Evidence map›Paper›PMID 41462433›Full record

ArticleBMC microbiology2025

Indole compounds produced by gut microbiota after metabolizing tryptophan improve dysmotility in sepsis via the AHR-TRPA1 axis in enteric nerves.

Jintao Zhang, Ziang Li, Tong Jin, Wanglin Zhang, Hongwei Shi, Kanlirong Wang, Jiayi Qi, Liqun Sun

Abstract read
In one paragraph

Article in BMC microbiology, 2025. 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. Strengths and limitations ofGut microbes reports · 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

8 authors.

Jintao Zhang *Department of Intensive Care Medicine, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan, Nanjing, Jiangsu, 210000, China.
Ziang Li *Department of Intensive Care Medicine, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan, Nanjing, Jiangsu, 210000, China.
Tong Jin *Department of Intensive Care Medicine, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan, Nanjing, Jiangsu, 210000, China.
Wanglin ZhangDepartment of Intensive Care Medicine, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan, Nanjing, Jiangsu, 210000, China.
Hongwei ShiDepartment of Emergency Medicine, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210000, China.
Kanlirong WangDepartment of Intensive Care Medicine, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan, Nanjing, Jiangsu, 210000, China.
Jiayi QiDepartment of Intensive Care Medicine, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan, Nanjing, Jiangsu, 210000, China.
Liqun SunDepartment of Intensive Care Medicine, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan, Nanjing, Jiangsu, 210000, China. njuslq@163.com.

Funding

Scientific research project of Jiangsu Provincial Health Commission LR2022003
6 · The paper itself

Abstract

backgroundSepsis represents a major global health challenge, and the resulting impaired intestinal motility can lead to numerous adverse outcomes. Indole compounds produced by gut microbiota after metabolizing tryptophan may improve sepsis-induced intestinal dysmotility, though the underlying mechanism remains unclear. Here, we explored the role of 6-formylindolo[3,2-b]carbazole (FICZ), a gut-derived metabolite of tryptophan, in improving dysmotility in sepsis. We found that FICZ-activated aryl hydrocarbon receptor (AHR) on the Enteric Nervous System (ENS) may represent a future therapeutic target for treating dysmotility in sepsis.

methodsFive days post-fertilization (5dpf) zebrafish underwent intraperitoneal microinjection of Escherichia coli to induce sepsis. Subsequently, zebrafish were treated with varying concentrations of FICZ and Tol-huc-AHR1a overexpression plasmids. Primary methodologies included micro-filming for intestinal motility observation, immunofluorescence for detecting intestinal motility function-related indicators, and PCR for gene-level analysis. Key endpoints included intestinal peristalsis frequency, neutrophil infiltration, smooth muscle contractility, NO levels, and expression levels of AHR1a, AHR2, TRPA1b, and relevant inflammatory genes.

resultsIn septic zebrafish, FICZ reduced intestinal neutrophil infiltration, restored intestinal smooth muscle strength, increased intestinal peristalsis frequency, and enhanced the expression of intestinal AHR1a, AHR2, and transient receptor potential ankyrin 1b(TRPA1b) genes. Overexpression of the AHR1a gene in septic zebrafish reduced the production of the inhibitory neurotransmitter NO by restoring TRPA1b expression in the intestine, thereby restoring intestinal motility. It also restored the low expression level of inflammatory genes in immunocompromised septic zebrafish.

conclusionThe gut microbial metabolite indole improved sepsis-induced intestinal dysmotility via the AHR-TRPA1 axis. AHR may be a future therapeutic target for treating the immunosuppressive state associated with sepsis.

Indexed as

Enteric Nervous SystemGastrointestinal MicrobiomeGastrointestinal MotilityIndolesReceptors, Aryl HydrocarbonSepsisTRPA1 Cation ChannelTryptophanAnimalsCarbazolesDisease Models, AnimalZebrafish6-formylindolo(3,2-b)carbazoleCarbazolesIndolesReceptors, Aryl HydrocarbonTRPA1 Cation ChannelTryptophan6-formylindolo[3,2-b]carbazoleAryl hydrocarbon receptorIntestinal dysmotilitySepsisTransient receptor potential ankyrin 1

Identifiers

PMID41462433
PMCPMC12751468

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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.