Evidence map›Paper›PMID 41723574›Full record

ArticleGut microbes2026

Alcohol consumption in metabolic dysfunction-associated steatotic liver disease (MASLD): understanding the gut-liver crosstalk for clinical translation.

Raquel Benedé-Ubieto, Olga Estévez-Vázquez, Rana Acar, Hector Leal-Lassalle, Alejandro H Gutierrez, Ana Redondo-Urzainqui, Salvador Iborra, Vera E Odintsova, Alexander Tyakht, José María Herranz and 27 more

Abstract read
In one paragraph

Article in Gut microbes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
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  4. 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

37 authors.

Raquel Benedé-UbietoDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, Madrid, Spain.
Olga Estévez-VázquezDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, Madrid, Spain.ORCID 0000-0002-7983-8521
Rana AcarDepartment of Molecular Biology and Genetics, Faculty of Science, Bilkent University, Ankara, Turkey.
Hector Leal-LassalleDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, Madrid, Spain.
Alejandro H GutierrezDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, Madrid, Spain.
Ana Redondo-UrzainquiSpanish National Centre for Cardiovascular Research CNIC, Madrid, Spain.
Salvador IborraDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, Madrid, Spain.
Vera E OdintsovaNobias Technologies, Moscow, Russian Federation.
Alexander TyakhtDepartment of Microbiome Science, Max Planck Institute for Biology, Tübingen, Germany.
José María HerranzCentre for Biomedical Research, Network on Liver and Digestive Diseases (CIBEREHD), Madrid, Spain.
Zehra FiratDepartment of Molecular Biology and Genetics, Faculty of Science, Bilkent University, Ankara, Turkey.
Merve BasolIzmir Biomedicine and Genome Center, Balcova, Izmir, Türkiye.
Busra KorkmazIzmir Biomedicine and Genome Center, Balcova, Izmir, Türkiye.
Carlos Sanz-GarcíaDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, Madrid, Spain.
Oriol JuanolaCentre for Biomedical Research, Network on Liver and Digestive Diseases (CIBEREHD), Madrid, Spain.
Esther CaparrósCentre for Biomedical Research, Network on Liver and Digestive Diseases (CIBEREHD), Madrid, Spain.
Rubén FrancésCentre for Biomedical Research, Network on Liver and Digestive Diseases (CIBEREHD), Madrid, Spain.ORCID 0000-0001-5105-1201
Andreea CiudinEndocrinology Department, Vall d'Hebrón University Hospital, Vall d'Hebron Institute for Research (VHIR), Barcelona, Spain.
Juan M PericàsCentre for Biomedical Research, Network on Liver and Digestive Diseases (CIBEREHD), Madrid, Spain.
Beatriz Gómez-SantosDepartment of Physiology, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, Leioa, Spain.
Patricia AspichuetaCentre for Biomedical Research, Network on Liver and Digestive Diseases (CIBEREHD), Madrid, Spain.
Nicole TreichelFunctional Microbiome Research Group, Institute of Medical Microbiology, University Hospital of RWTH Aachen, Aachen, Germany.
Thomas ClavelFunctional Microbiome Research Group, Institute of Medical Microbiology, University Hospital of RWTH Aachen, Aachen, Germany.
Johanna ReißingDepartment of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Tony BrunsDepartment of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Matthias BartneckDepartment of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Marina S MazariegosDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, Madrid, Spain.
Justina Clarinda WoltersDepartment of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Gonzalo JorqueraInstitute of Nutrition and Food Technology (INTA), Universidad de Chile, Santiago, Chile.
Christian LiedtkeDepartment of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Javier VaqueroCentre for Biomedical Research, Network on Liver and Digestive Diseases (CIBEREHD), Madrid, Spain.
Rafael BañaresDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, Madrid, Spain.
Gulcin Cakan-AkdoganIzmir Biomedicine and Genome Center, Balcova, Izmir, Türkiye.
Matías A ÁvilaCentre for Biomedical Research, Network on Liver and Digestive Diseases (CIBEREHD), Madrid, Spain.ORCID 0000-0001-6570-3557
Ozlen KonuDepartment of Molecular Biology and Genetics, Faculty of Science, Bilkent University, Ankara, Turkey.
Francisco Javier CuberoDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, Madrid, Spain.
Yulia A NevzorovaDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, Madrid, Spain.ORCID 0000-0003-1390-8002

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn the present study, we investigated the role of the gut-liver crosstalk in the pathogenesis of steatotic liver disease (SLD) induced by the compounding and deleterious effects of alcohol and metabolic risk factors, and explored the potential translational aspects of microbiome-based interventions.

designThe effects of combined exposure to alcohol and a high-fat, high-cholesterol diet (HFHC) Western diet (WD) were tested in a dietary mouse DUAL model and compared to mice fed only with WD. Liver and gut phenotypes were evaluated via histochemistry, flow cytometry, gene expression, proteomic, and metabolomic analyses. The effects on the gut microbiota were studied in both DUAL mice and MASLD patients with a history of alcohol consumption. Antibiotic-induced microbiota depletion (AIMD) and microbiota modulation therapies (probiotics and fecal microbiota transplant (FMT)) were performed in mice. Primary human hepatocytes and HepG2 cells were used to study the underlying mechanisms. Zebrafish larvae exposed to alcohol and a HFHC diet were used as a validation model.

resultsAlcohol in combination with WD synergistically exacerbated SLD. DUAL-diet-induced disruption of the intestinal barrier led to LPS leakage into the bloodstream and subsequent TLR4-mediated hepatic inflammation. This, together with enhanced intestinal fat absorption, and impaired intrahepatic lipid oxidation - particularly due to insufficient CPT-1 activity - contributed to prominent steatohepatitis. The DUAL-induced changes in the gut microbiota showed similarities to human dysbiosis in MASLD patients who consumed alcohol, including an increase in

conclusionsThese results indicated that the microbiota‒gut‒liver axis plays a crucial role in the progression of SLD intensified by alcohol and concurrent metabolic risk factors, thus providing a promising translational target for potential therapeutic interventions.

Indexed as

Alcohol DrinkingFatty LiverGastrointestinal MicrobiomeLiverNon-alcoholic Fatty Liver DiseaseAnimalsDiet, High-FatDiet, WesternDisease Models, AnimalDysbiosisFecal Microbiota TransplantationFemaleHepatocytesHumansMaleMiceALDanimal model of fibrosisCPT1Gut–liver axisMASLDMetALDsteatohepatitis

Identifiers

PMID41723574
PMCPMC12928667

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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.