Evidence map›Paper›PMID 42528697›Full record

ReviewFrontiers in physiology2026

Lipid-derived microbial metabolites at the gut-liver interface: regulation of intestinal barrier function, immune signaling, and metabolic inflammation.

Carlo Acierno, Alfredo Caturano, Fannia Barletta, Luca Rinaldi, Ferdinando Carlo Sasso, Luigi Elio Adinolfi, Riccardo Nevola

Abstract readReview
In one paragraph

Review in Frontiers in physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Carlo AciernoDepartment of Internal Medicine, San Carlo Hospital, Potenza, Italy.
Alfredo CaturanoDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy.
Fannia BarlettaDepartment of Anesthesiology and Intensive Care, San Carlo Hospital, Potenza, Italy.
Luca RinaldiDepartment of Medicine and Health Science "Vincenzo Tiberio", Università degli Studi del Molise, Campobasso, Italy.
Ferdinando Carlo SassoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Napoli, Italy.
Luigi Elio AdinolfiDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Napoli, Italy.
Riccardo NevolaLiver Unit, "A. Landolfi" Hospital, AORN San Giuseppe Moscati, Solofra, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lipid-derived and lipid-related microbial metabolites form a functional interface between the gut microbiota, intestinal barrier integrity, mucosal immunity, hepatic metabolism, and systemic immunometabolic homeostasis. At the gut-liver axis, these molecules should not be regarded as passive end-products of microbial metabolism, but as compartment-sensitive signals whose biological effects depend on site of production, mucosal exposure, epithelial utilization, portal delivery, hepatic handling, receptor distribution, and inflammatory context. This narrative review examines five major metabolite classes: short-chain fatty acids, including branched-chain fatty acids; microbially transformed bile acids; bacterial sphingolipids; PUFA-derived or microbially modulated lipid mediators; and choline-, carnitine-, and phospholipid-derived co-metabolites such as trimethylamine N-oxide. We discuss how these pathways regulate tight-junction architecture, epithelial energy metabolism, mucus-associated defense, antimicrobial programs, innate and adaptive immune-cell signaling, bile-acid receptor networks, and portal inflammatory exposure. The evidence is most mature for classical short-chain fatty acids and bile-acid signaling, emerging but mechanistically compelling for bacterial sphingolipids and PUFA-derived mediators, context-dependent for TMAO, and still limited for aging-specific and sarcopenia-related extrapolations. Across classes, translation is constrained by incomplete causal inference, preclinical predominance, heterogeneous human evidence, inconsistent metabolomic and lipidomic standardization, and the non-equivalence of fecal concentrations, mucosal exposure, portal delivery, and systemic availability. Future studies should move beyond single-metabolite associations toward longitudinal, multi-compartment, mechanism-informed models integrating targeted metabolomics/lipidomics, permeability markers, immune phenotyping, liver and cardiometabolic endpoints, and functional outcomes relevant to frailty and sarcopenia.

Indexed as

bacterial sphingolipidsbile acidsgut-liver axisintestinal barrierMASLDPUFA-derived mediatorsshort-chain fatty acidsTrimethylamine N-oxide

Identifiers

PMID42528697
PMCPMC13414824

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.