Evidence map›Paper›PMID 40399878›Full record

ArticleCell communication and signaling : CCS2025

Inhibition of Farnesoid-x-receptor signaling during abdominal sepsis by dysbiosis exacerbates gut barrier dysfunction.

Shuwen Qian, Zehua Su, Jiaqi Lin, Qianhao Hou, Xiaomei Wang, Yuling Li, Jieying Wang, Changchun Huang, Zetian Wang, Francisco Javier Cubero and 2 more

Abstract read
In one paragraph

Article in Cell communication and signaling : CCS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Review
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  7. Frontiers in microbiology · 2026
    Article
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  17. Intestinal injury signaling pathway in sepsis.Frontiers in immunology · 2025
    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

12 authors.

Shuwen Qian *Department of Anesthesiology and Pain Management, School of Medicine, Yangpu Hospital, Tongji University, Shanghai, 200090, China. shuwen_qian@tongji.edu.cn.
Zehua Su *Department of Pain Management, School of Medicine, Shanghai East Hospital, Tongji University, Shanghai, 200120, China.
Jiaqi LinDepartment of Pain Management, School of Medicine, Shanghai East Hospital, Tongji University, Shanghai, 200120, China.
Qianhao HouDepartment of Pain Management, School of Medicine, Shanghai East Hospital, Tongji University, Shanghai, 200120, China.
Xiaomei WangDepartment of Pain Management, School of Medicine, Shanghai East Hospital, Tongji University, Shanghai, 200120, China.
Yuling LiDepartment of Pharmacy, School of Medicine, Ji'an Hospital, Shanghai East Hospital, Tongji University, Jiangxi, 343006, China.
Jieying WangClinical Center for Investigation, School of Medicine, Renji Hospital, Shanghai Jiao Tong University, Shanghai, 200127, China.
Changchun HuangDepartment of Anesthesiology, Ningbo First Hospital, Zhejiang, 315010, China.
Zetian WangDepartment of Pain Management, School of Medicine, Shanghai East Hospital, Tongji University, Shanghai, 200120, China.
Francisco Javier CuberoDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, 28040, Madrid, Spain.
Xiangrui WangDepartment of Pain Management, School of Medicine, Shanghai East Hospital, Tongji University, Shanghai, 200120, China. xiangruiwang@vip.sina.com.
Lijun LiaoDepartment of Pain Management, School of Medicine, Shanghai East Hospital, Tongji University, Shanghai, 200120, China. liao@pan-intelligence.com.

Funding

Academic medicine leader's training Program in health systems of Pudong New Area PWRd2020-06Medical Innovation Research Special Project of Shanghai 2023 Science and Technology Innovation Action Plan 23Y11908300Shanghai Pudong New Area Summit (emergency medicine and critical care) construction project PWYgf2021-03Shanghai Pujiang Program 2020PJD050the National Natural Science Foundation of China 81971814the Natural Science Foundation of Jiangxi Province 20192BAB205013
6 · The paper itself

Abstract

BACKGROUND AND

aimsBacterial translocation and intestinal dysbiosis due to gut barrier dysfunction are widely recognized as major causes of the initiation and development of intra-abdominal sepsis. Systemic bacterial translocation and hepatic activation of the myeloid differentiation primary response gene 88 (Myd88) can disturb bile acids (BAs) metabolism, further exacerbating intestinal dysbiosis. The farnesoid X receptor (FXR) and fibroblast growth factor (FGF) 15/19 are well known to be involved in the control of BAs synthesis and enterohepatic circulation. However, the influence of intestinal microbiota on intestinal Myd88 signaling, the FXR/FGF15 axis, as well as gut-liver crosstalk during sepsis remains unclear. The present study aims to decipher the role of intestinal Myd88 in abdominal sepsis, its impact on intestinal FXR signaling and FGF15-mediated gut-liver crosstalk.

methodsExpression levels of FXR and FGF15 in the liver and intestines, alongside assessments of gut barrier function, were evaluated in septic wild-type (WT) mice 24 h post-cecal ligation and puncture (CLP) surgery. Subsequently, the FXR agonist INT-747 was administered to explore the relationship between FXR activation and gut barrier function. Further investigations involved Myd88-deficient mice with specific deletion of Myd88 in intestinal epithelial cells (Myd88

resultsInduction of sepsis via CLP led to hepatic cholestasis, suppressed FXR-FGF15 signaling, altered gut microbiota composition, and compromised gut barrier function. Administration of INT-747 increased intestinal FXR and FGF15 expression, strengthened gut barrier function, and enhanced barrier integrity. Interestingly, Myd88

conclusionsThis study highlights the critical role of Myd88/FXR signaling in intestinal epithelial cells as a pivotal mediator of the detrimental effects induced by sepsis-related intestinal dysbiosis on barrier function and bile acid metabolism. In summary, disordered intestinal flora in septic mice specifically triggers intestinal epithelial Myd88 activation, inhibit the FXR-FGF15 axis, and then worsen intestinal barrier function impairment.

Indexed as

DysbiosisIntestinal MucosaReceptors, Cytoplasmic and NuclearSepsisSignal TransductionAnimalsBile Acids and SaltsFibroblast Growth FactorsGastrointestinal MicrobiomeLiverMaleMiceMice, Inbred C57BLMyeloid Differentiation Factor 88Receptor, Farnesoid X-ActivatedBile Acids and Saltsfibroblast growth factor 15, mouseFibroblast Growth FactorsMyd88 protein, mouseMyeloid Differentiation Factor 88Receptor, Farnesoid X-ActivatedReceptors, Cytoplasmic and NuclearBile acidsFGF15FXRGut microbiotaMyd88ProbioticsSepsis

Identifiers

PMID40399878
PMCPMC12096737

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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.