Evidence map›Paper›PMID 38927424›Full record

ArticleBiomedicines2024

Gut Permeability and Immune-Mediated Inflammation in Heart Failure.

Maria Perticone, Simona Gigliotti, Ermal Shehaj, Raffaele Maio, Edoardo Suraci, Sofia Miceli, Francesco Andreozzi, Giovanni Matera, Francesco Perticone

Abstract read
In one paragraph

Article in Biomedicines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

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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

9 authors.

Maria PerticoneDepartment of Medical and Surgical Sciences, University Magna Graecia, 88100 Catanzaro, Italy.
Simona GigliottiDepartment of Health Sciences, University Magna Graecia, 88100 Catanzaro, Italy.
Ermal ShehajCardiology and Cardiovascular Intensive Care Unit, Presidio Ospedaliero "Giovanni Paolo II" di Lamezia Terme, Azienda Sanitaria Provinciale di Catanzaro, 88046 Lamezia Terme, Italy.
Raffaele MaioGeriatrics Unit, P.O. Germaneto, Azienda Ospedaliero-Universitaria "Renato Dulbecco", 88100 Catanzaro, Italy.ORCID 0000-0002-7290-9470
Edoardo SuraciInternal Medicine Unit, P.O. Pugliese-Ciaccio, Azienda Ospedaliero-Universitaria "Renato Dulbecco", 88100 Catanzaro, Italy.
Sofia MiceliGeriatrics Unit, P.O. Germaneto, Azienda Ospedaliero-Universitaria "Renato Dulbecco", 88100 Catanzaro, Italy.
Francesco AndreozziDepartment of Medical and Surgical Sciences, University Magna Graecia, 88100 Catanzaro, Italy.ORCID 0000-0001-9375-1513
Giovanni MateraDepartment of Health Sciences, University Magna Graecia, 88100 Catanzaro, Italy.
Francesco PerticoneDepartment of Medical and Surgical Sciences, University Magna Graecia, 88100 Catanzaro, Italy.ORCID 0000-0003-2402-0981

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure (HF) is characterized by low-grade immune-mediated inflammation due to increased Toll-like receptor (TLR) expression as response to endotoxin increase and dysregulated gut barrier permeability. We investigated TLR expression and possible gut dysbiosis in HF patients compared to a control group. We enrolled 80 Caucasian HF patients and 20 controls. Low-grade immune-mediated inflammation was evaluated by TLR expression, while gut dysbiosis by the detection of zonulin and bacterial endotoxin activity in a semi-quantitative (endotoxin activity assay [EAA]) and quantitative (limulus amebocyte lysate [LAL] test) way. Compared to controls, patients with HF showed significantly higher age and blood pressure values, worse metabolic profile and kidney function, higher inflammatory biomarkers levels, and lower levels of zonulin and endotoxin activity. When dividing failing patients in those with reduced ejection fraction (HF-rEF) and those with preserved ejection fraction (HF-pEF), HF-rEF patients showed significantly higher values of inflammatory biomarkers and TLR expression than HF-pEF patients. Gut permeability biomarkers inversely correlated with the severity of HF and positively with renal function. eGFR was retained as an independent predictor of zonulin variation in all the three groups of failing patients. Present data work to extend current knowledge about the role of gut microbiota in immune-mediated inflammation in HF.

Indexed as

gut dysbiosisheart failureinflammationToll-like receptors

Identifiers

PMID38927424
PMCPMC11200601

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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.