Evidence map›Paper›PMID 34923903›Full record

Trial reportGut microbes

Combined berberine and probiotic treatment as an effective regimen for improving postprandial hyperlipidemia in type 2 diabetes patients: a double blinded placebo controlled randomized study.

Shujie Wang, Huahui Ren, Huanzi Zhong, Xinjie Zhao, Changkun Li, Jing Ma, Xuejiang Gu, Yaoming Xue, Shan Huang, Jialin Yang and 20 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Gut microbes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 6 pooled it
9.2field-weighted citation impact, top 1% of its field
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

58 citing papers in PubMed, 6 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
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  12. Effect of Probiotics on Sperm Quality in the Adult Mouse.Probiotics and antimicrobial proteins · 2025
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  17. Lipid metabolism ofWorld journal of diabetes · 2025
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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

30 authors at 12 institutions in 4 countries.

Shujie WangDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Huahui RenBGI-Shenzhen, Shenzhen, China.
Huanzi ZhongBGI-Shenzhen, Shenzhen, China.
Xinjie ZhaoDalian Institute of Chemical Physics, Chinese Academy of Science, Dalian, China.
Changkun LiDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jing MaRen Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xuejiang GuDepartment of Endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province, China.
Yaoming XueNanfang Hospital, Southern Medical University, Guangdong Province, China.
Shan HuangTong Ren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jialin YangDepartment of Endocrinology, Central Hospital of Minhang District, Shanghai, China.
Li ChenDepartment of Endocrinology, Qilu Hospital of Shandong University, Shandong Province, China.
Gang ChenDepartment of Endocrinology, Fujian Provincial Hospital, Fujian Province, China.
Shen QuDepartment of Endocrinology, Shanghai Tenth People's Hospital of Tong Ji University, Shanghai, China.
Jun LiangDepartment of Endocrinology, Xuzhou Central Hospital, Jiangsu Province, China.
Li QinXin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Qin HuangChang Hai Hospital, Second Military Medical University, Shanghai, China.
Yongde PengShanghai First People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Qi LiDalian Institute of Chemical Physics, Chinese Academy of Science, Dalian, China.
Xiaolin WangDalian Institute of Chemical Physics, Chinese Academy of Science, Dalian, China.
Yuanqiang ZouBGI-Shenzhen, Shenzhen, China.
Zhun ShiBGI-Shenzhen, Shenzhen, China.
Xuelin LiDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Tingting LiDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Huanming YangBGI-Shenzhen, Shenzhen, China.
Shenghan LaiJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Guowang XuDalian Institute of Chemical Physics, Chinese Academy of Science, Dalian, China.
Junhua LiBGI-Shenzhen, Shenzhen, China.
Yifei ZhangDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yanyun GuDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0002-4323-1648
Weiqing WangDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shanghai Jiao Tong University · CNBGI Group (China) · CNDalian Institute of Chemical Physics · CNFujian Provincial Hospital · CNJohns Hopkins University · USMinhang District Central Hospital · CNNanfang Hospital · CNQilu Hospital of Shandong University · CNSecond Military Medical University · CNShanghai Tenth People's Hospital · CNWenzhou Medical University · CNXuzhou Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-fasting lipidemia (nFL), mainly contributed by postprandial lipidemia (PL), has recently been recognized as an important cardiovascular disease (CVD) risk as fasting lipidemia (FL). PL serves as a common feature of dyslipidemia in Type 2 Diabetes (T2D), albeit effective therapies targeting on PL were limited. In this study, we aimed to evaluate whether the therapy combining probiotics (Prob) and berberine (BBR), a proven antidiabetic and hypolipidemic regimen via altering gut microbiome, could effectively reduce PL in T2D and to explore the underlying mechanism. Blood PL (120 min after taking 100 g standard carbohydrate meal) was examined in 365 participants with T2D from the Probiotics and BBR on the Efficacy and Change of Gut Microbiota in Patients with Newly Diagnosed Type 2 Diabetes (PREMOTE study), a random, placebo-controlled, and multicenter clinical trial. Prob+BBR was superior to BBR or Prob alone in improving postprandial total cholesterol (pTC) and low-density lipoprotein cholesterol (pLDLc) levels with decrement of multiple species of postprandial lipidomic metabolites after 3 months follow-up. This effect was linked to the changes of fecal

Indexed as

AdultAnimalsBerberineCholesterolCholesterol, LDLDiabetes Mellitus, Type 2Double-Blind MethodDrug Therapy, CombinationFecesFemaleGastrointestinal MicrobiomeHumansHyperlipidemiasMaleMiddle AgedPostprandial PeriodBerberineCholesterolCholesterol, LDLberberinedyslipidemiagut microbiomepostprandial lipidemiaprobioticsType 2 diabetes

Identifiers

PMID34923903
PMCPMC8726654
OpenAlexW4200275566

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.