Evidence map›Paper›PMID 40521273›Full record

ArticleWorld journal of gastroenterology2025

Ozone controls the metabolism of tryptophan protecting against sepsis-induced intestinal damage by activating aryl hydrocarbon receptor.

Qing Wang, Chun-Zheng Liu, Bai-Tian Li, Xiu-Qin Yu, Jin-Yuan Zhang, Ze-Tian Wang, Li-Jun Liao, Xiao-Dong Liu

Abstract read
In one paragraph

Article in World journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Journal of inflammation research · 2026
    Article
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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

8 authors.

Qing WangDepartment of Anesthesiology and Pain Management, Shanghai East Hospital, Shanghai 200433, China.
Chun-Zheng LiuDepartment of Anesthesiology and Pain Management, Shanghai East Hospital, Shanghai 200433, China.
Bai-Tian LiDepartment of Anesthesiology and Pain Management, Shanghai East Hospital, Shanghai 200433, China.
Xiu-Qin YuDepartment of Anesthesiology and Pain Management, Shanghai East Hospital, Shanghai 200433, China.
Jin-Yuan ZhangDepartment of Anesthesiology and Pain Management, Shanghai East Hospital, Shanghai 200433, China.
Ze-Tian WangDepartment of Anesthesiology and Pain Management, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200240, China.
Li-Jun LiaoDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200433, China. liao@pan-intelligence.com.
Xiao-Dong LiuDepartment of Anesthesia and Intensive Care, The Chinese University of Hong Kong; Peter Hung Pain Research Institute.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntestinal injury is the most common complication of sepsis, and the mitigation of intestinal damage is crucial for treating sepsis.

aimTo examine the use of ozone-rich water and its action in preventing intestinal damage caused by sepsis.

methodsThrough histological analysis, immunohistochemistry, immunofluorescence assays, and Western blot detection, we evaluated the therapeutic efficacy of ozone in mitigating intestinal injury during sepsis. Additionally, by conducting 16S rRNA sequencing and untargeted metabolomics analysis on fecal samples, we identified alterations in the gut microbiota and specific metabolites in septic mice following ozone treatment. This comprehensive approach aims to further elucidate the mechanistic underpinnings of ozone therapy in alleviating sepsis-induced intestinal damage.

resultsOur results demonstrate that ozonated water significantly ameliorates pathological damage in intestinal tissues, enhances the expression of tight junction proteins, and inhibits the polarization of intestinal macrophages, thereby reducing the expression of inflammatory cytokines in intestinal tissues of cecal ligation and puncture-induced septic mice. 16S rRNA sequencing analysis revealed that ozonated water increased the abundance of beneficial bacteria and alleviated gut microbiota dysbiosis. Studies using broad-spectrum antibiotic-treated mice indicated that the protective effects of ozonated water on intestinal injury are dependent on the gut microbiota. Furthermore, metabolomic analysis identified an increase in the tryptophan metabolite DL-tryptophan in the ozonated water treatment group. This suggests that ozonated water protects against intestinal injury by activating the aryl hydrocarbon receptor and suppressing necroptosis in intestinal epithelial cells.

conclusionOzone protected against sepsis-induced intestinal injury through regulation of the gut microbiota and tryptophan metabolism, inhibiting necrotic apoptosis of intestinal epithelial cells through activation of the aryl hydrocarbon receptor.

Indexed as

Basic Helix-Loop-Helix ProteinsOzoneReceptors, Aryl HydrocarbonSepsisTryptophanAnimalsDisease Models, AnimalDysbiosisFecesGastrointestinal MicrobiomeHumansIntestinal MucosaMacrophagesMaleMetabolomicsMiceAhr protein, mouseBasic Helix-Loop-Helix ProteinsOzoneReceptors, Aryl HydrocarbonRNA, Ribosomal, 16STight Junction ProteinsTryptophanAryl hydrocarbon receptorDL-tryptophanIntestinal floraIntestinal injuryNecroptosisSepsis

Identifiers

PMID40521273
PMCPMC12159987

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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.