Evidence map›Paper›PMID 30205543›Full record

ReviewNutrients2018

The Gut-Brain Axis in Alzheimer's Disease and Omega-3. A Critical Overview of Clinical Trials.

Francesca La Rosa, Mario Clerici, Daniela Ratto, Alessandra Occhinegro, Anna Licito, Marcello Romeo, Carmine Di Iorio, Paola Rossi

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.

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  7. The gut microbiome connects nutrition and human health.Nature reviews. Gastroenterology & hepatology · 2025
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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

8 authors at 4 institutions in 1 country.

Francesca La RosaIRCCS Fondazione Don Carlo Gnocchi, 20100 Milan, Italy. larosa.francy@gmail.com.ORCID 0000-0003-3181-9505
Mario ClericiIRCCS Fondazione Don Carlo Gnocchi, 20100 Milan, Italy. mario.clerici@unimi.it.
Daniela RattoDepartment of Biology and Biotechnology, University of Pavia, 27100 Pavia, Italy. daniela.ratto@gmail.com.
Alessandra OcchinegroDepartment of Biology and Biotechnology, University of Pavia, 27100 Pavia, Italy. alessandraocchinegro@hotmail.it.
Anna LicitoIstituto per lo Studio e la Cura del Diabete [ISCD], Casagiove, 81022 Caserta, Italy. arianna.licito@hotmail.it.
Marcello RomeoDepartment of Biology and Biotechnology, University of Pavia, 27100 Pavia, Italy. drmarcelloromeo@gmail.com.
Carmine Di IorioDepartment of Biology and Biotechnology, University of Pavia, 27100 Pavia, Italy. carminediiorio01@universitadipavia.it.
Paola RossiDepartment of Biology and Biotechnology, University of Pavia, 27100 Pavia, Italy. paola.rossi@unipv.it.
University of Pavia · ITDon Carlo Gnocchi Foundation · ITIstituto per lo Studio e la Prevenzione Oncologica · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite intensive study, neurodegenerative diseases remain insufficiently understood, precluding rational design of therapeutic interventions that can reverse or even arrest the progressive loss of neurological function. In the last decade, several theories investigating the causes of neurodegenerative diseases have been formulated and a condition or risk factor that can contribute is described by the gut-brain axis hypothesis: stress, unbalanced diet, and drugs impact altering microbiota composition which contributes to dysbiosis. An altered gut microbiota may lead to a dysbiotic condition and to a subsequent increase in intestinal permeability, causing the so-called leaky-gut syndrome. Herein, in this review we report recent findings in clinical trials on the risk factor of the gut-brain axis in Alzheimer's disease and on the effect of omega-3 supplementation, in shifting gut microbiota balance towards an eubiosis status. Despite this promising effect, evidences reported in selected randomized clinical trials on the effect of omega-3 fatty acid on cognitive decline in Alzheimer's disease are few. Only Mild Cognitive Impairment, a prodromal state that could precede the progress to Alzheimer's disease could be affected by omega-3 FA supplementation. We report some of the critical issues which emerged from these studies. Randomized controlled trials in well-selected AD patients considering the critical points underlined in this review are warranted.

Indexed as

CognitionDietary SupplementsGastrointestinal MicrobiomeAlzheimer DiseaseAnimalsBrainClinical Trials as TopicDysbiosisFatty Acids, Omega-3Gastrointestinal TractHost-Pathogen InteractionsHumansProtective FactorsRisk FactorsFatty Acids, Omega-3Alzheimer’s diseasecognitive impairmentmicrobiotaneurodegenerationneuroinflammationomega-3

Identifiers

PMID30205543
PMCPMC6164598
OpenAlexW2889932986

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.