Evidence map›Paper›PMID 41367416›Full record

ReviewFrontiers in microbiology2025

Regulatory mechanisms of the gut microbiota-short chain fatty acids signaling axis in slow transit constipation and progress in multi-target interventions.

Shi Hong Liu, Xue Fang Yang, Lei Liang, Bin Bin Song, Xue Mei Song, Yong Jun Yang, Mohammed Abdelfatah Alhoot

Abstract readReview
In one paragraph

Review in Frontiers in microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

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  6. Live and Heat-InactivatedNutrients · 2026
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  10. Frontiers in microbiology · 2026
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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

7 authors.

Shi Hong LiuDepartment of Integrated Traditional Chinese and Western Medicine of Colorectal and Anal Diseases, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.
Xue Fang YangDepartment of Integrated Traditional Chinese and Western Medicine of Colorectal and Anal Diseases, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.
Lei LiangDepartment of Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Bin Bin SongDepartment of Traditional Chinese Medicine, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Xue Mei SongDepartment of Surgical Center, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Yong Jun YangDepartment of Integrated Traditional Chinese and Western Medicine of Colorectal and Anal Diseases, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.
Mohammed Abdelfatah AlhootSchool of Graduate Studies, Postgraduate Centre, Management and Science University, Shah Alam, Selangor, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Slow-transit constipation (STC) is an increasingly prevalent disorder that imposes a substantial health and economic burden. Mounting evidence highlights the "gut microbiota-short-chain fatty acid (SCFA)-motility" axis as a central pathophysiological link between dysbiosis and impaired colonic transit. This review synthesizes current knowledge of how SCFAs, especially acetate, propionate and butyrate, shape motility through serotonergic signaling, enteric nervous system modulation, epithelial barrier integrity and immune regulation. Particular attention is devoted to the biased-signaling properties of the SCFA receptors FFAR2 and FFAR3 (free fatty acid receptors 2 and 3, respectively), including emerging data on their heterodimerization. The article then appraises recent randomized controlled trials and meta-analyses of multi-target interventions (dietary fibers, synbiotics, postbiotics, fecal microbiota transplantation, phytochemicals, and small-molecule FFAR agonists) highlighting their efficacy, safety, and translational hurdles. Finally, the authors propose a precision-medicine framework that integrates multi-omics microbiome profiling, metabolomics, and host genetics to enable phenotype-stratified therapy. Key research gaps include limited long-term safety data, heterogeneous human cohorts and the need for large multicenter trials and machine-learning-guided responder prediction. Collectively, the review provides a roadmap for shifting STC management from symptom control to mechanism-based, personalized care.

Indexed as

fecal microbiota transplantationFFARgut microbiotamicrobiota–neuro–immune axismulti-target interventionsprecision nutritionshort-chain fatty acidsslow-transit constipation

Identifiers

PMID41367416
PMCPMC12683290

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.