Evidence map›Paper›PMID 38488837›Full record

ArticleeLife2024

Gut microbiota-derived gamma-aminobutyric acid from metformin treatment reduces hepatic ischemia/reperfusion injury through inhibiting ferroptosis.

Fangyan Wang, Xiujie Liu, Furong Huang, Yan Zhou, Xinyu Wang, Zhengyang Song, Sisi Wang, Xiaoting Wang, Dibang Shi, Gaoyi Ruan and 7 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

24 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Review
  3. Peripheral GABA Signaling in Metabolic Adaptation and Maladaptation.International journal of molecular sciences · 2026
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  11. Gut microbes · 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

17 authors at 3 institutions in 2 countries.

Fangyan Wang *Institute of Ischemia/Reperfusion Injury, School of Basic Medical Science, Wenzhou Medical University, Wenzhou, China.ORCID https://orcid.org/0000-0003-0555-8495
Xiujie Liu *Institute of Ischemia/Reperfusion Injury, School of Basic Medical Science, Wenzhou Medical University, Wenzhou, China.ORCID https://orcid.org/0000-0003-2230-3865
Furong Huang *Institute of Ischemia/Reperfusion Injury, School of Basic Medical Science, Wenzhou Medical University, Wenzhou, China.
Yan ZhouWenzhou Key Laboratory of Sanitary Microbiology, Wenzhou Medical University, Wenzhou, China.
Xinyu WangInstitute of Ischemia/Reperfusion Injury, School of Basic Medical Science, Wenzhou Medical University, Wenzhou, China.
Zhengyang SongInstitute of Ischemia/Reperfusion Injury, School of Basic Medical Science, Wenzhou Medical University, Wenzhou, China.
Sisi WangInstitute of Ischemia/Reperfusion Injury, School of Basic Medical Science, Wenzhou Medical University, Wenzhou, China.
Xiaoting WangInstitute of Ischemia/Reperfusion Injury, School of Basic Medical Science, Wenzhou Medical University, Wenzhou, China.
Dibang ShiDepartment of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Gaoyi RuanDepartment of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Xiawei JiDepartment of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Eryao ZhangDepartment of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Zenglin TanInstitute of Ischemia/Reperfusion Injury, School of Basic Medical Science, Wenzhou Medical University, Wenzhou, China.
Yuqing YeNottingham Ningbo China Beacons of Excellence Research and Innovation Institute, The University of Nottingham Ningbo, Ningbo, China.
Chuang WangMedical School of Ningbo University, Ningbo University, Ningbo, China.
Jesse ZhuNottingham Ningbo China Beacons of Excellence Research and Innovation Institute, The University of Nottingham Ningbo, Ningbo, China.
Wantie WangInstitute of Ischemia/Reperfusion Injury, School of Basic Medical Science, Wenzhou Medical University, Wenzhou, China.ORCID https://orcid.org/0000-0003-4129-5549
Wenzhou Medical University · CNUniversity of Nottingham Ningbo China · CNNingbo University · CN

Funding

Suzhou Inhale Pharma Co, Ltd KJHX2212Zhejiang Province Public Welfare Technology Application Research Project LGF22H030011Zhejiang University Student Science and Technology Innovation Activity Plan 2022R413C074Zhejiang Xiaolun Intelligent Manufacturing Co, Ltd KJHX2202
6 · The paper itself

Abstract

Hepatic ischemia/reperfusion injury (HIRI) is a common and inevitable factor leading to poor prognosis in various liver diseases, making the outcomes of current treatments in clinic unsatisfactory. Metformin has been demonstrated to be beneficial to alleviate HIRI in recent studies, however, the underpinning mechanism remains unclear. In this study, we found metformin mitigates HIRI-induced ferroptosis through reshaped gut microbiota in mice, which was confirmed by the results of fecal microbiota transplantation treatment but showed the elimination of the beneficial effects when gut bacteria were depleted using antibiotics. Detailedly, through 16S rRNA and metagenomic sequencing, we identified that the metformin-reshaped microbiota was characterized by the increase of gamma-aminobutyric acid (GABA) producing bacteria. This increase was further confirmed by the elevation of GABA synthesis key enzymes, glutamic acid decarboxylase and putrescine aminotransferase, in gut microbes of metformin-treated mice and healthy volunteers. Furthermore, the benefit of GABA against HIRI-induced ferroptosis was demonstrated in GABA-treated mice. Collectively, our data indicate that metformin can mitigate HIRI-induced ferroptosis by reshaped gut microbiota, with GABA identified as a key metabolite.

Indexed as

FerroptosisGastrointestinal MicrobiomeMetforminReperfusion InjuryAnimalsgamma-Aminobutyric AcidHumansIschemiaMiceRNA, Ribosomal, 16Sgamma-Aminobutyric AcidMetforminRNA, Ribosomal, 16Sferroptosisgut microbiotainfectious diseaseischemia–reperfusionmedicinemetforminmicrobiologymouse

Identifiers

PMID38488837
PMCPMC10942780
OpenAlexW4382937134

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.