Evidence map›Paper›PMID 37717911›Full record

ArticleJournal of advanced research2024

Enteric fungi protect against intestinal ischemia-reperfusion injury via inhibiting the SAA1-GSDMD pathway.

Yihui Chen, Ben Han, Xu Guan, Guangsheng Du, Baifa Sheng, Xiaoqi Tang, Quanchao Zhang, Huichao Xie, Xianhong Jiang, Qianshan Tan and 4 more

Abstract read
In one paragraph

Article in Journal of advanced research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Anthocyanins Prevent Mastitis Exacerbation by Inhibiting PANoptosis Activation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
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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

14 authors.

Yihui ChenDepartment of General Surgery, Xinqiao Hospital, Army Medical University(Third Military Medical University), Chongqing 400037, China.
Ben HanDepartment of Nutrition, Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Xu GuanDepartment of Nephrology, Army Medical University, Chongqing, 400037, China.
Guangsheng DuDepartment of General Surgery, Xinqiao Hospital, Army Medical University(Third Military Medical University), Chongqing 400037, China.
Baifa ShengDepartment of General surgery, The General Hospital of Western Theater Command, Chengdu, Sichuan Province, 610036, China.
Xiaoqi TangDepartment of Clinical Laboratory Medicine, Southwest Hospital, Army Medical University, Chongqing 400037, China.
Quanchao ZhangDepartment of Nephrology, Army Medical University, Chongqing, 400037, China.
Huichao XieDepartment of General Surgery, Xinqiao Hospital, Army Medical University(Third Military Medical University), Chongqing 400037, China.
Xianhong JiangDepartment of Laboratory Animal Science, College of Basic Medical Science, Army Medical University, Chongqing 400038, China.
Qianshan TanDepartment of General Surgery, Xinqiao Hospital, Army Medical University(Third Military Medical University), Chongqing 400037, China.
Shuaishuai ChenDepartment of General Surgery, Xinqiao Hospital, Army Medical University(Third Military Medical University), Chongqing 400037, China.
Jian WangDepartment of Nutrition, Xinqiao Hospital, Army Medical University, Chongqing 400037, China. Electronic address: wj_xqhospital@163.com.
Wei ChenDepartment of Nosocomial Infection Management, Xinqiao Hospital, Army Medical University, Chongqing 400037, China. Electronic address: chongqingchenwei@126.com.
Weidong XiaoDepartment of General Surgery, Xinqiao Hospital, Army Medical University(Third Military Medical University), Chongqing 400037, China. Electronic address: xiaoweidong@tmmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProphylactic antifungal therapy has been widely used for critical patients, but it has failed to improve patient prognosis and has become a hot topic. This may be related to disruption of fungal homeostasis, but the mechanism of fungi action is not clear. As a common pathway in critical patients, intestinal ischemia-reperfusion (IIR) injury is fatal and regulated by gut microbiota. However, the exact role of enteric fungi in IIR injury remains unclear.

objectivesThis is a clinical study that aims to provide new perspectives in clarifying the underlying mechanism of IIR injury and propose potential strategies that could be relevant for the prevention and treatment of IIR injury in the near future.

methodsITS sequencing was performed to detect the changes in fungi before and after IIR injury. The composition of enteric fungi was altered by pretreatment with single-fungal strains, fluconazole and mannan, respectively. Intestinal morphology and function impairment were evaluated in the IIR injury mouse model. Intestinal epithelial MODE-K cells and macrophage RAW264.7 cells were cultured for in vitro tests.

resultsFecal fungi diversity revealed the obvious alteration in IIR patients and mice, accompanied by intestinal epithelial barrier dysfunction. Fungal colonization and mannan supplementation could reverse intestinal morphology and function impairment that were exacerbated by fluconazole via inhibiting the expression of SAA1 from macrophages and decreasing pyroptosis of intestinal epithelial cells. Clodronate liposomes were used to deplete the number of macrophages, and it was demonstrated that the protective effect of mannan was dependent on macrophage involvement.

conclusionThis finding firstly validates that enteric fungi play a crucial role in IIR injury. Preventive antifungal treatment should consider damaging fungal balance. This study provides a novel clue to clarify the role of enteric fungi in maintaining intestinal homeostasis.

Indexed as

Gastrointestinal MicrobiomeIntestinesReperfusion InjuryAdultAgedAnimalsDisease Models, AnimalFecesFemaleFluconazoleFungiHumansIntestinal MucosaMacrophagesMaleMannansFluconazoleMannansAntifungal therapyEnteric fungiIntestinal ischemia–reperfusion injuryMannanPyroptosis

Identifiers

PMID37717911
PMCPMC11258666

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Registered trials

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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.