Evidence map›Paper›PMID 28646338›Full record

ArticleCancer chemotherapy and pharmacology2017

Chemotherapy-induced gastrointestinal toxicity is associated with changes in serum and urine metabolome and fecal microbiota in male Sprague-Dawley rats.

Richard A Forsgård, Vannina G Marrachelli, Katri Korpela, Rafael Frias, Maria Carmen Collado, Riitta Korpela, Daniel Monleon, Thomas Spillmann, Pia Österlund

Registry-linked trialOpen access · hybridAbstract readComparative Study
In one paragraph

Article in Cancer chemotherapy and pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06560879 (Effectiveness of Probiotics for the Prevention of Gastrointestinal Toxicity and Changes in Gut Microbiota in Children With Acute Lymphoblastic Leukemia), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.3field-weighted citation impact, top 5% 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.

NCT06560879 phase2enrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Effectiveness of Probiotics for the Prevention of Gastrointestinal Toxicity and Changes in Gut Microbiota in Children With Acute Lymphoblastic Leukemia

TypeinterventionalSponsorNational Institute of Pediatrics, MexicoRan2025 to 2026Enrolled120ConditionsProbiotics, Gastrointestinal Diseases, Precursor Cell Lymphoblastic Leukemia-LymphomaArmsLactobacillus casei, Lactobacillus rhamnosus, Bifidobacterium bifidum, Placebo
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 80 citations in OpenAlex.

  1. Article
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  4. Review
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  9. The Impact and Mechanism of Action of Peptostreptococcus anaerobius on Chemotherapy Resistance in Human Colorectal Cancer.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024
    Article
  10. Updated perspectives on the contribution of the microbiome to the pathogenesis of mucositis using the MASCC/ISOO framework.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Review
  11. Article
  12. Acta pharmaceutica Sinica. B · 2024
    Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Interaction between gut microbiota and tumour chemotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2022
    Review
  18. Article
  19. Article
  20. Article
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

9 authors at 4 institutions in 3 countries.

Richard A ForsgårdPharmacology, Faculty of Medicine, University of Helsinki, P.O. Box 63, 00014, Helsinki, Finland. richard.forsgard@helsinki.fi.ORCID http://orcid.org/0000-0002-1905-918X
Vannina G MarrachelliMetabolomics and Molecular Imaging Lab, Health Research Institute INCLIVA, Valencia, Spain.
Katri KorpelaImmunobiology Research Program, Department of Bacteriology and Immunology, University of Helsinki, Helsinki, Finland.
Rafael FriasCentral Animal Laboratory, University of Turku, Turku, Finland.
Maria Carmen ColladoInstitute of Agrochemistry and Food Technology, National Research Council (IATA-CSIC), Valencia, Spain.
Riitta KorpelaPharmacology, Faculty of Medicine, University of Helsinki, P.O. Box 63, 00014, Helsinki, Finland.
Daniel MonleonMetabolomics and Molecular Imaging Lab, Health Research Institute INCLIVA, Valencia, Spain.
Thomas SpillmannDepartment of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland.
Pia ÖsterlundDepartment of Oncology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
University of Helsinki · FIINCLIVA Health Research Institute · ESInstituto de Agroquímica y Tecnología de Alimentos · ESUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChemotherapy-induced gastrointestinal toxicity (CIGT) is a complex process that involves multiple pathophysiological mechanisms. We have previously shown that commonly used chemotherapeutics 5-fluorouracil, oxaliplatin, and irinotecan damage the intestinal mucosa and increase intestinal permeability to iohexol. We hypothesized that CIGT is associated with alterations in fecal microbiota and metabolome. Our aim was to characterize these changes and examine how they relate to the severity of CIGT.

methodsA total of 48 male Sprague-Dawley rats were injected intraperitoneally either with 5-fluorouracil (150 mg/kg), oxaliplatin (15 mg/kg), or irinotecan (200 mg/kg). Body weight change was measured daily after drug administration and the animals were euthanized after 72 h. Blood, urine, and fecal samples were collected at baseline and at the end of the experiment. The changes in the composition of fecal microbiota were analyzed with 16S rRNA gene sequencing. Metabolic changes in serum and urine metabolome were measured with 1 mm proton nuclear magnetic resonance (

resultsIrinotecan increased the relative abundance of Fusobacteria and Proteobacteria, while 5-FU and oxaliplatin caused only minor changes in the composition of fecal microbiota. All chemotherapeutics increased the levels of serum fatty acids and N(CH

conclusionsChemotherapeutic drugs, 5-fluorouracil, oxaliplatin, and irinotecan, induce several microbial and metabolic changes which may play a role in the pathophysiology of CIGT. The observed changes in intestinal permeability, fecal microbiota, and metabolome suggest the activation of inflammatory processes.

Indexed as

AnimalsAntineoplastic AgentsCamptothecinFecesFluorouracilGastrointestinal DiseasesInflammationIntestinal MucosaIrinotecanMagnetic Resonance SpectroscopyMaleMetabolomeMicrobiotaOrganoplatinum CompoundsOxaliplatinPermeabilityAntineoplastic AgentsCamptothecinFluorouracilIrinotecanOrganoplatinum CompoundsOxaliplatinRNA, Ribosomal, 16S5-FUChemotherapyIrinotecanMetabolomicsMicrobiotaOxaliplatin

Identifiers

PMID28646338
PMCPMC5532424
OpenAlexW2649908545

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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.