Cited by 48Gut microbiota and healthRespiratory Support and MechanismsSepsis Diagnosis and Treatment

Role of gut microbes in acute lung injury/acute respiratory distress syndrome

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Ren, Zixuan, Zheng, Zhihuan, Feng, Xiujing·2024·Gut Microbes

Abstract

Acute lung injury (ALI) is an acute, diffuse inflammatory lung condition triggered by factors of severe infections, trauma, shock, burns, ischemia-reperfusion, and mechanical ventilation. It is primarily characterized by refractory hypoxemia and respiratory distress. The more severe form, acute respiratory distress syndrome (ARDS), can progress to multi-organ failure and has a high mortality rate. Despite extensive research, the exact pathogenesis of ALI and ARDS remains complex and not fully understood. Recent advancements in studying the gut microecology of patients have revealed the critical role that gut microbes play in ALI/ARDS onset and progression. While the exact mechanisms are still under investigation, evidence increasingly points to the influence of gut microbes and their metabolites on ALI/ARDS. This review aims to summarize the role of gut microbes and their metabolites in ALI/ARDS caused by various triggers. Moreover, it explores potential mechanisms and discusses how gut microbe-targeting interventions might offer new clinical strategies for the treatment of ALI/ARDS.

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  • Plasma TMAO levels correlate with oxygenation index and 28-day mortality in septic ARDS patients.

    “Plasma trimethylamine N-oxide (TMAO) levels correlate with oxygenation index and 28-day mortality in septic ARDS patients”

    From Progress on the correlation between sepsis and gut microbiota: a narrative review (2026) · cites this paper as Ren et al., 2024

    The Choline subsection (page unavailable) reports that plasma TMAO concentration was a potential predictor of successful extubation in mechanically ventilated sepsis patients. It does not report a correlation with oxygenation index or 28-day mortality, or identify that study population as septic ARDS patients. (LLM, conf=0.83)

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Cited by

Sorted by citations

Authors
Ren, Z., Zheng, Z., & Feng, X.
Affiliations
  • Shandong Provincial QianFoShan Hospital (CN)
  • Shandong Provincial Hospital (CN)
Corresponding author
Feng, Xiujing
Venue
Gut Microbes
Published
2024-12-10
Volume
16
Issue
1
Pages
2440125-2440125
ISSN
  • 1949-0976 (ISSN-L)
  • 1949-0984
OpenAlex
W4405263727
Cited by
48
References
7
Citations by year
2026: 35 · 2025: 13
FWCI
1.96
Type
journal article
Language
en
Open access
Locations
  • Gut Microbes (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Natural Science Foundation of China (82073911)
  • Taishan Scholars Program (Tsqn202211220)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
  • Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
Keywords
acute lung injury, acute respiratory distress syndrome, gut microbiota, gut microbiota metabolites, gut-lung axis, hypoxemia, multiple organ failure, ischemia-reperfusion injury, mechanical ventilation
MeSH terms
Gastrointestinal Microbiome, Animals, Bacteria, Humans, Respiratory Distress Syndrome, Acute Lung Injury

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