Role of gut microbes in acute lung injury/acute respiratory distress syndrome
Open accessAbstract
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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Progress on the correlation between sepsis and gut microbiota: a narrative review
Yuan, Y., Li, J., & Yang, C. (2026) · Frontiers in microbiology · doi:10.3389/fmicb.2026.1862891 · Cited by 1 · see citing works
“Selective gut decontamination attenuates cardiac dysfunction in animal models (Rastogi et al., 2022; Ren et al., 2024 increased risk of heart failure, arrhythmias, and 28-day mortality in septic patients (Rastogi et al., 2022; Wang et al., 2025).”
- Authors
- Ren, Z., Zheng, Z., & Feng, X.
- Affiliations
- Shandong Provincial QianFoShan Hospital (CN)
- Shandong Provincial Hospital (CN)
- Corresponding author
- Feng, Xiujing
- ORCID
- Feng, Xiujing
- Venue
- Gut Microbes
- Publisher
- Informa UK Limited
- Published
- 2024-12-10
- Volume
- 16
- Issue
- 1
- Pages
- 2440125-2440125
- ISSN
- 1949-0976 (ISSN-L)
- 1949-0984
- PMC
- PMC11639474
- OpenAlex
- W4405263727
- Cited by
- 48
- References
- 7
- Citations by year
- 2026: 35 · 2025: 13
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- 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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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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