Evidence map›Paper›PMID 41461922›Full record

ArticleNature microbiology2026

Microbial collagenase activity is linked to oral-gut translocation in advanced chronic liver disease.

Shen Jin, Aurelie Cenier, Daniela Wetzel, Bethlehem Arefaine, Mar Moreno-Gonzalez, Marilena Stamouli, Merianne Mohamad, Mariia Lupatsii, Emilio Ríos, Sunjae Lee and 7 more

Abstract read
In one paragraph

Article in Nature microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 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. Review
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  8. Periodontitis and MASLD: a narrative review of the direct oral-hepatic pathway.Frontiers in cellular and infection microbiology · 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

17 authors.

Shen Jin *Translational Microbiome Data Integration, School of Life Sciences, Technical University of Munich, Freising, Germany.
Aurelie Cenier *Translational Microbiome Data Integration, School of Life Sciences, Technical University of Munich, Freising, Germany.ORCID http://orcid.org/0009-0000-3360-7181
Daniela WetzelTranslational Microbiome Data Integration, School of Life Sciences, Technical University of Munich, Freising, Germany.
Bethlehem ArefaineRoger Williams Institute of Liver Studies, School of Immunology & Microbial Sciences, Faculty of Life Sciences and Medicine, King's College London, Foundation for Liver Research and King's College Hospital, London, UK.
Mar Moreno-GonzalezFood Microbes and Health Institute Strategic Programme, Quadram Institute Bioscience, Norwich, UK.ORCID http://orcid.org/0000-0002-5840-5751
Marilena StamouliRoger Williams Institute of Liver Studies, School of Immunology & Microbial Sciences, Faculty of Life Sciences and Medicine, King's College London, Foundation for Liver Research and King's College Hospital, London, UK.
Merianne MohamadRoger Williams Institute of Liver Studies, School of Immunology & Microbial Sciences, Faculty of Life Sciences and Medicine, King's College London, Foundation for Liver Research and King's College Hospital, London, UK.
Mariia LupatsiiTranslational Microbiome Data Integration, School of Life Sciences, Technical University of Munich, Freising, Germany.
Emilio RíosTranslational Microbiome Data Integration, School of Life Sciences, Technical University of Munich, Freising, Germany.ORCID http://orcid.org/0000-0002-0699-4769
Sunjae LeeCentre for Host-Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.
Ane ZamalloaInstitute of Liver Studies, King's College Hospital NHS Foundation Trust, London, UK.
Shilpa ChokshiRoger Williams Institute of Liver Studies, School of Immunology & Microbial Sciences, Faculty of Life Sciences and Medicine, King's College London, Foundation for Liver Research and King's College Hospital, London, UK.
Adil MardinogluCentre for Host-Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.
Saeed ShoaieCentre for Host-Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0001-5834-4533
Naiara BerazaFood Microbes and Health Institute Strategic Programme, Quadram Institute Bioscience, Norwich, UK.ORCID http://orcid.org/0000-0003-0718-0940
Vishal C PatelRoger Williams Institute of Liver Studies, School of Immunology & Microbial Sciences, Faculty of Life Sciences and Medicine, King's College London, Foundation for Liver Research and King's College Hospital, London, UK. vish.patel@kcl.ac.uk.ORCID http://orcid.org/0000-0001-6616-3628
Melanie SchirmerTranslational Microbiome Data Integration, School of Life Sciences, Technical University of Munich, Freising, Germany. melanie.schirmer@tum.de.ORCID http://orcid.org/0000-0001-6456-3679

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) 426120468Foundation for Liver Research 268211/1134579RCUK | Biotechnology and Biological Sciences Research Council (BBSRC) BB/CCG1860/1RCUK | Biotechnology and Biological Sciences Research Council (BBSRC) BBS/E/F/000PR13632
6 · The paper itself

Abstract

Microbiome perturbations are associated with advanced chronic liver disease (ACLD), but how microorganisms contribute to disease mechanisms is unclear. Here we analysed metagenomes of paired saliva and faecal samples from an ACLD cohort of 86 individuals, plus 2 control groups of 52 healthy individuals and 14 patients with sepsis. We identified highly similar oral and gut bacterial strains, including Veillonella and Streptococcus spp., which increased in absolute abundance in the gut of patients with ACLD compared with controls. These microbial translocators uniquely share a prtC gene encoding a collagenase-like proteinase, and its faecal abundance was a robust ACLD biomarker (area under precision-recall curve = 0.91). A mouse model of hepatic fibrosis inoculated with Veillonella and Streptococcus prtC-encoding patient isolates showed exacerbation of gut barrier impairment and hepatic fibrosis. Furthermore, faecal collagenase activity was increased in patients with ACLD and experimentally confirmed for the prtC gene of translocating Veillonella parvula. These findings establish mechanistic links between oral-gut translocation and ACLD pathobiology.

Indexed as

BacteriaBacterial TranslocationCollagenasesGastrointestinal MicrobiomeLiver DiseasesMouthAdultAgedAnimalsDisease Models, AnimalFecesFemaleHumansLiver CirrhosisMaleMetagenomeCollagenases

Identifiers

PMID41461922
PMCPMC12768972

What OpenQuestion holds

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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.