Evidence map›Paper›PMID 28462225›Full record

ArticleAnnals of translational medicine2017

The chicken or the egg dilemma: intestinal dysbiosis in multiple sclerosis.

Javier Ochoa-Repáraz, Krisztian Magori, Lloyd H Kasper

2 registry-linked trialsOpen access · hybridAbstract readEditorialComment
In one paragraph

Article in Annals of translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

NCT03594487 phase1terminatednot on this mapstarted 2018, after this paper: background citation

Fecal Microbiota Transplantation (FMT) of FMP30 in Relapsing-Remitting Multiple Sclerosis: A Phase 1b Clinical Trial to Evaluate Feasibility, Safety, Tolerability and Effects on Immune Function

TypeinterventionalSponsorJeffrey GelfandRan2018 to 2024Enrolled5ConditionsRelapsing Remitting Multiple SclerosisArmsFMP30 Donor Stool, Fecal Microbiota Transplantation (FMT) of FMP30 Donor Stool, Observational Control
NCT03975413 completednot on this mapstarted 2018, after this paper: background citation

Single-Arm, Non-Randomized, Time Series, Single-Subject Study: Fecal Microbiota Transplantation (FMT) in Multiple Sclerosis

TypeobservationalSponsorRush University Medical CenterRan2018 to 2020Enrolled1ConditionsMultiple Sclerosis, Relapsing-RemittingArmsFecal Microbiota Transplantation (FMT)
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Review
  3. Activity of BiocidinFrontiers in antibiotics · 2025
    Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. FecalMetabolites · 2022
    Article
  9. Review
  10. Review
  11. Oxidative/Nitroxidative Stress and Multiple Sclerosis.Journal of molecular neuroscience : MN · 2021
    Review
  12. Interactions between host genetics and gut microbiota determine susceptibility to CNS autoimmunity.Proceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  13. Review
  14. Review
  15. Neurology(R) neuroimmunology & neuroinflammation · 2020
    Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Javier Ochoa-RepárazDepartment of Biology, Eastern Washington University, Cheney, WA, USA.
Krisztian MagoriDepartment of Biology, Eastern Washington University, Cheney, WA, USA.
Lloyd H KasperDepartment of Microbiology and Immunology, Geisel School of Medicine at Dartmouth College, Hanover, NH, USA.
Eastern Washington University · USDartmouth College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent findings suggest that the intestinal microbiota of patients suffering from relapsing remitting multiple sclerosis (MS) shows changes on the relative abundances of archaeal and bacterial genera. Although the richness and overall structure of the microbiota may be similar compared to the intestinal microbiota of healthy controls, elevated and reduced frequencies suggest a dysbiotic microbiota in MS. Over the past decade experimental evidence obtained in murine models of the disease highlighted the important relevance of the microbiota in the regulation of the immune system and in the severity of the disease. More recent findings on peripheral immune cells derived from human MS patients support the initial observations that changes in the microbiota may affect immunological pathways that could exacerbate disease. However, important questions remain to be answered. For instance, it is unclear whether dysbiosis precedes disease or, if in the contrary, an autoimmune disease such as MS can lead to gut dysbiosis. In this brief discussion, we speculate about this later possibility based on findings observed in murine models of disease. Further human studies are needed to answer the dilemma and determine specific immunomodulatory pathways that could have an impact on the therapeutic approaches to treat MS.

Indexed as

dysbiosisintestineMicrobiotamultiple sclerosis (MS)

Identifiers

PMID28462225
PMCPMC5395488
OpenAlexW2601763257

What OpenQuestion holds

Textmetadata
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.