Evidence map›Paper›PMID 24941045›Full record

ArticlePloS one2014

Helicobacter pylori induced gastric immunopathology is associated with distinct microbiota changes in the large intestines of long-term infected Mongolian gerbils.

Markus M Heimesaat, André Fischer, Rita Plickert, Tobias Wiedemann, Christoph Loddenkemper, Ulf B Göbel, Stefan Bereswill, Gabriele Rieder

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05449028 (Helicobacter Pylori Eradication Therapy in Portugal), which is not on this map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% 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.

NCT05449028 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Helicobacter Pylori Eradication Therapy in Portugal: Prospective, Randomized, Blind and Multicentre Trial on the Efficacy of Quadruple Therapies and Their Clinical Impact, and Immunological and Gut Microbiota Changes

TypeinterventionalSponsorUnidade Local de Saúde de Coimbra, EPERan2022 to 2024Enrolled230ConditionsHelicobacter Pylori, Gut Microbiota, ImmunologyArmsH. pylori eradication scheme A, H. pylori eradication scheme B, H. pylori eradication scheme C, H. pylori eradication scheme D, H. pylori eradication scheme E
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Debate on the relationship betweenFrontiers in microbiology · 2024
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Beyond the Stomach: Exploring the Role ofExpert reviews in molecular medicine · 2026
    Review
  8. Review
  9. Effect ofTherapeutic advances in gastroenterology · 2026
    Review
  10. Review
  11. A critical review onFrontiers in cellular and infection microbiology · 2025
    Review
  12. Article
  13. Review
  14. Role of gut microbiota andWorld journal of gastroenterology · 2024
    Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Effects ofFrontiers in cellular and infection microbiology · 2024
    Review
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

8 authors at 3 institutions in 2 countries.

Markus M HeimesaatDepartment of Microbiology and Hygiene, Charité - University Medicine Berlin, Berlin, Germany.
André FischerDepartment of Microbiology and Hygiene, Charité - University Medicine Berlin, Berlin, Germany.
Rita PlickertDepartment of Microbiology and Hygiene, Charité - University Medicine Berlin, Berlin, Germany.
Tobias WiedemannGerman Research Center for Environmental Health, Helmholtz Zentrum München, Munich, Germany.
Christoph LoddenkemperDepartment of Pathology/Research Center ImmunoSciences (RCIS), Charité - University Medicine Berlin, Berlin, Germany.
Ulf B GöbelDepartment of Microbiology and Hygiene, Charité - University Medicine Berlin, Berlin, Germany.
Stefan BereswillDepartment of Microbiology and Hygiene, Charité - University Medicine Berlin, Berlin, Germany.
Gabriele RiederDivision of Molecular Biology, Department of Microbiology, University of Salzburg, Salzburg, Austria.
Charité - Universitätsmedizin Berlin · DEHelmholtz Zentrum München · DEUniversity of Salzburg · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastrointestinal (GI) inflammation in mice and men are frequently accompanied by distinct changes of the GI microbiota composition at sites of inflammation. Helicobacter (H.) pylori infection results in gastric immunopathology accompanied by colonization of stomachs with bacterial species, which are usually restricted to the lower intestine. Potential microbiota shifts distal to the inflammatory process following long-term H. pylori infection, however, have not been studied so far. METHODOLOGY/PRINCIPAL

findingsFor the first time, we investigated microbiota changes along the entire GI tract of Mongolian gerbils after 14 months of infection with H. pylori B8 wildtype (WT) or its isogenic ΔcagY mutant (MUT) strain which is defective in the type IV secretion system and thus unable to modulate specific host pathways. Comprehensive cultural analyses revealed that severe gastric diseases such as atrophic pangastritis and precancerous transformations were accompanied by elevated luminal loads of E. coli and enterococci in the caecum and together with Bacteroides/Prevotella spp. in the colon of H. pylori WT, but not MUT infected gerbils as compared to naïve animals. Strikingly, molecular analyses revealed that Akkermansia, an uncultivable species involved in mucus degradation, was exclusively abundant in large intestines of H. pylori WT, but not MUT infected nor naïve gerbils. CONCLUSION/SIGNIFICANCE: Taken together, long-term infection of Mongolian gerbils with a H. pylori WT strain displaying an intact type IV secretion system leads to distinct shifts of the microbiota composition in the distal uninflamed, but not proximal inflamed GI tract. Hence, H. pylori induced immunopathogenesis of the stomach, including hypochlorhydria and hypergastrinemia, might trigger large intestinal microbiota changes whereas the exact underlying mechanisms need to be further unraveled.

Indexed as

AchlorhydriaAnimalsBacterial Secretion SystemsBacteroidesChlamydiaceaeEscherichia coliFemaleGerbillinaeHelicobacter InfectionsHelicobacter pyloriImmunity, InnateIntestine, LargeMicrobiotaPrevotellaStomachBacterial Secretion Systems

Identifiers

PMID24941045
PMCPMC4062524
OpenAlexW1980008599

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.