Evidence map›Paper›PMID 28506317›Full record

ArticleMicrobiome2017

Changes in microbial ecology after fecal microbiota transplantation for recurrent C. difficile infection affected by underlying inflammatory bowel disease.

Sahil Khanna, Yoshiki Vazquez-Baeza, Antonio González, Sophie Weiss, Bradley Schmidt, David A Muñiz-Pedrogo, John F Rainey, Patricia Kammer, Heidi Nelson, Michael Sadowsky and 5 more

Open access · goldAbstract read
In one paragraph

Article in Microbiome, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 3 pooled it
9.9field-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

88 citing papers in PubMed, 3 syntheses or guidelines pooled it, 174 citations in OpenAlex.

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  20. Impact of fecal microbiota transplantation in dogs.Frontiers in veterinary science · 2025
    Article

28 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 at 5 institutions in 1 country.

Sahil KhannaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, 55905, USA.
Yoshiki Vazquez-BaezaDepartment of Computer Science and Engineering, University of California, San Diego, La Jolla, CA, USA.
Antonio GonzálezDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, USA.
Sophie WeissDepartment of Chemical and Biological Engineering, University of Colorado, Boulder, CO, USA.
Bradley SchmidtDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, 55905, USA.
David A Muñiz-PedrogoDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, 55905, USA.
John F RaineyDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, 55905, USA.
Patricia KammerDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, 55905, USA.
Heidi NelsonDivision of Colorectal Surgery, Mayo Clinic, Rochester, MN, USA.
Michael SadowskyBioTechnology Institute, University of Minnesota, Minneapolis, MN, USA.
Alexander KhorutsDivision of Gastroenterology, University of Minnesota, Minneapolis, MN, USA.
Stefan L FarrugiaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, 55905, USA.
Rob KnightDepartment of Computer Science and Engineering, University of California, San Diego, La Jolla, CA, USA.
Darrell S PardiDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, 55905, USA. pardi.darrell@mayo.edu.
Purna C KashyapDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, 55905, USA. kashyap.purna@mayo.edu.
Mayo Clinic in Arizona · USUniversity of California, San Diego · USBiotechnology Institute · USUniversity of Colorado Boulder · USUniversity of Minnesota · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
PILOT AND FEASIBILTY PROGRAMP30DK084567 · NIDDK · MAYO CLINIC ROCHESTER · PI GREGORY J. GORES · 2009 to 2026
$22.2M
MECHANISMS OF ALTERATION OF GASTROINTESTINAL MOTILITY BY GUT MICROBIOTAK08DK100638 · NIDDK · MAYO CLINIC ROCHESTER · PI KASHYAP, PURNA C · 2014 to 2017
$610k
Mechanisms of alteration of gastrointestinal physiology by gut microbesR03DK111850 · NIDDK · MAYO CLINIC ROCHESTER · PI KASHYAP, PURNA C · 2017 to 2018
$159k
NCATS NIH HHS UL1 TR000135NIDDK NIH HHS K08 DK100638NIDDK NIH HHS P30 DK084567NIDDK NIH HHS R03 DK111850
6 · The paper itself

Abstract

backgroundGut microbiota play a key role in maintaining homeostasis in the human gut. Alterations in the gut microbial ecosystem predispose to Clostridium difficile infection (CDI) and gut inflammatory disorders such as inflammatory bowel disease (IBD). Fecal microbiota transplantation (FMT) from a healthy donor can restore gut microbial diversity and pathogen colonization resistance; consequently, it is now being investigated for its ability to improve inflammatory gut conditions such as IBD. In this study, we investigated changes in gut microbiota following FMT in 38 patients with CDI with or without underlying IBD.

resultsThere was a significant change in gut microbial composition towards the donor microbiota and an overall increase in microbial diversity consistent with previous studies after FMT. FMT was successful in treating CDI using a diverse set of donors, and varying degrees of donor stool engraftment suggesting that donor type and degree of engraftment are not drivers of a successful FMT treatment of CDI. However, patients with underlying IBD experienced an increased number of CDI relapses (during a 24-month follow-up) and a decreased growth of new taxa, as compared to the subjects without IBD. Moreover, the need for IBD therapy did not change following FMT. These results underscore the importance of the existing gut microbial landscape as a decisive factor to successfully treat CDI and potentially for improvement of the underlying pathophysiology in IBD.

conclusionsFMT leads to a significant change in microbial diversity in patients with recurrent CDI and complete resolution of symptoms. Stool donor type (related or unrelated) and degree of engraftment are not the key for successful treatment of CDI by FMT. However, CDI patients with IBD have higher proportion of the original community after FMT and lack of improvement of their IBD symptoms and increased episodes of CDI on long-term follow-up.

Indexed as

AdultAgedAged, 80 and overBacteriaClostridioides difficileClostridium InfectionsFecal Microbiota TransplantationFecesFemaleGastrointestinal MicrobiomeHumansInflammatory Bowel DiseasesMaleMiddle AgedSequence Analysis, DNAYoung AdultClostridium difficile infectionFecal microbiota transplantationInflammatory bowel diseaseMicrobiome

Identifiers

PMID28506317
PMCPMC5433077
OpenAlexW2615690051

What OpenQuestion holds

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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.