Evidence map›Paper›PMID 28049818›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2017

Impact of short-chain galactooligosaccharides on the gut microbiome of lactose-intolerant individuals.

M Andrea Azcarate-Peril, Andrew J Ritter, Dennis Savaiano, Andrea Monteagudo-Mera, Carlton Anderson, Scott T Magness, Todd R Klaenhammer

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 1 pooled it
20.5field-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

111 citing papers in PubMed, 1 synthesis or guideline pooled it, 230 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Effects ofNutrients · 2019
    Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. Observational
  16. Article
  17. Review
  18. Review
  19. Review
  20. Review

51 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

7 authors at 3 institutions in 1 country.

M Andrea Azcarate-PerilDepartment of Cell Biology and Physiology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514.
Andrew J RitterRitter Pharmaceuticals, Inc., Los Angeles, CA 90067.
Dennis SavaianoDepartment of Nutrition Science, Purdue University, West Lafayette, IN 47907.
Andrea Monteagudo-MeraDepartment of Cell Biology and Physiology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514.
Carlton AndersonAdvanced Analytics Core, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514.
Scott T MagnessDepartment of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514.
Todd R KlaenhammerDepartment of Food, Bioprocessing and Nutrition Sciences, North Carolina State University, Raleigh, NC 27695 klaenhammer@ncsu.edu.
University of North Carolina at Chapel Hill · USNorth Carolina State University · USPurdue University West Lafayette · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Temitope O. Keku · 1985 to 2026
$30.5M
NCI NIH HHS P30 CA016086NIDDK NIH HHS P30 DK034987
6 · The paper itself

Abstract

Directed modulation of the colonic bacteria to metabolize lactose effectively is a potentially useful approach to improve lactose digestion and tolerance. A randomized, double-blind, multisite placebo-controlled trial conducted in human subjects demonstrated that administration of a highly purified (>95%) short-chain galactooligosaccharide (GOS), designated "RP-G28," significantly improved clinical outcomes for lactose digestion and tolerance. In these individuals, stool samples were collected pretreatment (day 0), after GOS treatment (day 36), and 30 d after GOS feeding stopped and consumption of dairy products was encouraged (day 66). In this study, changes in the fecal microbiome were investigated using 16S rRNA amplicon pyrosequencing and high-throughput quantitative PCR. At day 36, bifidobacterial populations were increased in 27 of 30 of GOS subjects (90%), demonstrating a bifidogenic response in vivo. Relative abundance of lactose-fermenting Bifidobacterium, Faecalibacterium, and Lactobacillus were significantly increased in response to GOS. When dairy was introduced into the diet, lactose-fermenting Roseburia species increased from day 36 to day 66. The results indicated a definitive change in the fecal microbiome of lactose-intolerant individuals, increasing the abundance of lactose-metabolizing bacteria that were responsive to dietary adaptation to GOS. This change correlated with clinical outcomes of improved lactose tolerance.

Indexed as

AdultBifidobacteriumColonDouble-Blind MethodFaecalibacteriumFecesFemaleGastrointestinal MicrobiomeHumansLactobacillusLactoseMaleOligosaccharidesRNA, Ribosomal, 16SLactoseOligosaccharidesRNA, Ribosomal, 16SRP-G28GOSlactose intolerancemicrobiomeprebiotic

Identifiers

PMID28049818
PMCPMC5255593
OpenAlexW2563601998

What OpenQuestion holds

Textmetadata
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.