Evidence map›Paper›PMID 27412252›Full record

ArticleGenome medicine2016

Dysbiosis, inflammation, and response to treatment: a longitudinal study of pediatric subjects with newly diagnosed inflammatory bowel disease.

Kelly A Shaw, Madeline Bertha, Tatyana Hofmekler, Pankaj Chopra, Tommi Vatanen, Abhiram Srivatsa, Jarod Prince, Archana Kumar, Cary Sauer, Michael E Zwick and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Genome medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03994224 (A Prospective Longitudinal Study of Fecal Microbiome and Calprotectin to Predict Response to Biological Therapy in Patients With Crohn's Disease), which is not on this map. Cited by 181 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
181citing papers in PubMed, 4 pooled it
–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.

NCT03994224 terminatednot on this mapstarted 2019, after this paper: background citation

A Prospective Longitudinal Study of Fecal Microbiome and Calprotectin to Predict Response to Biological Therapy in Patients With Crohn's Disease

TypeobservationalSponsorChinese University of Hong KongRan2019 to 2022Enrolled13ConditionsCrohn Disease, Perianal Crohn Disease
3 · Its place in the literature

Who cites it

181 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  17. Mediators of inflammation · 2026
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121 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

15 authors.

Kelly A ShawGraduate Program in Genetics and Molecular Biology, Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, GA, 30322, USA.
Madeline BerthaDepartment of Pediatrics, Emory University School of Medicine & Children's Healthcare of Atlanta, 2015 Uppergate Drive, room 248, Atlanta, GA, 30322, USA.
Tatyana HofmeklerDepartment of Pediatrics, Emory University School of Medicine & Children's Healthcare of Atlanta, 2015 Uppergate Drive, room 248, Atlanta, GA, 30322, USA.
Pankaj ChopraDepartment of Pediatrics, Emory University School of Medicine & Children's Healthcare of Atlanta, 2015 Uppergate Drive, room 248, Atlanta, GA, 30322, USA.
Tommi VatanenBroad Institute of MIT and Harvard, Cambridge, MA, 02142, USA.
Abhiram SrivatsaDepartment of Pediatrics, Emory University School of Medicine & Children's Healthcare of Atlanta, 2015 Uppergate Drive, room 248, Atlanta, GA, 30322, USA.
Jarod PrinceDepartment of Pediatrics, Emory University School of Medicine & Children's Healthcare of Atlanta, 2015 Uppergate Drive, room 248, Atlanta, GA, 30322, USA.
Archana KumarDepartment of Pediatrics, Emory University School of Medicine & Children's Healthcare of Atlanta, 2015 Uppergate Drive, room 248, Atlanta, GA, 30322, USA.
Cary SauerDepartment of Pediatrics, Emory University School of Medicine & Children's Healthcare of Atlanta, 2015 Uppergate Drive, room 248, Atlanta, GA, 30322, USA.
Michael E ZwickDepartment of Human Genetics, Emory University, Atlanta, GA, 30322, USA.
Glen A SattenCenters for Disease Control and Prevention, Atlanta, GA, 30341, USA.
Aleksandar D KosticBroad Institute of MIT and Harvard, Cambridge, MA, 02142, USA.
Jennifer G MulleDepartment of Human Genetics, Emory University, Atlanta, GA, 30322, USA.
Ramnik J XavierBroad Institute of MIT and Harvard, Cambridge, MA, 02142, USA.
Subra KugathasanDepartment of Pediatrics, Emory University School of Medicine & Children's Healthcare of Atlanta, 2015 Uppergate Drive, room 248, Atlanta, GA, 30322, USA. skugath@emory.edu.ORCID 0000-0002-8686-4189

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Ramnik J Xavier · 1991 to 2026
$35.3M
Gene discoveries in subjects with Crohn's disease of African descentR01DK087694 · NIDDK · EMORY UNIVERSITY · PI KUGATHASAN, SUBRA · 2011 to 2023
$10.3M
PREDOCTORAL TRAINING PROGRAM IN GENETICST32GM008490 · NIGMS · EMORY UNIVERSITY · PI BOSS, JEREMY M. · 1993 to 2022
$8.0M
Causes and consequences of neutrophil dysfunction in early onset Crohn's diseaseR01DK098231 · NIDDK · EMORY UNIVERSITY · PI DENSON, LEE ARMISTEAD, KUGATHASAN, SUBRA · 2013 to 2017
$3.3M
Causes and consequences of neutrophil dysfunction in early onset Crohn's diseaseR56DK098231 · NIDDK · EMORY UNIVERSITY · PI DENSON, LEE ARMISTEAD, KUGATHASAN, SUBRA · 2019 to 2019
$171k
The gut microbiome, host genetics, and risk for inflammatory bowel diseaseF31DK107229 · NIDDK · EMORY UNIVERSITY · PI SHAW, KELLY ANN · 2015 to 2016
$80k
NIDDK NIH HHS F31 DK107229NIDDK NIH HHS P30 DK043351NIDDK NIH HHS R01 DK087694NIDDK NIH HHS R01 DK098231NIDDK NIH HHS R56 DK098231NIGMS NIH HHS T32 GM008490
6 · The paper itself

Abstract

backgroundGut microbiome dysbiosis has been demonstrated in subjects with newly diagnosed and chronic inflammatory bowel disease (IBD). In this study we sought to explore longitudinal changes in dysbiosis and ascertain associations between dysbiosis and markers of disease activity and treatment outcome.

methodsWe performed a prospective cohort study of 19 treatment-naïve pediatric IBD subjects and 10 healthy controls, measuring fecal calprotectin and assessing the gut microbiome via repeated stool samples. Associations between clinical characteristics and the microbiome were tested using generalized estimating equations. Random forest classification was used to predict ultimate treatment response (presence of mucosal healing at follow-up colonoscopy) or non-response using patients' pretreatment samples.

resultsPatients with Crohn's disease had increased markers of inflammation and dysbiosis compared to controls. Patients with ulcerative colitis had even higher inflammation and dysbiosis compared to those with Crohn's disease. For all cases, the gut microbial dysbiosis index associated significantly with clinical and biological measures of disease severity, but did not associate with treatment response. We found differences in specific gut microbiome genera between cases/controls and responders/non-responders including Akkermansia, Coprococcus, Fusobacterium, Veillonella, Faecalibacterium, and Adlercreutzia. Using pretreatment microbiome data in a weighted random forest classifier, we were able to obtain 76.5 % accuracy for prediction of responder status.

conclusionsPatient dysbiosis improved over time but persisted even among those who responded to treatment and achieved mucosal healing. Although dysbiosis index was not significantly different between responders and non-responders, we found specific genus-level differences. We found that pretreatment microbiome signatures are a promising avenue for prediction of remission and response to treatment.

Indexed as

AdolescentBacteriaBiomarkersCase-Control StudiesChildChild, PreschoolColitis, UlcerativeCrohn DiseaseDysbiosisFecesFemaleGastrointestinal MicrobiomeGastrointestinal TractHumansImmunologic FactorsInflammationBiomarkersImmunologic FactorsLeukocyte L1 Antigen ComplexCrohn’s diseaseDysbiosisInflammatory bowel diseaseMicrobiome

Identifiers

PMID27412252
PMCPMC4944441

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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.