Evidence map›Paper›PMID 24586292›Full record

Trial reportPloS one2014

Disrupted intestinal microbiota and intestinal inflammation in children with cystic fibrosis and its restoration with Lactobacillus GG: a randomised clinical trial.

Eugenia Bruzzese, Maria Luisa Callegari, Valeria Raia, Sara Viscovo, Riccardo Scotto, Susanna Ferrari, Lorenzo Morelli, Vittoria Buccigrossi, Andrea Lo Vecchio, Eliana Ruberto and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 5 pooled it
9.4field-weighted citation impact, top 1% of its field
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

113 citing papers in PubMed, 5 syntheses or guidelines pooled it, 219 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Probiotics for people with cystic fibrosis.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Understanding the intricate interactions between microbiota and host.World journal of experimental medicine · 2025
    Review
  11. Review
  12. Circulation. Heart failure · 2025
    Article
  13. Research progress on the application ofFrontiers in nutrition · 2025
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

53 more citing papers are in PubMed but not listed here.

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

11 authors at 2 institutions in 1 country.

Eugenia BruzzeseDepartment of Translational Medical Science, Section of Pediatrics, University Federico II, Naples, Italy.
Maria Luisa CallegariCentro Ricerche Biotecnologiche, Università Cattolica del Sacro Cuore, Cremona, Italy.
Valeria RaiaDepartment of Translational Medical Science, Section of Pediatrics, University Federico II, Naples, Italy.
Sara ViscovoDepartment of Translational Medical Science, Section of Pediatrics, University Federico II, Naples, Italy.
Riccardo ScottoDepartment of Translational Medical Science, Section of Pediatrics, University Federico II, Naples, Italy.
Susanna FerrariCentro Ricerche Biotecnologiche, Università Cattolica del Sacro Cuore, Cremona, Italy.
Lorenzo MorelliCentro Ricerche Biotecnologiche, Università Cattolica del Sacro Cuore, Cremona, Italy.
Vittoria BuccigrossiDepartment of Translational Medical Science, Section of Pediatrics, University Federico II, Naples, Italy.
Andrea Lo VecchioDepartment of Translational Medical Science, Section of Pediatrics, University Federico II, Naples, Italy.
Eliana RubertoDepartment of Translational Medical Science, Section of Pediatrics, University Federico II, Naples, Italy.
Alfredo GuarinoDepartment of Translational Medical Science, Section of Pediatrics, University Federico II, Naples, Italy.
Federico II University Hospital · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsIntestinal inflammation is a hallmark of cystic fibrosis (CF). Administration of probiotics can reduce intestinal inflammation and the incidence of pulmonary exacerbations. We investigated the composition of intestinal microbiota in children with CF and analyzed its relationship with intestinal inflammation. We also investigated the microflora structure before and after Lactobacillus GG (LGG) administration in children with CF with and without antibiotic treatment.

methodsThe intestinal microbiota were analyzed by denaturing gradient gel electrophoresis (DGGE), real-time polymerase chain reaction (RT-PCR), and fluorescence in situ hybridization (FISH). Intestinal inflammation was assessed by measuring fecal calprotectin (CLP) and rectal nitric oxide (rNO) production in children with CF as compared with healthy controls. We then carried out a small double-blind randomized clinical trial with LGG.

resultsTwenty-two children with CF children were enrolled in the study (median age, 7 years; range, 2-9 years). Fecal CLP and rNO levels were higher in children with CF than in healthy controls (184±146 µg/g vs. 52±46 µg/g; 18±15 vs. 2.6±1.2 µmol/L NO2 (-), respectively; P<0.01). Compared with healthy controls, children with CF had significantly different intestinal microbial core structures. The levels of Eubacterium rectale, Bacteroides uniformis, Bacteroides vulgatus, Bifidobacterium adolescentis, Bifidobacterium catenulatum, and Faecalibacterium prausnitzii were reduced in children with CF. A similar but more extreme pattern was observed in children with CF who were taking antibiotics. LGG administration reduced fecal CLP and partially restored intestinal microbiota. There was a significant correlation between reduced microbial richness and intestinal inflammation.

conclusionsCF causes qualitative and quantitative changes in intestinal microbiota, which may represent a novel therapeutic target in the treatment of CF. Administration of probiotics restored gut microbiota, supporting the efficacy of probiotics in reducing intestinal inflammation and pulmonary exacerbations.

trial registrationClinicalTrials.gov NCT 01961661.

Indexed as

MicrobiotaCase-Control StudiesChildChild, PreschoolCystic FibrosisDouble-Blind MethodFecesFemaleHumansInflammationIntestinesLactobacillusMaleProbiotics

Identifiers

PMID24586292
PMCPMC3929570
OpenAlexW2111857260

What OpenQuestion 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 OpenQuestion graph.