Evidence map›Paper›PMID 41643042›Full record

ArticleShock (Augusta, Ga.)2026

Probiotic Bifidobacterium Confers Protection Against Heat Stroke Through Enhancement of Intestinal Barrier Function in Rats.

Guimei Cai, Yi Chen, Junyan Chen, Jing Zhang, Jingping Cai, Qiuping Fan, Yunfan Zhang, Yuxian Tang, Jun Huang, Guizhi Xia and 3 more

Abstract read
In one paragraph

Article in Shock (Augusta, Ga.), 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. 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.

Guimei CaiDepartment of Pediatrics, Dongfang Hospital of Xiamen University, School of Medicine, Xiamen University, Fuzhou, China.
Yi ChenDepartment of Pediatrics, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, China.
Junyan ChenDepartment of Pediatrics, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, China.
Jing ZhangDepartment of Pediatrics, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, China.
Jingping CaiDepartment of Pediatrics, Dongfang Hospital of Xiamen University, School of Medicine, Xiamen University, Fuzhou, China.
Qiuping FanDepartment of Pediatrics, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, China.
Yunfan ZhangDepartment of Pediatrics, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, China.
Yuxian TangDepartment of Pediatrics, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, China.
Jun HuangDepartment of Pediatrics, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, China.
Guizhi XiaDepartment of Pediatrics, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, China.
Chengfeng WangDepartment of Pediatrics, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, China.
Ai FengDepartment of Pediatrics, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, China.
Xiaojing NieDepartment of Pediatrics, Dongfang Hospital of Xiamen University, School of Medicine, Xiamen University, Fuzhou, China.

Funding

Foundation of the 900th Hospital of PLA Joint Logistic Support Force 2021JQ10Foundation of the 900th Hospital of PLA Joint Logistic Support Force 2022ZD05Foundation of the 900th Hospital of PLA Joint Logistic Support Force 2023QN02Joint Funds for the innovation of science and Technology, Fujian province 2024Y9668Key Project of Social Development of Fujian Province of China 2023Y0068
6 · The paper itself

Abstract

objectiveIntestinal barrier disruption is central to heat stroke (HS) pathogenesis. Probiotics such as Bifidobacterium may offer protection. This study aimed to investigate the mechanism by which Bifidobacterium preserves intestinal mucosal barrier integrity in a rat model of HS.

methodsA total of 32 rats received Bifidobacterium (Con-BB and HS-BB) or saline (Con-NS, HS-NS) for 14 days. HS was induced via forced running in heat/humidity. Serum markers (tissue damage, inflammation, and barrier injury), histopathology, and gut microbiota were analyzed.

resultsCompared with the HS-NS group, the HS-BB group showed a marked reduction in the characteristic histopathological injuries of the liver, kidney, and intestine, along with increased expression of ileal ZO-1 and colonic Occludin proteins ( P < 0.05). Serum biomarkers reflecting tissue damage (total bilirubin and lactate dehydrogenase) and inflammation-6 were all significantly decreased in the HS-BB group ( P < 0.05). Gut microbiota composition differed markedly between the HS-BB and HS-NS groups; Psychrobacter abundance was significantly reduced in HS-BB and identified as a key discriminator. Furthermore, expression of heat shock proteins (HSPs) (colonic HSP27 and HSP70) was significantly elevated in HS-BB compared with the HS-NS group. Strong positive correlations existed between ileal Occludin and HSP27 ( r = 0.886, P = 0.019), and ileal ZO-1 and HSP70 ( r = 0.829, P = 0.042).

conclusionsBifidobacterium pretreatment conferred significant multiorgan protection and reduced systemic inflammation in HS rats. The core protective mechanism involves preserving intestinal mucosal barrier function. Maintaining intestinal mucosal barrier integrity may represent a promising strategy for the prevention of HS and the mitigation of associated systemic inflammatory responses and multiple organ dysfunction syndrome.

Indexed as

BifidobacteriumHeat StrokeIntestinal MucosaProbioticsAnimalsHSP27 Heat-Shock ProteinsIntestinal Barrier FunctionMaleRatsRats, Sprague-DawleyZonula Occludens-1 ProteinHSP27 Heat-Shock ProteinsZonula Occludens-1 Proteingut microbiotaheat shock proteinsheat strokeintestinal mucosal barrier

Identifiers

PMID41643042
PMCPMC13023105

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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.