Evidence mapPaperPMID 41710162Full record

ReviewFrontiers in endocrinology2025

An expert narrative review on the mechanisms and therapeutic potential of gut microbiota-derived metabolites in multi-organ crosstalk.

Yushu Zhang, Xuebin Cao, Shihong Xiong, Wenqi Zhen, Yang Yang, Na Gong

Abstract readReview
In one paragraph

Review in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Yushu ZhangDepartment of Nephrology, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, Hubei, China.
Xuebin CaoDepartment of Nephrology, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, Hubei, China.
Shihong XiongDepartment of Nephrology, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, Hubei, China.
Wenqi ZhenDepartment of Nephrology, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, Hubei, China.
Yang YangDepartment of Endocrinology, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, Hubei, China.
Na GongMedical Examination Center, Hubei Provincial Hospital of Integrated Chinese and Western Medicine, Wuhan, Hubei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Gut microbiota-derived metabolites-short-chain fatty acids (SCFAs), tryptophan derivatives, and uremic toxins-translocate systemically and mediate multi-organ crosstalk along the gut-kidney-heart-brain-endocrine axis, influencing host physiology and disease. However, integrated mechanistic insights remain limited. Objective: We evaluated the effects of gut microbiota-derived metabolites (intervention) on inter-organ communication and disease outcomes in humans and model systems (population), compared to controls or standard care (comparison). Methods: We conducted a narrative review of studies from PubMed, Cochrane Library, Embase, Web of Science, and ClinicalTrials.gov (2020-2025). We included randomized controlled trials, cohort studies, and mechanistic experiments. Two reviewers independently screened records using a standardized protocol; data synthesis employed narrative synthesis and random-effects meta-analysis where appropriate. Results: 41 included studies (n≈15,000 participants), SCFAs improved renal function (e.g., risk ratio [RR]=0.85 for composite outcomes, 95% CI: 0.72-0.98) with substantial heterogeneity (I²=68%). SCFAs conferred cardio protection and regulated neuroinflammation. Tryptophan metabolites showed dual roles in neuroprotection and metabolic dysfunction. Metabolites demonstrated diagnostic value (e.g., TMAO AUC = 0.87 for cardiovascular risk). Conclusion: Gut microbiota metabolites are pivotal in multi-organ crosstalk with moderate evidence certainty. They offer novel strategies for diagnosing and treating cardio-renal, metabolic, and neurological disorders, although individual variability and translational challenges persist.

Indexed as

Fatty Acids, VolatileGastrointestinal MicrobiomeAnimalsHumansTryptophanUremic ToxinsFatty Acids, VolatileTryptophanUremic Toxinsgut microbiotametabolitesshort-chain fatty acidssystem crosstalktryptophanuremic toxins

Identifiers

PMID41710162
PMCPMC12910826

What Socratic holds

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LicenceCC BY
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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.