Evidence map›Paper›PMID 42064446›Full record

ArticleFrontiers in aging2026

The alteration of bile acids and gut microbiota is associated with intestinal barrier dysfunction and inflammaging in human.

Yumei Xu, Liang Zhang, Tianci Li, Yanqiu Zhao, Shuo Wang, Junwen Qi, Linsen Shi

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Article in Frontiers in aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yumei Xu *Department of Radiation, The Fourth Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Liang Zhang *Department of Gastrointestinal Surgery, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Tianci LiAffiliated First Clinical College, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Yanqiu ZhaoAffiliated First Clinical College, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Shuo WangAffiliated First Clinical College, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Junwen QiAffiliated First Clinical College, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Linsen ShiDepartment of General Surgery, The Fourth Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The increasing prevalence of age-related chronic diseases, driven by the aging population, poses substantial medical and economic challenges. Emerging researches have underscored the crucial roles of gut microbiota and bile acids (BAs) in metabolic and physiological functions regulation. Methods: 100 elderly and 100 young participants were enrolled in this study. Fecal and serum BAs were quantified by liquid chromatography-tandem mass spectrometry (LC-MS/MS), while gut microbiota composition was assessed through 16S rRNA gene sequencing. Cytokine levels were measured by Enzyme-Linked Immunosorbent Assay (ELISA). Results: Elderly participants exhibited significantly lower levels of primary fecal BAs, particularly cholic acid (CA) and chenodeoxycholic acid (CDCA), alongside an increase in secondary BAs such as lithocholic acid (LCA), leading to a marked reduction in the primary/secondary BAs ratio. Serum showed a decline in both conjugated and unconjugated BAs, primary/secondary BAs ratio, while a notable rise in 12α-OH/non-12α-OH BAs. Furthermore, increased levels of P21, LPS, IL-6, and TNF-α in the elderly were associated with specific BA changes, including reduced fecal unconjugated primary BAs and increased LCA. Significant differences in gut microbiota composition were observed, with the elderly displaying a higher abundance of microbiota capable of 7α-dehydroxylation. Correlations were observed among BAs, gut microbiota alterations, and markers of chronic inflammation and intestinal barrier dysfunction. Conclusion: Aging is associated with significant changes in the BA pool, which are associated with gut microbiota dysbiosis. These alterations may be related to intestinal barrier dysfunction and chronic low-grade inflammation. Modulating BA metabolism presents a potential strategy for mitigating the aging process. Due to the cross-sectional design, causal relationships cannot be established.

Indexed as

agingbile acidsgut microbiotainflammationintestinal barrier

Identifiers

PMID42064446
PMCPMC13124955

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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.