Evidence map›Paper›PMID 40214782›Full record

ArticleEuropean journal of nutrition2025

Associations of alcohol with the human gut microbiome and prospective health outcomes in the FINRISK 2002 cohort.

Kari Koponen, Daniel McDonald, Pekka Jousilahti, Guillaume Meric, Michael Inouye, Leo Lahti, Teemu Niiranen, Satu Männistö, Aki Havulinna, Rob Knight and 1 more

Abstract read
In one paragraph

Article in European journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
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  4. Review
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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

11 authors.

Kari KoponenDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), P.O. Box 30, Helsinki, 00271, Finland. kari.koponen@alumni.helsinki.fi.ORCID http://orcid.org/0000-0003-0417-107X
Daniel McDonaldDepartment of Pediatrics, University of California San Diego, La Jolla, San Diego, CA, USA.ORCID http://orcid.org/0000-0003-0876-9060
Pekka JousilahtiDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), P.O. Box 30, Helsinki, 00271, Finland.ORCID http://orcid.org/0000-0001-7190-0979
Guillaume MericCambridge Baker Systems Genomics Initiative, Baker Heart and Diabetes Institute, Melbourne, Australia.ORCID http://orcid.org/0000-0001-6288-9958
Michael InouyeCambridge Baker Systems Genomics Initiative, Baker Heart and Diabetes Institute, Melbourne, Australia.ORCID http://orcid.org/0000-0001-9413-6520
Leo LahtiDepartment of Computing, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0001-5537-637X
Teemu NiiranenDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), P.O. Box 30, Helsinki, 00271, Finland.ORCID https://orcid.org/0000-0002-7394-7487
Satu MännistöDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), P.O. Box 30, Helsinki, 00271, Finland.ORCID https://orcid.org/0000-0002-8668-3046
Aki HavulinnaDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), P.O. Box 30, Helsinki, 00271, Finland.ORCID https://orcid.org/0000-0002-4787-8959
Rob KnightDepartment of Pediatrics, University of California San Diego, La Jolla, San Diego, CA, USA.ORCID https://orcid.org/0000-0001-7531-0087
Veikko SalomaaDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), P.O. Box 30, Helsinki, 00271, Finland.ORCID https://orcid.org/0000-0001-7563-5324

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsAlcohol remains a global risk factor for non-communicable diseases with the gut microbiome emerging as a novel elucidator. We investigated how gut microbiome associates with alcohol on population level, if there is mediation reflected in health outcomes, and how functional potential is related.

methodsOur sample consisted of 4575 shallow-shotgun sequenced fecal samples from the FINRISK 2002 cohort (25-74yrs., 52.5% women). Alcohol (g 100% alcohol/week) use was self-reported. Diversity and differential species abundances were analyzed using multiple linear regression. Compositional differences were analyzed using PERMANOVA, and prospective associations with Cox-regression. Connections between alcohol, microbiome, inflammatory markers, and outcomes were assessed using serial mediation. Functional associations were assessed using KEGG-orthologies and multiple linear regression.

resultsHigh-risk alcohol consumers had significantly lower bacterial diversity when compared to low-risk consumers (mean±SD:4.04±0.41 vs. 4.11±0.43, p = 9.56 × 10

conclusionsAlcohol use is associated with community-level shifts in composition towards enriched Gram-negative bacteria, and diminished levels of putatively beneficial bacteria. Alcohol use associates with a proinflammatory gut microbiome profile that mediates alcohol's effect on incident liver disease risk, possibly via increased proliferation of endotoxins through the gut epithelial lining.

Indexed as

Alcohol DrinkingEthanolGastrointestinal MicrobiomeAdultAgedBiomarkersEndotoxinsFecesFemaleFinlandFollow-Up StudiesHumansInflammation MediatorsIntestinal MucosaLipopolysaccharidesLiver DiseasesBiomarkersEndotoxinsEthanolInflammation MediatorsLipopolysaccharidesAlcoholEpidemiologyGut microbiomeProspective

Identifiers

PMID40214782
PMCPMC11991935

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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.