Hong Kong SAR, China.
Haitao Xiao *School of Pharmaceutical Sciences, Health Science Center, Shenzhen University, Shenzhen, China.
Chengyuan Lin *Centre for Chinese Herbal Medicine Drug Development, Hong Kong Baptist University, Hong Kong SAR, China.
Hoi Leong Xavier Wong *School of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.ORCID http://orcid.org/0000-0002-2460-4808
Yan Y Lam *Centre for Chinese Herbal Medicine Drug Development, Hong Kong Baptist University, Hong Kong SAR, China.ORCID http://orcid.org/0000-0002-5724-1142
Mengxue GongState Key Laboratory of Microbial Metabolism and Ministry of Education Key Laboratory of Systems Biomedicine, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China.
Guojun WuDepartment of Biochemistry and Microbiology and New Jersey Institute for Food, Nutrition, and Healthy. School of Environmental and Biological Sciences, Rutgers University, New Brunswick, NJ, 08901, USA.ORCID http://orcid.org/0000-0002-7910-2813
Ziwan NingCentre for Chinese Herbal Medicine Drug Development, Hong Kong Baptist University, Hong Kong SAR, China.
Chunhua HuangCentre for Chinese Herbal Medicine Drug Development, Hong Kong Baptist University, Hong Kong SAR, China.
Yijing ZhangSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.
Chao YangDepartment of Computer Science, Hong Kong Baptist University, Hong Kong SAR, China.
Jingyuan LuoCentre for Chinese Herbal Medicine Drug Development, Hong Kong Baptist University, Hong Kong SAR, China.
Lu ZhangDepartment of Computer Science, Hong Kong Baptist University, Hong Kong SAR, China.
Ling ZhaoAcademy of Integrative Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Chenhong ZhangState Key Laboratory of Microbial Metabolism and Ministry of Education Key Laboratory of Systems Biomedicine, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China.ORCID http://orcid.org/0000-0002-4462-892X
Johnson Yiu-Nam LauSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.
Aiping LuSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.ORCID http://orcid.org/0000-0002-2303-0494
Lok-Ting LauSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.
Wei JiaPhenome Research Centre, School of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China. weijia1@hkbu.edu.hk.ORCID http://orcid.org/0000-0002-3739-8994
Liping ZhaoDepartment of Biochemistry and Microbiology and New Jersey Institute for Food, Nutrition, and Healthy. School of Environmental and Biological Sciences, Rutgers University, New Brunswick, NJ, 08901, USA. liping.zhao@rugters.edu.ORCID http://orcid.org/0000-0001-9694-7140
Zhao-Xiang BianCentre for Chinese Herbal Medicine Drug Development, Hong Kong Baptist University, Hong Kong SAR, China. bianzxiang@gmail.com.ORCID http://orcid.org/0000-0001-6206-1958
Hong Kong Baptist University · HKRutgers, The State University of New Jersey · USShanghai Jiao Tong University · CNShenzhen University Health Science Center · CN

Funding

Translational Research Support CoreP30ES005022 · NIEHS · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI PANOS G. GEORGOPOULOS · 1988 to 2026
$47.4M
NIEHS NIH HHS P30 ES005022
6 · The paper itself

Abstract

The incidence of metabolic syndrome is significantly higher in patients with irritable bowel syndrome (IBS), but the mechanisms involved remain unclear. Gut microbiota is causatively linked with the development of both metabolic dysfunctions and gastrointestinal disorders, thus gut dysbiosis in IBS may contribute to the development of metabolic syndrome. Here, we show that human gut bacterium Ruminococcus gnavus-derived tryptamine and phenethylamine play a pathogenic role in gut dysbiosis-induced insulin resistance in type 2 diabetes (T2D) and IBS. We show levels of R. gnavus, tryptamine, and phenethylamine are positively associated with insulin resistance in T2D patients and IBS patients. Monoassociation of R. gnavus impairs insulin sensitivity and glucose control in germ-free mice. Mechanistically, treatment of R. gnavus-derived metabolites tryptamine and phenethylamine directly impair insulin signaling in major metabolic tissues of healthy mice and monkeys and this effect is mediated by the trace amine-associated receptor 1 (TAAR1)-extracellular signal-regulated kinase (ERK) signaling axis. Our findings suggest a causal role for tryptamine/phenethylamine-producers in the development of insulin resistance, provide molecular mechanisms for the increased prevalence of metabolic syndrome in IBS, and highlight the TAAR1 signaling axis as a potential therapeutic target for the management of metabolic syndrome induced by gut dysbiosis.

Indexed as

Diabetes Mellitus, Type 2Gastrointestinal MicrobiomeInsulin ResistanceIrritable Bowel SyndromeMetabolic SyndromeAnimalsDysbiosisHumansMicePhenethylaminesTryptaminesphenethylaminePhenethylaminestryptamineTryptamines

Identifiers

PMID37591886
PMCPMC10435514
OpenAlexW4385950166

What OpenQuestion holds

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LicenceCC BY
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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.