Evidence map›Paper›PMID 40305678›Full record

ArticleThe ISME journal2025

Akkermansia muciniphila exacerbates acute radiation-induced intestinal injury by depleting mucin and enhancing inflammation.

Yafang Wang, Xusheng Wang, Zhenhui Chen, Jihua Zheng, Xiangqiang Liu, Yilin Zheng, Zhihao Zheng, Zi Xu, Yaowei Zhang, Keli Chen and 3 more

Abstract read
In one paragraph

Article in The ISME journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. ProbioticMicrobiology spectrum · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Metabolomic and Microbiome Profiling Reveals the Protective Mechanism ofInternational journal of molecular sciences · 2026
    Article
  6. Review
  7. Review
  8. Review
  9. Mechanism and application ofFrontiers in cellular and infection microbiology · 2026
    Review
  10. Frontiers in microbiology · 2026
    Review
  11. Review
  12. Review
  13. Microbiome-Driven Risk Stratification and Biotherapeutics in Radiation Enteritis.Computational and structural biotechnology journal · 2026
    Review
  14. Review
  15. Article
  16. MicroencapsulatedFrontiers in cellular and infection microbiology · 2026
    Article
  17. Review
  18. Article
  19. Food science & nutrition · 2025
    Article
  20. Review
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

13 authors.

Yafang WangDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Xusheng WangDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Zhenhui ChenDepartment of Microbiology, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Jihua ZhengDepartment of Radiotherapy, General Hospital of Southern Theatre Command, Guangzhou, Guangdong, 510010, China.
Xiangqiang LiuDepartment of Gastroenterology, General Hospital of Southern Theatre Command, Guangzhou, Guangdong, 510010, China.
Yilin ZhengDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Zhihao ZhengDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Zi XuDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Yaowei ZhangDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Keli ChenHuiQiao Medical Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Yuqin ZhangDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Lu YuDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Yi DingDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China.

Funding

Guangdong Basic and Applied Basic Research Foundation 2023A1515010502Guangdong Basic and Applied Basic Research Foundation 2023A1515030044Guangdong Basic and Applied Basic Research Foundation 2025A1515010567Key Science &Technology Brainstorm Project of Guangzhou 202206010045National Natural Science Foundation of China 32300085National Natural Science Foundation of China 82273564National Natural Science Foundation of China 82473567Science and Technology Plan Project of Jiangxi Provincial Administration of Traditional Chinese Medicine 2023A0060
6 · The paper itself

Abstract

Dysbiosis of gut microbiota plays a crucial role in acute radiation-induced intestinal injury. However, studies on the influence of gut microbiota on acute radiation-induced intestinal injury are inconsistent. In this study, we established an acute radiation-induced intestinal injury mouse model and performed fecal microbiota transplantation to explore the role of the gut microbiota in acute radiation-induced intestinal injury. We observed a significant increase in Akkermansia muciniphila following irradiation, whereas fecal microbiota transplantation effectively reduced A. muciniphila levels. Contrary to expectations, A. muciniphila supplementation increased acute radiation-induced intestinal injury and mortality. Mechanistically, postradiation A. muciniphila upregulates mucin metabolism genes and consumes mucin, thinning the mucosal barrier and promoting the adhesion and translocation of potential pathogens to epithelial cells, thus exacerbating acute radiation-induced intestinal injury. This enables A. muciniphila to use mucin as an energy source. Additionally, A. muciniphila increases the inflammatory macrophage changes and secretion of inflammatory cytokines, leading to a decrease in epithelial stem cell density and inhibition of goblet cell differentiation, further exacerbating acute radiation-induced intestinal injury. Our findings suggest that in certain intestinal environments, the addition of A. muciniphila may worsen radiation-induced intestinal damage; thus, alternative approaches to reverse the dysbiosis associated with radiotherapy should be explored.

Indexed as

Gastrointestinal MicrobiomeInflammationIntestinesMucinsRadiation InjuriesAkkermansiaAnimalsDisease Models, AnimalDysbiosisFecal Microbiota TransplantationIntestinal MucosaMaleMiceMice, Inbred C57BLVerrucomicrobiaMucinsacute radiation-induced intestinal injuryAkkermansia muciniphilagoblet cellsmacrophagesmucin

Identifiers

PMID40305678
PMCPMC12089034

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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.