The gut microbial influence on cholestatic liver disease
Open accessAbstract
Patients with cholestatic liver diseases like primary sclerosing cholangitis (PSC) and primary biliary cholangitis (PBC) have a different gut microbiome composition than healthy controls. In contrast with PBC, PSC has a strong association with inflammatory bowel disease and is the prototypical disease of the gut‐liver axis. Still, there are some distinct overlapping microbial features in the microbiome of patients with PSC and PBC suggesting similarities in cholestatic diseases, although the possible pathogenetic involvement of these shared microbial changes is unknown. Herein, we present an overview of the available data and discuss the relevance for potential disease relevant host‐microbiota interactions. In general, the microbiome interacts with the host via the immunobiome (interactions between the host immune system and the gut microbiome), the endobiome (where the gut microbiome contributes to host physiology by producing or metabolizing endogenous molecules) and the xenobiome (gut microbial transformation of exogenous compounds, including nutrients and drugs). Experimental and human observational evidence suggest that the presence and functions of gut microbes are relevant for the severity and progression of cholestatic liver disease. Interestingly, the majority of new drugs that are currently being tested in PBC and PSC in clinical trials act on bile acid homeostasis, where the endobiome is important. In the future, it will be paramount to perform longitudinal studies, through which we can identify new intervention targets, biomarkers or treatment‐stratifiers. In this way, gut microbiome‐based clinical care and therapy may become relevant in cholestatic liver disease within the foreseeable future.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Recent studies support an association between changes in the microbiome and the progression of cholestatic liver disease in patients.
“Recent studies have further supported the association between changes in the microbiome and the progression of cholestatic liver disease in patients9–14.”
From Cholestasis induced by bile duct ligation promotes changes in the intestinal microbiome in mice (2019) · cites this paper as [14]
Few studies have investigated the composition of the microbiome in PBC patients and show some similarities with those observed in PSC.
“Few studies have investigated the composition of the microbiome in PBC patients and importantly show some similarities with those observed in PSC13,14.”
From Cholestasis induced by bile duct ligation promotes changes in the intestinal microbiome in mice (2019) · cites this paper as [14]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Sex differences in the gut microbiome drive hormone-dependent regulation of autoimmunity
Markle, J. G. M., Frank, D. N., Mortin-Toth, S., Robertson, C. E., Feazel, L. M., Rolle-Kampczyk, U., von Bergen, M., McCoy, K. D., Macpherson, A. J., & Danska, J. S. (2013) · Science · doi:10.1126/science.1233521 · Cited by 2,025 · see citing works
Carbohydrate quality and human health: a series of systematic reviews and meta-analyses
Reynolds, A., Mann, J., Cummings, J., Winter, N., Mete, E., & Te Morenga, L. (2019) · The Lancet · doi:10.1016/s0140-6736(18)31809-9 · Cited by 1,630 · see citing works
Gut microbiome–mediated bile acid metabolism regulates liver cancer via NKT cells
Ma, C., Han, M., Heinrich, B., Fu, Q., Zhang, Q., Sandhu, M., Agdashian, D., Terabe, M., Berzofsky, J. A., Fako, V., et al. (2018) · Science · doi:10.1126/science.aan5931 · Cited by 1,508 · see citing works
The gut microbiota at the intersection of diet and human health
Gentile, C. L., & Weir, T. L. (2018) · Science · doi:10.1126/science.aau5812 · Cited by 1,049 · see citing works
Gut microbiota and intestinal FXR mediate the clinical benefits of metformin
Sun, L., Xie, C., Wang, G., Wu, Y., Wu, Q., Wang, X., Liu, J., Deng, Y., Xia, J., Chen, B., et al. (2018) · Nature Medicine · doi:10.1038/s41591-018-0222-4 · Cited by 1,011 · see citing works
Weismüller, T. J., Trivedi, P. J., Bergquist, A., Imam, M., Lenzen, H., Ponsioen, C. Y., Holm, K., Gotthardt, D., Färkkilä, M. A., Marschall, H.-U., et al. (2017) · Gastroenterology · doi:10.1053/j.gastro.2017.02.038 · Cited by 533 · see citing works
Dysregulated Microbial Fermentation of Soluble Fiber Induces Cholestatic Liver Cancer
Singh, V., Yeoh, B. S., Chassaing, B., Xiao, X., Saha, P., Aguilera Olvera, R., Lapek, J. D., Zhang, L., Wang, W.-B., Hao, S., et al. (2018) · Cell · doi:10.1016/j.cell.2018.09.004 · Cited by 532 · see citing works
The gut microbiota influences anticancer immunosurveillance and general health
Routy, B., Gopalakrishnan, V., Daillère, R., Zitvogel, L., Wargo, J. A., & Kroemer, G. (2018) · Nature Reviews Clinical Oncology · doi:10.1038/s41571-018-0006-2 · Cited by 523 · see citing works
Gut microbiota composition and activity in relation to host metabolic phenotype and disease risk
Holmes, E., Li, J. V., Marchesi, J. R., & Nicholson, J. K. (2012) · Cell Metabolism · doi:10.1016/j.cmet.2012.10.007 · Cited by 490 · see citing works
Balmer, M. L., Slack, E., de Gottardi, A., Lawson, M. A. E., Hapfelmeier, S., Miele, L., Grieco, A., Van Vlierberghe, H., Fahrner, R., Patuto, N., et al. (2014) · Science Translational Medicine · doi:10.1126/scitranslmed.3008618 · Cited by 470 · see citing works
Tang, R., Wei, Y., Li, Y., Chen, W., Chen, H., Wang, Q., Yang, F., Miao, Q., Xiao, X., Zhang, H., et al. (2018) · Gut · doi:10.1136/gutjnl-2016-313332 · Cited by 434 · see citing works
Kummen, M., Holm, K., Anmarkrud, J. A., Nygård, S., Vesterhus, M., Høivik, M. L., Trøseid, M., Marschall, H.-U., Schrumpf, E., Moum, B., et al. (2017) · Gut · doi:10.1136/gutjnl-2015-310500 · Cited by 426 · see citing works
Self-citationNakamoto, N., Sasaki, N., Aoki, R., Miyamoto, K., Suda, W., Teratani, T., Suzuki, T., Koda, Y., Chu, P.-S., Taniki, N., et al. (2019) · Nature Microbiology · doi:10.1038/s41564-018-0333-1 · Cited by 425 · see citing works
Primary sclerosing cholangitis is characterised by intestinal dysbiosis independent from IBD
Sabino, J., Vieira-Silva, S., Machiels, K., Joossens, M., Falony, G., Ballet, V., Ferrante, M., Van Assche, G., Van der Merwe, S., Vermeire, S., et al. (2016) · Gut · doi:10.1136/gutjnl-2015-311004 · Cited by 413 · see citing works
Bajer, L., Kverka, M., Kostovčík, M., Mačinga, P., Dvořák, J., Stehlíková, Z., Březina, J., Wohl, P., Špičák, J., & Drastich, P. (2017) · World Journal of Gastroenterology · doi:10.3748/wjg.v23.i25.4548 · Cited by 360 · see citing works
Bile acids and intestinal microbiota in autoimmune cholestatic liver diseases
Li, Y., Tang, R., Leung, P. S. C., Gershwin, M. E., & Ma, X. (2017) · Autoimmunity Reviews · doi:10.1016/j.autrev.2017.07.002 · Cited by 247 · see citing works
Lv, L., Fang, D., Shi, D., Chen, D., Yan, R., Zhu, Y., Chen, Y., Shao, L., Guo, F., Wu, W., et al. (2016) · Environmental Microbiology · doi:10.1111/1462-2920.13401 · Cited by 245 · see citing works
Allegretti, J. R., Kassam, Z., Carrellas, M., Mullish, B. H., Marchesi, J. R., Pechlivanis, A., Smith, M., Gerardin, Y., Timberlake, S., Pratt, D. S., et al. (2019) · American Journal of Gastroenterology · doi:10.14309/ajg.0000000000000115 · Cited by 234 · see citing works
Tabibian, J. H., O'Hara, S. P., Trussoni, C. E., Tietz, P. S., Splinter, P. L., Mounajjed, T., Hagey, L. R., & LaRusso, N. F. (2016) · Hepatology · doi:10.1002/hep.27927 · Cited by 223 · see citing works
Fungi participate in the dysbiosis of gut microbiota in patients with primary sclerosing cholangitis
Lemoinne, S., Kemgang, A., Belkacem, K. B., Straube, M., Jégou, S., Corpechot, C., Saint-Antoine IBD Network, Chazouillères, O., Housset, C., & Sokol, H. (2019) · Gut · doi:10.1136/gutjnl-2018-317791 · Cited by 215 · see citing works
Hepatic inflammation in rats with experimental small intestinal bacterial overgrowth
Lichtman, S. N., Sartor, R. B., Keku, J., & Schwab, J. H. (1990) · Gastroenterology · doi:10.1016/0016-5085(90)90833-m · Cited by 209 · see citing works
Review: Mechanisms of How the Intestinal Microbiota Alters the Effects of Drugs and Bile Acids
Klaassen, C. D., & Cui, J. Y. (2015) · Drug Metabolism and Disposition · doi:10.1124/dmd.115.065698 · Cited by 208 · see citing works
Enterobacteriaceae are essential for the modulation of colitis severity by fungi
Sovran, B., Planchais, J., Jégou, S., Straube, M., Lamas, B., Natividad, J. M., Agus, A., Dupraz, L., Glodt, J., Costa, G. D., et al. (2018) · Microbiome · doi:10.1186/s40168-018-0538-9 · Cited by 181 · see citing works
The gut-adherent microbiota of PSC–IBD is distinct to that of IBD
Quraishi, M. N., Sergeant, M., Kay, G., Iqbal, T., Chan, J., Constantinidou, C., Trivedi, P., Ferguson, J., Adams, D. H., Pallen, M., et al. (2017) · Gut · doi:10.1136/gutjnl-2016-311915 · Cited by 179 · see citing works
Liao, L., Schneider, K. M., Gálvez, E. J. C., Frissen, M., Marschall, H., Su, H., Hatting, M., Wahlstrom, A. M., Haybaeck, J., Puchas, P., et al. (2019) · Gut · doi:10.1136/gutjnl-2018-316670 · Cited by 175 · see citing works
Role of the intestinal microbiome in liver disease
Henao‐Mejia, J., Elinav, E., Thaiss, C. A., Licona-Limón, P., & Flavell, R. A. (2013) · Journal of Autoimmunity · doi:10.1016/j.jaut.2013.07.001 · Cited by 167 · see citing works
Terjung, B., Söhne, J., Lechtenberg, B., Gottwein, J. M., Muennich, M., Herzog, V., Mähler, M., Sauerbruch, T., & Spengler, U. (2009) · Gut · doi:10.1136/gut.2008.157818 · Cited by 153 · see citing works
The features of mucosa‐associated microbiota in primary sclerosing cholangitis
Torres, J., Bao, X., Goel, A., Colombel, J. ‐., Pekow, J., Jabri, B., Williams, K. M., Castillo, A., Odin, J. A., Meckel, K., et al. (2016) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.13552 · Cited by 149 · see citing works
Tedesco, D., Thapa, M., Chin, C. Y., Ge, Y., Gong, M., Li, J., Gumber, S., Speck, P., Elrod, E. J., Burd, E. M., et al. (2018) · Gastroenterology · doi:10.1053/j.gastro.2018.02.019 · Cited by 137 · see citing works
Fiorotto, R., Scirpo, R., Trauner, M. A., Fabris, L., Hoque, R., Spirlı̀, C., & Strazzabosco, M. (2011) · Gastroenterology · doi:10.1053/j.gastro.2011.06.052 · Cited by 136 · see citing works
Rossen, N. G., Fuentes, S., Boonstra, K., D’Haens, G. R., Heilig, H. G., Zoetendal, E. G., de Vos, W. M., & Ponsioen, C. Y. (2015) · Journal of Crohn's and Colitis · doi:10.1093/ecco-jcc/jju023 · Cited by 129 · see citing works
Torres, J., Palmela, C., Brito, H., Bao, X., Ruiqi, H., Moura-Santos, P., da Silva, J. P., Oliveira, A. A. S., Vieira, C. L., Pérez, K., et al. (2017) · United European Gastroenterology Journal · doi:10.1177/2050640617708953 · Cited by 121 · see citing works
Probiotics in primary sclerosing cholangitis: a randomized placebo-controlled crossover pilot study
Vleggaar, F. P., Monkelbaan, J. F., & van Erpecum, K. J. (2008) · European Journal of Gastroenterology & Hepatology · doi:10.1097/meg.0b013e3282f5197e · Cited by 110 · see citing works
Abe, K., Takahashi, A., Fujita, M., Imaizumi, H., Hayashi, M., Okai, K., & Ohira, H. (2018) · PLoS ONE · doi:10.1371/journal.pone.0198757 · Cited by 109 · see citing works
Tabibian, J. H., O’Hara, S. P., & Lindor, K. D. (2014) · Scandinavian Journal of Gastroenterology · doi:10.3109/00365521.2014.913189 · Cited by 93 · see citing works
Vaughn, B. P., Kaiser, T., Staley, C. M., Hamilton, M. J., Reich, J., Graiziger, C. T., Singroy, S., Kabage, A. J., Sadowsky, M. J., & Khoruts, A. (2019) · Clinical and Experimental Gastroenterology · doi:10.2147/ceg.s186097 · Cited by 92 · see citing works
Role of the Microbiota and Antibiotics in Primary Sclerosing Cholangitis
Tabibian, J. H., Talwalkar, J. A., & Lindor, K. D. (2013) · BioMed Research International · doi:10.1155/2013/389537 · Cited by 91 · see citing works
Kevans, D., Tyler, A. D., Holm, K., Jørgensen, K. K., Vatn, M. H., Karlsen, T. H., Kaplan, G. G., Eksteen, B., Gevers, D., Hov, J. R., et al. (2015) · Journal of Crohn s and Colitis · doi:10.1093/ecco-jcc/jjv204 · Cited by 88 · see citing works
Self-citationCholestatic liver diseases: new targets, new therapies
Santiago, P., Scheinberg, A. R., & Levy, C. (2018) · Therapeutic Advances in Gastroenterology · doi:10.1177/1756284818787400 · Cited by 83 · see citing works
Faecal microbiota profiles as diagnostic biomarkers in primary sclerosing cholangitis
Rühlemann, M. C., Heinsen, F., Zenouzi, R., Lieb, W., Franke, A., & Schramm, C. (2016) · Gut · doi:10.1136/gutjnl-2016-312180 · Cited by 81 · see citing works
The gut microbiota contributes to a mouse model of spontaneous bile duct inflammation
Schrumpf, E., Kummen, M., Valestrand, L., Greiner, T. U., Holm, K., Arulampalam, V., Reims, H. M., Baines, J. F., Bäckhed, F., Karlsen, T. H., et al. (2016) · Journal of Hepatology · doi:10.1016/j.jhep.2016.09.020 · Cited by 78 · see citing works
Self-citationDhillon, A. K., Kummen, M., Trøseid, M., Åkra, S., Liaskou, E., Moum, B. A., Vesterhus, M., Karlsen, T. H., Seljeflot, I., & Hov, J. R. (2018) · Liver International · doi:10.1111/liv.13979 · Cited by 73 · see citing works
Self-citationIwasawa, K., Suda, W., Tsunoda, T., Oikawa‐Kawamoto, M., Umetsu, S., Inui, A., Fujisawa, T., Morita, H., Sogo, T., & Hattori, M. (2016) · Gut · doi:10.1136/gutjnl-2016-312533 · Cited by 66 · see citing works
The Microbiome in Primary Sclerosing Cholangitis: Current Evidence and Potential Concepts
Hov, J., & Karlsen, T. (2017) · Seminars in Liver Disease · doi:10.1055/s-0037-1608801 · Cited by 65 · see citing works
Self-citationIwasawa, K., Suda, W., Tsunoda, T., Oikawa‐Kawamoto, M., Umetsu, S., Takayasu, L., Inui, A., Fujisawa, T., Morita, H., Sogo, T., et al. (2018) · Scientific Reports · doi:10.1038/s41598-018-23870-w · Cited by 60 · see citing works
The immunobiology of female predominance in primary biliary cholangitis
Gerussi, A., Cristoferi, L., Carbone, M., Asselta, R., & Invernizzi, P. (2018) · Journal of Autoimmunity · doi:10.1016/j.jaut.2018.10.015 · Cited by 41 · see citing works
Debray, D., Mourabit, H. E., Merabtene, F., Brot, L., Ulveling, D., Chrétien, Y., Rainteau, D. P., Moszer, I., Wendum, D., Sokol, H., et al. (2018) · Hepatology Communications · doi:10.1002/hep4.1266 · Cited by 36 · see citing works
Kummen, M., Vesterhus, M. N., Trøseid, M., Moum, B. A., Svardal, A. M., Boberg, K. M., Aukrust, P., Karlsen, T. H., Berge, R. K., & Hov, J. R. (2016) · United European Gastroenterology Journal · doi:10.1177/2050640616663453 · Cited by 32 · see citing works
Self-citationUmemura, T., Sekiguchi, T., Joshita, S., Yamazaki, T., Fujimori, N., Shibata, S., Ichikawa, Y., Komatsu, M., Matsumoto, A., Shums, Z., et al. (2016) · Liver International · doi:10.1111/liv.13316 · Cited by 28 · see citing works
Intestinal microbiota in primary sclerosing cholangitis
Hov, J. R., & Kummen, M. (2016) · Current Opinion in Gastroenterology · doi:10.1097/mog.0000000000000334 · Cited by 27 · see citing works
Self-citationThe Microbiome and Primary Sclerosing Cholangitis
Ali, A. H., Carey, E. J., & Lindor, K. M. (2016) · Seminars in Liver Disease · doi:10.1055/s-0036-1594007 · Cited by 19 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Recent advances in clinical practice: Epidemiology of autoimmune liver diseases
Trivedi, P. J., & Hirschfield, G. M. (2021) · Gut · doi:10.1136/gutjnl-2020-322362 · Cited by 244 · see citing works
Adverse Effects of Proton Pump Inhibitors—Evidence and Plausibility
Fossmark, R., Martinsen, T. C., & Waldum, H. L. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20205203 · Cited by 160 · see citing works
Altered gut microbial metabolism of essential nutrients in primary sclerosing cholangitis
Kummen, M., Thingholm, L. B., Rühlemann, M. C., Holm, K., Hansen, S. H., Moitinho-Silva, L., Liwinski, T., Zenouzi, R., Storm-Larsen, C., Midttun, Ø., et al. (2021) · Gastroenterology · doi:10.1053/j.gastro.2020.12.058 · Cited by 129 · see citing works
Self-citationGut microbiome in primary sclerosing cholangitis: A review
Little, R., Wine, E., Kamath, B. M., Griffiths, A. M., & Ricciuto, A. (2020) · World Journal of Gastroenterology · doi:10.3748/wjg.v26.i21.2768 · Cited by 125 · see citing works
Gut Microbiota in Intestinal and Liver Disease
Jones, R. M., & Neish, A. S. (2020) · Annual Review of Pathology Mechanisms of Disease · doi:10.1146/annurev-pathol-030320-095722 · Cited by 117 · see citing works
Inflammatory bowel disease and primary sclerosing cholangitis: One disease or two?
van Munster, K. N., Bergquist, A. M., & Ponsioen, C. Y. (2023) · Journal of Hepatology · doi:10.1016/j.jhep.2023.09.031 · Cited by 115 · see citing works
The Gut-Liver Axis in Cholestatic Liver Diseases
Blesl, A., & Stadlbauer, V. (2021) · Nutrients · doi:10.3390/nu13031018 · Cited by 99 · see citing works
A Current Understanding of Bile Acids in Chronic Liver Disease
Farooqui, N., Elhence, A., & Shalimar, S. (2021) · Journal of Clinical and Experimental Hepatology · doi:10.1016/j.jceh.2021.08.017 · Cited by 91 · see citing works
TREM-2 plays a protective role in cholestasis by acting as a negative regulator of inflammation
Labiano, I., Agirre-Lizaso, A., Olaizola, P., Echebarria, A., Huici-Izagirre, M., Olaizola, I., Esparza-Baquer, A., Sharif, O., Hijona, E., Milkiewicz, P., et al. (2022) · Journal of Hepatology · doi:10.1016/j.jhep.2022.05.044 · Cited by 78 · see citing works
Wu, L., Zhou, J., Zhou, A., Lei, Y., Tang, L., Hu, S., Wang, S., Xu, X., Chen, Q., Tu, D., et al. (2024) · Gut Microbes · doi:10.1080/19490976.2024.2390176 · Cited by 78 · see citing works
Wei, C., Qiu, J. Y., Wu, Y., Chen, K., Yu, Z., Huang, Z., Yang, K., Hu, H., & Liu, F. (2022) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2022.115550 · Cited by 73 · see citing works
Urmán, J., Herranz, J. M., Uriarte, I., Rullán, M., Oyón, D., González, B., Fernández-Urién, I., Carrascosa, J., Bolado, F., Zabalza, L., et al. (2020) · Cancers · doi:10.3390/cancers12061644 · Cited by 70 · see citing works
Meadows, V., Kennedy, L., Ekser, B., Kyritsi, K., Kundu, D., Zhou, T.-H., Chen, L.-X., Pham, L., Wu, N., Demieville, J., et al. (2021) · Hepatology · doi:10.1002/hep.32028 · Cited by 55 · see citing works
Gut Microbiota in Liver Disease: What Do We Know and What Do We Not Know?
Jiang, L., & Schnabl, B. (2020) · Physiology · doi:10.1152/physiol.00005.2020 · Cited by 64 · see citing works
Yu, L., Liu, Y., Wang, S., Zhang, Q., Zhao, J., Zhang, H., Narbad, A., Tian, F., Zhai, Q., & Chen, W. (2023) · Gut Microbes · doi:10.1080/19490976.2023.2181930 · Cited by 68 · see citing works
De Muynck, K., Heyerick, L., De Ponti, F. F., Vanderborght, B., Meese, T., Van Campenhout, S., Baudonck, L., Gijbels, E., Rodrigues, P. M., Banales, J. M., et al. (2024) · Hepatology · doi:10.1097/hep.0000000000000557 · Cited by 64 · see citing works
Cholestasis induced by bile duct ligation promotes changes in the intestinal microbiome in mice
Cabrera-Rubio, R., Patterson, A. M., Cotter, P. D., & Beraza, N. (2019) · Scientific Reports · doi:10.1038/s41598-019-48784-z · Cited by 61 · see citing works
Liu, J., Liu, J., Meng, C., Huang, C., Liu, F., & Xia, C. (2022) · Phytomedicine · doi:10.1016/j.phymed.2022.154173 · Cited by 50 · see citing works
The gut microbiota-bile acid axis in cholestatic liver disease
Sun, D.-Y., Xie, C., Zhao, Y., Liao, J.-M., Li, S.-S., Zhang, Y.-N., Wang, D.-D., Hua, K., Gu, Y.-C., Du, J.-B., et al. (2024) · Molecular Medicine · doi:10.1186/s10020-024-00830-x · Cited by 53 · see citing works
Alterations of the salivary and fecal microbiome in patients with primary sclerosing cholangitis
Lapidot, Y., Amir, A., Ben-Simon, S., Veitsman, E., Cohen‐Ezra, O., Davidov, Y., Weiss, P., Bradichevski, T., Segev, S., Koren, O., et al. (2020) · Hepatology International · doi:10.1007/s12072-020-10089-z · Cited by 42 · see citing works
Bartikoski, B. J., de Oliveira, M. S., Santo, R. C. D. E., dos Santos, L. P., dos Santos, N. G., & Xavier, R. M. (2022) · Metabolites · doi:10.3390/metabo12050394 · Cited by 37 · see citing works
The Gut Microbiota-Derived Immune Response in Chronic Liver Disease
Won, S., Park, E., Jeong, J., Ganesan, R., Gupta, H., Gebru, Y. A., Sharma, S., Kim, D. J., & Suk, K. T. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22158309 · Cited by 31 · see citing works
Chen, L., Zhao, X., Wei, S., Ma, X., Liu, H., Li, J., Jing, M., Wang, M., & Zhao, Y. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.737630 · Cited by 29 · see citing works
Mechanism-based target therapy in primary biliary cholangitis: opportunities before liver cirrhosis?
Yang, Y., He, X.-S., Rojas, M., Leung, P. S. C., & Gao, L. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1184252 · Cited by 29 · see citing works
The Microbiome in Autoimmune Liver Diseases: Metagenomic and Metabolomic Changes
Zheng, Y., Ran, Y., Zhang, H., Wang, B., & Zhou, L. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.715852 · Cited by 28 · see citing works
Yan, S., Khambu, B., Chen, X., Dong, Z., Guo, G. L., & Yin, X. (2020) · Cellular and Molecular Gastroenterology and Hepatology · doi:10.1016/j.jcmgh.2020.10.011 · Cited by 26 · see citing works
Liwinski, T., Hübener, S., Henze, L., Hübener, P., Heinemann, M., Tetzlaff, M., Hiller, M. I., Jagemann, B., Surabattula, R., Leeming, D. J., et al. (2022) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.17256 · Cited by 26 · see citing works
Targeting Gut Microbiota for the Treatment of Primary Biliary Cholangitis: From Bench to Bedside
Zhang, L., Yang, L., & Chu, H. (2023) · Journal of Clinical and Translational Hepatology · doi:10.14218/jcth.2022.00408 · Cited by 24 · see citing works
Role of intestinal flora in primary sclerosing cholangitis and its potential therapeutic value
Li, Z.-J., Gou, H.-Z., Zhang, Y., Song, X., & Zhang, L. (2022) · World Journal of Gastroenterology · doi:10.3748/wjg.v28.i44.6213 · Cited by 23 · see citing works
Hasan, M. N., Chen, J., Matye, D. J., Wang, H., Luo, W., Gu, L., Clayton, Y. D., Du, Y., & Li, T. (2023) · Journal of Lipid Research · doi:10.1016/j.jlr.2023.100340 · Cited by 18 · see citing works
Muraki, R., Morita, Y., Ida, S., Kitajima, R., Furuhashi, S., Takeda, M., Kikuchi, H., Hiramatsu, Y., Takanashi, Y., Hamaya, Y., et al. (2023) · Cancer Medicine · doi:10.1002/cam4.5973 · Cited by 18 · see citing works
Zheng, L. (2022) · World Journal of Clinical Cases · doi:10.12998/wjcc.v10.i30.10823 · Cited by 17 · see citing works
Emodin alleviates cholestatic liver injury by modulating Sirt1/Fxr signaling pathways
Hu, Z., Cheng, X., Cai, J., Huang, C., Hu, J., & Liu, J. (2024) · Scientific Reports · doi:10.1038/s41598-024-67882-1 · Cited by 16 · see citing works
Li, X., Xie, H., Chao, J., Jia, Y.-H., Zuo, J., An, Y., Bao, Y., Jiang, X. W., & Ying, H. (2023) · BMC Microbiology · doi:10.1186/s12866-023-02983-x · Cited by 16 · see citing works
Mohamed, D. I., Nahas, H. H. A., Elshaer, A. M., El-Waseef, D. A. E.-D. A., El-Kharashi, O. A., Mohamed, S. M. Y., Sabry, Y. G., Almaimani, R. A., Almasmoum, H. A., Altamimi, A. S. A., et al. (2023) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2023.1268126 · Cited by 16 · see citing works
Gut microbiome in liver pathophysiology and cholestatic liver disease
Yan, S., & Yin, X. (2021) · Liver Research · doi:10.1016/j.livres.2021.08.001 · Cited by 16 · see citing works
Chen, L., Fan, H., Chu, H., Du, F., Chen, Y., Hu, L., Li, Z., Wang, W., Hou, X., & Yang, L. (2022) · Journal of Cellular Biochemistry · doi:10.1002/jcb.30321 · Cited by 15 · see citing works
Zhou, H., Huang, Y., Chen, C., Song, M., & Hylemon, P. B. (2026) · Pharmacological Reviews · doi:10.1016/j.pharmr.2026.100120 · Cited by 15 · see citing works
Alterations in gut microbiota and metabolite profiles in patients with infantile cholestasis
Jin, M., Cui, J., Ning, H.-J., Wang, M., Liu, W., Yao, K., Yuan, J., & Zhong, X. (2023) · BMC Microbiology · doi:10.1186/s12866-023-03115-1 · Cited by 12 · see citing works
Zhang, G., Jia, W., Liu, L., Wang, L., Xu, J., Tao, J., Xu, M., Yue, M., Luo, H., Hai, P., et al. (2024) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2024.118870 · Cited by 10 · see citing works
Bile Acids in Control of the Gut-Liver-Axis
Hild, B., Heinzow, H. S., Schmidt, H., & Maschmeier, M. (2021) · Zeitschrift für Gastroenterologie · doi:10.1055/a-1330-9644 · Cited by 10 · see citing works
Human Blood Bacteriome: Eubiotic and Dysbiotic States in Health and Diseases
Suparan, K., Sriwichaiin, S., Chattipakorn, N., & Chattipakorn, S. C. (2022) · Cells · doi:10.3390/cells11132015 · Cited by 9 · see citing works
Habermaass, V., Olivero, D., Gori, E., Mariti, C., Longhi, E., & Marchetti, V. (2023) · Animals · doi:10.3390/ani13203174 · Cited by 9 · see citing works
Bidirectional Mendelian randomization links gut microbiota to primary biliary cholangitis
Zhou, Z., Li, W., Wu, Y., Wang, T., Zhang, J., You, L., Li, H., Zheng, C., Gao, Y., & Sun, X. (2024) · Scientific Reports · doi:10.1038/s41598-024-79227-z · Cited by 8 · see citing works
Dimou, A. D., Zachou, K., Kostara, C. E., Azariadis, K., Giannoulis, G., Lyberopoulou, A., Bairaktari, E. T., & Dalekos, G. Ν. (2024) · Hepatology · doi:10.1097/hep.0000000000000767 · Cited by 8 · see citing works
Moreno‐Gonzalez, M., Hampton, K., Ruiz, P. S. B., Beasy, G., Nagies, F. S. P., Parker, A., Lazenby, J., Bone, C., Alava-Arteaga, A., Patel, M. P., et al. (2024) · JHEP Reports · doi:10.1016/j.jhepr.2024.101159 · Cited by 7 · see citing works
Li, T., & Jing, W. (2025) · Frontiers in Medicine · doi:10.3389/fmed.2025.1565778 · Cited by 6 · see citing works
Guraka, A., Sreedharan, S., Arasaradnam, R. P., Tripathi, G., & Kermanizadeh, A. (2024) · Nutrition Reviews · doi:10.1093/nutrit/nuae172 · Cited by 5 · see citing works
Dong, Q., Chen, J., Jiang, Y., Zhu, Z., Zheng, Y., Zhang, J., Zhang, Z., Chen, W., Sun, S., Pang, L., et al. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.773957 · Cited by 5 · see citing works
Selected Aspects of the Intricate Background of Immune-Related Cholangiopathies—A Critical Overview
Kasztelan‐Szczerbińska, B., Rycyk, A., Szczerbińska, A., & Cichoż‐Lach, H. (2023) · Nutrients · doi:10.3390/nu15030760 · Cited by 6 · see citing works
Shi, H., Wang, Q., Xu, B., Liu, Y., Zhao, J., Xue, Y., Huang, C., & Jin, R. (2024) · Frontiers in Microbiology · doi:10.3389/fmicb.2024.1495170 · Cited by 4 · see citing works
Dong, S., Liu, J., Xuan, C., Zhou, S., Han, Z., Zhu, C., Chen, N., Liu, R., Wang, W., Chu, H., et al. (2025) · Tissue and Cell · doi:10.1016/j.tice.2025.103131 · Cited by 3 · see citing works
Marinaccio, C., Giovanetti, M., Neri, B., Biasutto, D., D’Amico, A., Altomare, A., Branda, F., Restaneo, L., Ciccozzi, M., Cicala, M., et al. (2026) · Antibiotics · doi:10.3390/antibiotics15050445 · Cited by 3 · see citing works
Dong, S., Guo, L., Xuan, C., Zhu, C., Han, Z., Chen, N., Wang, X., Shen, M., Wei, X., Yang, H., et al. (2026) · Food Research International · doi:10.1016/j.foodres.2026.118719 · Cited by 2 · see citing works
Zen, Y., Hübscher, S. G., & Nakanuma, Y. (2023) · Elsevier eBooks · doi:10.1016/b978-0-7020-8228-3.00009-0 · Cited by 2 · see citing works
Gut microbiota in chronic liver diseases in children
Васильевна, В. Г., Nikitin, A. V., Андреевна, С. Т., Потапов, А. С., Валерьевна, Д. В., & Danilov, L. G. (2023) · Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) · doi:10.21508/1027-4065-2023-68-2-69-73 · Cited by 2 · see citing works
Zhumabayeva, M. S., Dossatayeva, G. S., Shaimardanova, G., Kozina, L., & Алексеевич, Т. В. (2019) · Ġylym men densaulyķ saķtau. · doi:10.34689/sh.2019.5.53876 · Cited by 1 · see citing works
Wang, Q., Zhang, M., Meng, M., Luo, Z., Pan, Z., Deng, L., Qin, J., Guo, B., Zhu, D., Zhang, Y., et al. (2025) · Chinese Medicine · doi:10.1186/s13020-025-01158-2 · Cited by 1 · see citing works
Valestrand, L., Nordhus, K. S., Claudel, T., Øgaard, J., Frank, A., Amundsen-Isaksen, E., Fuchs, C., Berntsen, N. L., Chung, B., Jiang, X.-J., et al. (2026) · Hepatology Communications · doi:10.1097/hc9.0000000000000862 · Cited by 1 · see citing works
Tang, Y., Qi, F., Yu, Y., Fu, Y., & Zhu, P. (2026) · Computational Biology and Chemistry · doi:10.1016/j.compbiolchem.2026.109158 · Cited by 1 · see citing works
Bacteria as key players in primary sclerosing cholangitis?
Fickert, P. (2022) · Gut · doi:10.1136/gutjnl-2022-327876 · Cited by 1 · see citing works
Zhu, X., Hua, Z., Hu, X., Xin, Y., Mei, C., Chen, F., Ding, H., Wu, Y. H., & Li, W. (2024) · Journal of Functional Foods · doi:10.1016/j.jff.2024.106412 · Cited by 1 · see citing works
The Microbiota-Gut-Liver Axis: Implications for the Pathophysiology of Liver Disease
Quigley, E. M. M. (2020) · Springer eBooks · doi:10.1007/978-3-030-51709-0_8
Nikitin, A. V., Васильевна, В. Г., Потапов, А. С., Валерьевна, Д. В., & Danilov, L. G. (2024) · Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) · doi:10.21508/1027-4065-2024-69-1-58-65
Gut microbiota in autoimmune and non-autoimmune liver diseases in children
Васильевна, В. Г., Nikitin, A. V., Андреевна, С. Т., Потапов, А. С., Валерьевна, Д. В., Danilov, L. G., & Спартаковна, К. В. (2024) · Экспериментальная и клиническая гастроэнтерология · doi:10.31146/1682-8658-ecg-215-7-25-33
Seeger, A., Babbar, A., Eswaran, S., Adams, M., Muschaweck, M., Treichel, N. S., Clavel, T., Yin, G., Guillot, A., Scheuer, K., et al. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.09.24.678237
Fatigue in Cholestatic Liver Disease: A Review of Mechanisms and Non-Pharmacological Management
Isley, S., Johnson, E., Swain, M. G., & Tandon, P. (2025) · Current Hepatology Reports · doi:10.1007/s11901-025-00706-6
Li, X., Xie, H., Chao, J.-J., Jia, Y., Zuo, J., An, Y.-P., Bao, Y.-R., Jiang, X., & Ying, H. (2023) · Figshare · doi:10.6084/m9.figshare.24234200
Li, X., Xie, H., Chao, J.-J., Jia, Y., Zuo, J., An, Y.-P., Bao, Y.-R., Jiang, X., & Ying, H. (2024) · Figshare · doi:10.6084/m9.figshare.24234340
Jin, M., Cui, J., 宁慧娟, Wang, M., Liu, W., Yao, K., Yuan, J., & Zhong, X. (2024) · Figshare · doi:10.6084/m9.figshare.26642311
Jin, M., Cui, J., 宁慧娟, Wang, M., Liu, W., Yao, K., Yuan, J., & Zhong, X. (2024) · Figshare · doi:10.6084/m9.figshare.26642308
Wan, Y., Zheng, M., Fu, W., Zhu, H., Li, Y., Lin, H., Chen, J., Li, J., Mo, Q., Tai, W., et al. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1785064
Microbiotic disorders in the oral cavity in patients with primary biliary cholangitis
Khokhlova, A. R., Robakidze, N. S., Raikhelson, K. L., Klur, M. V., & Davtyan, N. R. (2026) · Russian Family Doctor · doi:10.17816/rfd702048
Nadir Hastalıklarda Mikrobiyota: Moleküler Mekanizmalar ve Mikrobiyom Tabanlı Tedavi Potansiyelleri
GÖRGÜN, B. (2026) · Özgür Yayınları eBooks · doi:10.58830/ozgur.pub1358.c5472
Zou, J., Kan, Y., Song, W., Song, S., Huang, D., Liu, J., & Guo, F. (2026) · Frontiers in Pharmacology · doi:10.3389/fphar.2026.1847544
- Authors
- Kummen, M., & Hov, J. R.
- Affiliations
- Oslo University Hospital (NO)
- Corresponding author
- Hov, Johannes R.
- Venue
- Liver International
- Publisher
- Wiley
- Published
- 2019-06-17
- Volume
- 39
- Issue
- 7
- Pages
- 1186-1196
- ISSN
- 0106-9543 (ISSN-L)
- 1478-3223
- 1478-3231
- OpenAlex
- W2946806894
- Cited by
- 74
- References
- 51
- Citations by year
- 2026: 9 · 2025: 5 · 2024: 14 · 2023: 15 · 2022: 11 · 2021: 9 · 2020: 8 · 2019: 3
- FWCI
- 1.02
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Liver International (publishedVersion, cc-by)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- Norges Forskningsråd (240787/F20)
- Topics
- Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Keywords
- gut microbiota, cholestatic liver disease, primary sclerosing cholangitis, primary biliary cirrhosis, gut-liver axis, host-microbiota interactions, bile acid homeostasis, inflammatory bowel disease, drug metabolism, biomarkers
- MeSH terms
- Gastrointestinal Microbiome, Host Microbial Interactions, Bile Acids and Salts, Cholestasis, Humans, Liver, Liver Cirrhosis, Biliary, Cholangitis, Sclerosing, Inflammatory Bowel Diseases
About these checks
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 ›
Are you an author, or do you see a problem with this page? Request a review