Evidence map›Paper›PMID 40410194›Full record

ArticleNPJ biofilms and microbiomes2025

Akkermansia muciniphila ameliorates doxorubicin-induced cardiotoxicity by regulating PPARα-dependent mitochondrial biogenesis.

Hui Lin, Xian Shao, Haodi Gu, Xinrou Yu, Lingyan He, Jiedong Zhou, Zuoquan Zhong, Shitian Guo, Dan Li, Fei Chen and 6 more

Abstract read
In one paragraph

Article in NPJ biofilms and microbiomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Biomolecules · 2026
    Review
  6. Review
  7. Article
  8. Review
  9. Frontiers in microbiology · 2026
    Review
  10. Article
  11. Review
  12. Review
  13. Article
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

16 authors.

Hui Lin *Department of Cardiology, The Affiliated Lihuili Hospital of Ningbo University, Ningbo, China.
Xian Shao *Medical Research Center, Shaoxing People's Hospital, Shaoxing, China.
Haodi GuCollege of Medicine, Shaoxing University, Shaoxing, China.
Xinrou YuDepartment of Cardiology, Zhuji Affiliated Hospital of Wenzhou Medical University, Shaoxing, China.
Lingyan HeDepartment of Traditional Chinese Medicine, Shaoxing People's Hospital, Zhejiang University Shaoxing Hospital, Shaoxing, China.
Jiedong ZhouCardiac Arrhythmia Center, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Zuoquan ZhongDepartment of Respiratory Medicine, Shaoxing People's Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, China.
Shitian GuoDepartment of Cardiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Dan LiDepartment of Haematology, Shaoxing People's Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, China.
Fei ChenDepartment of General Surgery (Breast and Thyroid Surgery), Shaoxing People's Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, China.
Yongfei SongDepartment of Cardiology, The Affiliated Lihuili Hospital of Ningbo University, Ningbo, China.
Lili XuMedical Research Center, Shaoxing People's Hospital, Shaoxing, China.
Ping WangDepartment of Cardiology, Shaoxing People's Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, China.
Liping MengDepartment of Cardiology, Shaoxing People's Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, China. Mengliping@zju.edu.cn.
Jufang ChiDepartment of Cardiology, Zhuji Affiliated Hospital of Wenzhou Medical University, Shaoxing, China. jf_chi@163.com.
Jiangfang LianDepartment of Cardiology, The Affiliated Lihuili Hospital of Ningbo University, Ningbo, China. hjmpin@163.com.

Funding

National Natural Science Foundation of China 81870255National Natural Science Foundation of China 82000252National Natural Science Foundation of China 82174204Natural Science Foundation of Zhejiang Province LHDMZ24H020001Natural Science Foundation of Zhejiang Province ZCLTGD24H0201Ningbo Key Laboratory of Molecular Target Screening and Application 2023-BZDSScience and Technology Projects of Shaoxing city 2022A14009
6 · The paper itself

Abstract

Doxorubicin (DOX) is a key chemotherapeutic agent but is also a leading cause of DOX-induced cardiotoxicity (DIC), limiting its clinical use. Akkermansia muciniphila (A. muciniphila), known for its benefits as a probiotic in treating metabolic syndrome, has uncertain effects in the context of DIC. Here, 16S rRNA sequencing of fecal samples from anthracycline-treated patients and DIC mice revealed marked depletion of A. muciniphila. Cardiac transcriptomics, supported by in vitro experiments, showed that A. muciniphila colonization improved mitochondrial function and alleviated DIC by activating the PPARα/PGC1α signaling pathway in both normal and antibiotic-treated C57BL/6 mice. Further analysis uncovered a restructured microbiome-metabolome network following A. muciniphila administration, which contributed to DIC protection. Notably, A. muciniphila supplementation increased serum levels of the tryptophan metabolite indole-3-propionic acid (IPA), which binds to the cardiac aryl hydrocarbon receptor (AhR), leading to the activation of the PPARα/PGC1α signaling pathway. In conclusion, our study sheds light on the potential of A. muciniphila as a probiotic in mitigating DIC.

Indexed as

AkkermansiaCardiotoxicityDoxorubicinMitochondriaOrganelle BiogenesisPPAR alphaProbioticsAnimalsFecesGastrointestinal MicrobiomeHumansMaleMiceMice, Inbred C57BLPeroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alphaRNA, Ribosomal, 16SDoxorubicinPeroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alphaPPAR alphaRNA, Ribosomal, 16S

Identifiers

PMID40410194
PMCPMC12102390

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.