Evidence map›Paper›PMID 26692421›Full record

ArticleScientific reports2015

Gut Microbiota Alterations can predict Hospitalizations in Cirrhosis Independent of Diabetes Mellitus.

Jasmohan S Bajaj, Naga S Betrapally, Phillip B Hylemon, Leroy R Thacker, Kalyani Daita, Dae Joong Kang, Melanie B White, Ariel B Unser, Andrew Fagan, Edith A Gavis and 4 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 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.

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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Jasmohan S BajajDivision of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University, McGuire VA Hospital, Richmond, USA.
Naga S BetrapallyMicrobiome Analysis Center, George Mason University, Manassas, Virginia, USA.
Phillip B HylemonDepartment of Microbiology, Virginia Commonwealth University and McGuire VA Medical Center, Richmond, Virginia, USA.
Leroy R ThackerDepartment of Biostatistics, Virginia Commonwealth University and McGuire VA Medical Center, Richmond, Virginia, USA.
Kalyani DaitaDivision of Gastroenterology, Hepatology and Nutritiony, George Mason University, Manassas, Virginia, USA.
Dae Joong KangDivision of Gastroenterology, Hepatology and Nutritiony, George Mason University, Manassas, Virginia, USA.
Melanie B WhiteDivision of Gastroenterology, Hepatology and Nutritiony, George Mason University, Manassas, Virginia, USA.
Ariel B UnserDivision of Gastroenterology, Hepatology and Nutritiony, George Mason University, Manassas, Virginia, USA.
Andrew FaganDivision of Gastroenterology, Hepatology and Nutritiony, George Mason University, Manassas, Virginia, USA.
Edith A GavisDivision of Gastroenterology, Hepatology and Nutritiony, George Mason University, Manassas, Virginia, USA.
Masoumeh SikaroodiMicrobiome Analysis Center, George Mason University, Manassas, Virginia, USA.
Swati DalmetMicrobiome Analysis Center, George Mason University, Manassas, Virginia, USA.
Douglas M HeumanDivision of Gastroenterology, Hepatology and Nutritiony, George Mason University, Manassas, Virginia, USA.
Patrick M GillevetMicrobiome Analysis Center, George Mason University, Manassas, Virginia, USA.
George Mason University · USVirginia Commonwealth University · USHunter Holmes McGuire VA Medical Center · US

Funding

Spectrum of Neuro-Cognitive Impairment in CirrhosisR01DK087913 · NIDDK · VIRGINIA COMMONWEALTH UNIVERSITY · PI BAJAJ, JASMOHAN S · 2011 to 2015
$2.0M
Hepatic Encephalopathy in Alcoholic Cirrhosis: A Systems Biology ApproachR01AA020203 · NIAAA · VIRGINIA COMMONWEALTH UNIVERSITY · PI BAJAJ, JASMOHAN S · 2010 to 2012
$1.0M
Fecal Microbiota Transplant in Veterans with CirrhosisI01CX001076 · VA · VA VETERANS ADMINISTRATION HOSPITAL · PI BAJAJ, JASMOHAN S · 2015 to 2024
–
CSRD VA I01 CX001076NIAAA NIH HHS R01 AA020203NIDDK NIH HHS R01 DK087913NIDDK NIH HHS R01DK089713
6 · The paper itself

Abstract

Diabetes (DM) is prevalent in cirrhosis and may modulate the risk of hospitalization through gut dysbiosis. We aimed to define the role of gut microbiota on 90-day hospitalizations and of concomitant DM on microbiota. Cirrhotic outpatients with/without DM underwent stool and sigmoid mucosal microbial analysis and were followed for 90 days. Microbial composition was compared between those with/without DM, and those who were hospitalized/not. Regression/ROC analyses for hospitalizations were performed using clinical and microbial features. 278 cirrhotics [39% hepatic encephalopathy (HE), 31%DM] underwent stool while 72 underwent mucosal analyses. Ultimately, 94 were hospitalized and they had higher MELD, proton pump inhibitor (PPI) use and HE without difference in DM. Stool/mucosal microbiota were significantly altered in those who were hospitalized (UNIFRAC p < = 1.0e-02). Specifically, lower stool Bacteroidaceae, Clostridiales XIV, Lachnospiraceae, Ruminococcacae and higher Enterococcaceae and Enterobacteriaceae were seen in hospitalized patients. Concomitant DM impacted microbiota UNIFRAC (stool, p = 0.003, mucosa, p = 0.04) with higher stool Bacteroidaceae and lower Ruminococcaeae. Stool Bacteroidaceaeae and Clostridiales XIV predicted 90-day hospitalizations independent of clinical predictors (MELD, HE, PPI). Stool and colonic mucosal microbiome are altered in cirrhotics who get hospitalized with independent prediction using stool Bacteroidaceae and Clostridiales XIV. Concomitant DM distinctly impacts gut microbiota without affecting hospitalizations.

Indexed as

Gastrointestinal MicrobiomeHospitalizationDemographyDiabetes Mellitus, Type 2FecesFemaleHumansIntestinal MucosaLiver CirrhosisLogistic ModelsMaleMiddle AgedPrincipal Component AnalysisTreatment Outcome

Identifiers

PMID26692421
PMCPMC4686976
OpenAlexW2404566241

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.