Evidence mapPaperPMID 40442807Full record

ArticleChinese medicine2025

Clinical study of intelligent tongue diagnosis and oral microbiome for classifying TCM syndromes in MASLD.

Jialin Deng, Shixuan Dai, Shi Liu, Liping Tu, Ji Cui, Xiaojuan Hu, Xipeng Qiu, Hao Lu, Tao Jiang, Jiatuo Xu

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Article in Chinese medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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3 · Its place in the literature

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7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

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10 authors.

Jialin DengDepartment of College of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Shixuan DaiDepartment of College of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Shi LiuDepartment of College of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Liping TuDepartment of College of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Ji CuiDepartment of College of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Xiaojuan HuDepartment of College of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Xipeng QiuSchool of Computer Science, Fudan University, 1200 Cailun Road, Pudong New Area, Shanghai, 201203, China.
Hao LuShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong New Area, Shanghai, 201203, China.
Tao JiangDepartment of College of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China. jiangtao@shutcm.edu.cn.
Jiatuo XuDepartment of College of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China. xjt@fudan.edu.cn.

Funding

China Postdoctoral Science Foundation 2023M732337Innovative Research Group Project of the National Natural Science Foundation of China 82104738Intelligence Community Postdoctoral Research Fellowship Program 2022509Shanghai Municipal Health Commission 20244Y0129State Administration of Traditional Chinese Medicine of the People's Republic of China ZYYZDXK-2023069
6 · The paper itself

Abstract

backgroundThis study aimed to analyze the tongue image features and oral microbial markers in different TCM syndromes related to metabolic dysfunction-associated steatotic liver disease (MASLD).

methodsThis study involved 34 healthy volunteers and 66 MASLD patients [36 with Dampness-Heat (DH) and 30 with Qi-Deficiency (QD) syndrome]. Oral microbiome analysis was conducted through 16S rRNA sequencing. Tongue image feature extraction used the Uncertainty Augmented Context Attention Network (UACANet), while syndrome classification was performed using five different machine learning methods based on tongue features and oral microbiota.

resultsSignificant differences in tongue color, coating, and oral microbiota were noted between DH band QD syndromes in MASLD patients. DH patients exhibited a red-crimson tongue color with a greasy coating and enriched Streptococcus and Rothia on the tongue. In contrast, QD patients displayed a pale tongue with higher abundances of Neisseria, Fusobacterium, Porphyromonas and Haemophilus. Combining tongue image characteristics with oral microbiota differentiated DH and QD syndromes with an AUC of 0.939 and an accuracy of 85%.

conclusionThis study suggests that tongue characteristics are related to microbial metabolism, and different MASLD syndromes possess distinct biomarkers, supporting syndrome classification.

Indexed as

Machine learningMetabolic dysfunction-associated steatotic liver disease (MASLD)Microbial metabolismTCM syndromesTongue diagnosis

Identifiers

PMID40442807
PMCPMC12121174

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