Evidence map›Paper›PMID 40653266›Full record

ArticleJournal of advanced research2026

Hyodeoxycholic acid relieves neuropathic pain by activating farnesoid X receptor signaling.

Jiaqi Lin, Xuejiao Zeng, Zehua Su, Xin Li, Yongze Yu, Shuwen Qian, Qianhao Hou, Wenying Duan, Zetian Wang, Chunzheng Liu and 3 more

Abstract read
In one paragraph

Article in Journal of advanced research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Expansion resistance against genotoxicFrontiers in microbiology · 2026
    Article
  2. Review
  3. 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.

Jiaqi LinDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China. Electronic address: 2311190@tongji.edu.cn.
Xuejiao ZengDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China; Dalian Medical University, Dalian 116000, China; Department of Pain Management, Shanghai East Hospital of Clinical Medical College, Shanghai 200120, China. Electronic address: 17759079219@163.com.
Zehua SuDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China. Electronic address: suzh0627@163.com.
Xin LiDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China. Electronic address: lixinanyi0057@163.com.
Yongze YuDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China. Electronic address: 982665250@qq.com.
Shuwen QianDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China; Department of Pain Management, Yangpu Hospital, School of Medicine, Tongji University, Shanghai 200092, China. Electronic address: Shuwen_Qian@tongji.edu.cn.
Qianhao HouDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China. Electronic address: houqianhao123@163.com.
Wenying DuanDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China. Electronic address: winnie_d@126.com.
Zetian WangDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China. Electronic address: 18321127738@163.com.
Chunzheng LiuDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China. Electronic address: lcz980712@163.com.
Jinyuan ZhangDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China. Electronic address: qimuzhangjy@126.com.
Changshun HuangDepartment of Anesthesiology, Ningbo First Hospital, Zhejiang 315010, China. Electronic address: nbhcs1967@163.com.
Lijun LiaoDepartment of Pain Management, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China. Electronic address: lliao@tongji.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuropathic pain, is a chronic condition stemming from nervous system injuries. The farnesoid X receptor (FXR), primarily expressed in the liver and intestines, plays a crucial role in regulating bile acids and lipids metabolism. Emerging evidence suggests that bile acids might influence neural function through FXR modulation.

objectiveTo investigate the specific role of intestinal FXR in the modulation of neuropathic pain.

methodsA neuropathic pain model was established in mice through ligation of the lumbar 4 spinal nerve (SNL). FXR expression was detected in the distal ileum and spinal cord. The baseline pain threshold and pain-related behaviors were evaluated in FXR gene knockout (Fxr

resultsNeuropathic pain was associated with reduced FXR levels in the gut and spinal cord, accompanied by decreased bile acid levels, especially HDCA. FXR deficiency lowered the pain threshold, whereas treatment with INT-747 or HDCA relieved pain in SNL mice. Activation of FXR restored intestinal barrier integrity, balanced microbiota, reduced inflammation, and decreased microglial activation. HDCA alleviated pain by modulating FXR activity, increasing peroxisome proliferator-activated receptor gamma (PPAR-γ) expression and reducing abnormal matrix metalloproteinase-2 (MMP-2) and matrix metalloproteinase-2 (MMP-9) activation.

conclusionThis research highlights a critical link between FXR levels and neuropathic pain. Manipulating FXR activity with INT-747 or HDCA not only reduced pain severity but also strengthened intestinal barriers and dampened inflammatory responses, suggesting the potential of FXR-targeted therapies in effectively managing neuropathic pain.

Indexed as

Chenodeoxycholic AcidNeuralgiaReceptors, Cytoplasmic and NuclearAnimalsBile Acids and SaltsDisease Models, AnimalMaleMiceMice, Inbred C57BLMice, KnockoutSignal TransductionSpinal CordBile Acids and SaltsChenodeoxycholic Acidobeticholic acidReceptors, Cytoplasmic and NuclearBile acidsFXRHDCAInflammationIntestinal microbiotaNeuropathic pain

Identifiers

PMID40653266
PMCPMC13001037

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LicenceCC BY-NC-ND
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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.