Evidence map›Paper›PMID 40550113›Full record

ArticleHepatology (Baltimore, Md.)2026

Gut-to-bile transfer of microbially amidated minor bile acids in patients with hepatopancreatobiliary disorders.

Alvaro G Temprano, Marta R Romero, Ahmed Ghallab, Lucia Llera, Rocio I R Macias, Hans M van Eijk, Maria Rullán, Jesús Urman, Ümran Ay, Martin Lenicek and 8 more

Abstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

18 authors.

Alvaro G TempranoExperimental Hepatology and Drug Targeting, University of Salamanca, IBSAL, Salamanca, Spain.ORCID 0000-0002-5478-5937
Marta R RomeroExperimental Hepatology and Drug Targeting, University of Salamanca, IBSAL, Salamanca, Spain.ORCID 0000-0001-6729-0215
Ahmed GhallabLeibniz Research Centre for Working Environment and Human Factors at the Technical University Dortmund, Dortmund, Germany.
Lucia LleraExperimental Hepatology and Drug Targeting, University of Salamanca, IBSAL, Salamanca, Spain.
Rocio I R MaciasExperimental Hepatology and Drug Targeting, University of Salamanca, IBSAL, Salamanca, Spain.ORCID 0000-0002-4748-0326
Hans M van EijkDepartment of Surgery, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.
Maria RullánServicio de Digestivo, Hospital Universitario de Navarra, Pamplona, Spain.
Jesús UrmanServicio de Digestivo, Hospital Universitario de Navarra, Pamplona, Spain.
Ümran AyDepartment of General, Visceral and Transplantation Surgery, RWTH Aachen University, Aachen, Germany.ORCID 0009-0002-7172-3217
Martin LenicekInstitute of Medical Biochemistry and Laboratory Diagnostics, General University Hospital and First Faculty of Medicine, Charles University, Prague, Czech Republic.
Jan G HengstlerLeibniz Research Centre for Working Environment and Human Factors at the Technical University Dortmund, Dortmund, Germany.
Ulf P NeumannDepartment of Surgery, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.
Carmen BerasainCenter for the Study of Liver and Gastrointestinal Diseases, Carlos III National Institute of Health, Madrid, Spain.
Matias A AvilaCenter for the Study of Liver and Gastrointestinal Diseases, Carlos III National Institute of Health, Madrid, Spain.ORCID 0000-0001-6570-3557
Steven W M Olde DaminkDepartment of Surgery, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-5202-9345
Maria J MonteExperimental Hepatology and Drug Targeting, University of Salamanca, IBSAL, Salamanca, Spain.ORCID 0000-0003-1844-7428
Jose J G MarinExperimental Hepatology and Drug Targeting, University of Salamanca, IBSAL, Salamanca, Spain.ORCID 0000-0003-1186-6849
Frank G SchaapDepartment of Surgery, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-1597-572

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsDuring bile acid (BA) intestinal transit, microbially amidated BAs (MABAs) are produced. This study investigated their cholephilic behavior and their presence in the bile of patients with hepatopancreatobiliary diseases. APPROACH AND

resultsBile samples were collected during surgical or endoscopic procedures and analyzed using high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS), with cholic acid (CA) and chenodeoxycholic acid (CDCA) chemically amidated with leucine (Leu), phenylalanine (Phe), or tyrosine (Tyr) as standards. Gut-to-bile transfer was investigated in cellular and animal models.MABAs (Leu>Phe>Tyr) were detected (<1 µM) in the bile of ≈50% of patients with hepatopancreatobiliary disorders. Their levels were positively correlated with total BA concentrations and inversely correlated with the proportion of major conjugated BAs, but not with age, fat-soluble vitamin levels, or disease outcomes. Oral gavage of D - and L -enantiomers of Tyr-CA in mice resulted in intestinal hydrolysis and limited access of L -Tyr-CA to the enterohepatic circulation. In rats, the intravenous injection of glycocholic acid (GCA) and MABAs resulted in similarly rapid biliary outputs. The time course of biliary secretion after infusing MABAs and GCA into the microbiota-free rat ileum in situ was also similar. Docking studies predicted the interaction of BA transporters and MABAs with binding energies comparable to those of taurocholic acid (TCA) and GCA. In cells expressing BA transporters, MABA uptake was efficient (NTCP>ASBT>OATP1B3) and inhibitable by TCA.

conclusionsLike major conjugated BAs, MABAs are transferred from the gut, where they are produced, to the bile of patients with hepatopancreatobiliary diseases, suggesting gut dysbiosis that favors species generating these compounds.

Indexed as

BileBile Acids and SaltsGastrointestinal MicrobiomeLiver DiseasesPancreatic DiseasesAdultAgedAnimalsFemaleHumansMaleMiceMiddle AgedRatsBile Acids and Saltsdysbiosisenterohepatic circulationmetabolismmicrobiotatransport

Identifiers

PMID40550113
PMCPMC13089813

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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.