Evidence map›Paper›PMID 41438339›Full record

ArticleJHEP reports : innovation in hepatology2026

Lore Van Espen, Maximilian Joseph Brol, Lila Close, Robert Schierwagen, Wenyi Gu, Marisa I Keller, Boglarka Balogh, Anthony Fullam, Lander De Coninck, Tomohiro Nakamura and 9 more

Registry-linked trialAbstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03056612 (Predicting Acute-on-Chronic Liver Failure in Cirrhosis), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT03056612 completednot on this map

Predicting Acute-on-Chronic Liver Failure in Cirrhosis (PREDICT) Study

TypeobservationalSponsorJonel TrebickaRan2017 to 2018Enrolled1,314ConditionsLiver Cirrhosis With Acute DecompensationArmsObservation protocol
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Oral Colonisation of the Gut May Explain the Cirrhosis Virome Signature.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  2. Phage Therapy in Gastrointestinal Diseases: Current Status and Challenges.International journal of molecular sciences · 2026
    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

19 authors.

Lore Van EspenKU Leuven, Department of Microbiology, Immunology, & Transplantation, Rega Institute, Division of Clinical & Epidemiological Virology, Laboratory of Viral Metagenomics, Belgium.
Maximilian Joseph BrolDepartment of Internal Medicine B, University of Münster, Münster, Germany.
Lila CloseKU Leuven, Department of Microbiology, Immunology, & Transplantation, Rega Institute, Division of Clinical & Epidemiological Virology, Laboratory of Viral Metagenomics, Belgium.
Robert SchierwagenDepartment of Internal Medicine B, University of Münster, Münster, Germany.
Wenyi GuDepartment of Internal Medicine B, University of Münster, Münster, Germany.
Marisa I KellerStructural and Computational Biology Unit, European Molecular Biology Laboratory, Heidelberg, Germany.
Boglarka BaloghDivision of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Anthony FullamStructural and Computational Biology Unit, European Molecular Biology Laboratory, Heidelberg, Germany.
Lander De ConinckKU Leuven, Department of Microbiology, Immunology, & Transplantation, Rega Institute, Division of Clinical & Epidemiological Virology, Laboratory of Viral Metagenomics, Belgium.
Tomohiro NakamuraDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Michael KuhnStructural and Computational Biology Unit, European Molecular Biology Laboratory, Heidelberg, Germany.
Peer BorkStructural and Computational Biology Unit, European Molecular Biology Laboratory, Heidelberg, Germany.
Wim LalemanDepartment of Internal Medicine B, University of Münster, Münster, Germany.
Jasmohan S BajajDivision of Gastroenterology, Hepatology, and Nutrition, Virginia Commonwealth University and Richmond VA Medical Center, Richmond, USA.
Maria PappDivision of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Bernd SchnablDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Jonel TrebickaDepartment of Internal Medicine B, University of Münster, Münster, Germany.
Jelle MatthijnssensKU Leuven, Department of Microbiology, Immunology, & Transplantation, Rega Institute, Division of Clinical & Epidemiological Virology, Laboratory of Viral Metagenomics, Belgium.
MICROB-PREDICT

Funding

San Diego Digestive Diseases Research CenterP30DK120515 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LARS ECKMANN, Bernd G. Schnabl · 2019 to 2026
$10.8M
NIDDK NIH HHS P30 DK120515
6 · The paper itself

Abstract

Background & Aims: As portal hypertension progresses in cirrhosis, bacterial translocation across a compromised gut barrier leads to endotoxemia, systemic inflammation and immune dysfunction. Gut phages play a key role in these processes by influencing bacteria-host interactions. This study explores the role of the human gut virome in acute decompensation of cirrhosis and acute-on-chronic liver failure (ACLF). Methods: The fecal virome was longitudinally assessed by metagenomic sequencing in two independent cohorts: 93 patients (292 samples) with acute decompensation or ACLF from the PREDICT study, and 94 patients (94 samples) with decompensated cirrhosis undergoing TIPS (transjugular intrahepatic portosystemic shunt) surgery collected in a tertiary care setting. Besides descriptive analysis, phages were grouped according to their predicted bacterial host and lifestyle, and associated with clinical parameters. Results: Phage alpha-diversity was higher in patients with ACLF and correlated with ACLF severity. In the absence of ACLF, the phageome was dominated by virulent phages, but in ACLF, temperate phages became more prevalent. Genus-level analysis showed that phageomes were highly patient-specific. Conclusion: ACLF is characterized by increased fecal virome diversity and a shift from virulent toward temperate phages at disease onset. Our study links Clinical trial number: NCT03056612. Impact and implications: The human gut virome is a poorly investigated part of the human gut microbiome, especially in the context of decompensated cirrhosis and acute-on-chronic liver failure. This study identified two phage groups (

Indexed as

acutely decompensated cirrhosisacute-on-chronic liver failurefecal microbiomefecal viromegut phagesphage host prediction

Identifiers

PMID41438339
PMCPMC12721046

What OpenQuestion holds

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Registered trials

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.