Evidence map›Paper›PMID 30308161›Full record

ArticleCell host & microbe2018

Compositional and Temporal Changes in the Gut Microbiome of Pediatric Ulcerative Colitis Patients Are Linked to Disease Course.

Melanie Schirmer, Lee Denson, Hera Vlamakis, Eric A Franzosa, Sonia Thomas, Nathan M Gotman, Paul Rufo, Susan S Baker, Cary Sauer, James Markowitz and 18 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell host & microbe, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 183 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
183citing papers in PubMed, 5 pooled it
8.4field-weighted citation impact, top 2% 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

183 citing papers in PubMed, 5 syntheses or guidelines pooled it, 298 citations in OpenAlex.

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  8. Immunoglobulin A protease fromGut microbes · 2026
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123 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

28 authors at 20 institutions in 2 countries.

Melanie SchirmerThe Broad Institute of MIT and Harvard, Infectious Disease and Microbiome, Cambridge, MA 02142, USA; Harvard T.H. Chan School of Public Health, Biostatistics Department, Boston, MA 02115, USA.
Lee DensonCincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Hera VlamakisThe Broad Institute of MIT and Harvard, Infectious Disease and Microbiome, Cambridge, MA 02142, USA; Center for Microbiome Informatics and Therapeutics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA; Department of Molecular Biology, Massachusetts General Hospital, Boston, MA 02114, USA.
Eric A FranzosaThe Broad Institute of MIT and Harvard, Infectious Disease and Microbiome, Cambridge, MA 02142, USA; Harvard T.H. Chan School of Public Health, Biostatistics Department, Boston, MA 02115, USA.
Sonia ThomasCollaborative Studies Coordinating Center, Department of Biostatistics, University of North Carolina, Chapel Hill, NC 27516, USA; RTI International, Biostatistics and Epidemiology Division, Research Triangle Park, NC 27709, USA.
Nathan M GotmanCollaborative Studies Coordinating Center, Department of Biostatistics, University of North Carolina, Chapel Hill, NC 27516, USA.
Paul RufoChildren's Hospital Boston, Boston, MA 02115, USA.
Susan S BakerWomen and Children's Hospital of Buffalo WCHOB, Buffalo, NY 14222, USA.
Cary SauerEmory Children's Center, Atlanta, GA 30322, USA.
James MarkowitzCohen Children's Medical Center, Pediatric Gastroenterology, New York, NY 11040, USA.
Marian PfefferkornRiley Children's Hospital Indiana University, School of Medicine, Section of Gastroenterology/Hepatology/Nutrition, Indianapolis, IN 46202, USA.
Maria Oliva-HemkerJohns Hopkins Children's Center, Department of Pediatrics, Baltimore, MD 21287, USA.
Joel RoshGoryeb Children's Hospital/Atlantic Health, Pediatric Gastroenterology, Morristown, NJ 07960, USA.
Anthony OtleyIWK Health Centre, Division of Gastroenterology and Nutrition, Halifax, NS B3K 6R8, Canada.
Brendan BoyleNationwide Children's Hospital, Pediatrics, Columbus, OH 43205, USA.
David MackChildren's Hospital of Eastern Ontario and University of Ottawa, Department of Pediatrics, Ottawa, ON K1H 8L1, Canada.
Robert BaldassanoChildren's Hospital of Philadelphia CHOP, Pediatric Gastroenterologist, Philadelphia, PA 19104, USA.
David KeljoUPMC Children's Hospital of Pittsburgh, Department of Pediatrics, Pittsburgh, PA 15224, USA.
Neal LeLeikoHasbro Children's Hospital, Pediatric Gastroenterology, Providence, RI 02903, USA.
Melvin HeymanUniversity of California at San Francisco, Pediatric Gastroenterology, San Francisco, CA 94158, USA.
Anne GriffithsSickkids Hospital, University of Toronto, Gastroenterology, Hepatology and Nutrition, Toronto, ON M5G 1X8, Canada.
Ashish S PatelUT Southwestern, Department of Pediatrics, Dallas, TX 75390, USA.
Joshua NoeMedical College of Wisconsin, Gastroenterology, Milwaukee, WI 53226, USA.
Subra KugathasanEmory Children's Center, Atlanta, GA 30322, USA.
Thomas WaltersSickkids Hospital, University of Toronto, Gastroenterology, Hepatology and Nutrition, Toronto, ON M5G 1X8, Canada.
Curtis HuttenhowerThe Broad Institute of MIT and Harvard, Infectious Disease and Microbiome, Cambridge, MA 02142, USA; Harvard T.H. Chan School of Public Health, Biostatistics Department, Boston, MA 02115, USA.
Jeffrey HyamsConnecticut Children's Medical Center, Division of Digestive Diseases, Hartford, CT 06106, USA.
Ramnik J XavierThe Broad Institute of MIT and Harvard, Infectious Disease and Microbiome, Cambridge, MA 02142, USA; Center for Computational and Integrative Biology, Massachusetts General Hospital, Boston, MA 02114, USA; Gastrointestinal Unit and Center for the Study of Inflammatory Bowel Disease, Massachusetts General Hospital, Boston, MA 02114, USA; Center for Microbiome Informatics and Therapeutics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA; Department of Molecular Biology, Massachusetts General Hospital, Boston, MA 02114, USA. Electronic address: xavier@molbio.mgh.harvard.edu.
Broad Institute · USChildren's Center · USUniversity of Toronto · CAChildren's Hospital of Philadelphia · USChildren's Hospital of Pittsburgh · USCincinnati Children's Hospital Medical Center · USCohen Children's Medical Center · USConnecticut Children's Medical Center · USGoryeb Children's Hospital · USIzaak Walton Killam Health Centre · CAJohns Hopkins University · USMedical College of Wisconsin · USNationwide Children's Hospital · USProvidence College · USRiley Hospital for Children · USRTI International · USSouthwestern Medical Center · USThe Coordinating Center · USUniversity of California, San Francisco · USUniversity of Ottawa · CA

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG · 1991 to 2026
$35.3M
Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 2007 to 2026
$24.4M
Predicting Response to Standardized Pediatric Colitis Therapy: PROTECT StudyU01DK095745 · NIDDK · CONNECTICUT CHILDREN'S MEDICAL CENTER · PI DENSON, LEE ARMISTEAD, HYAMS, JEFFREY SAMUEL · 2012 to 2016
$10.4M
Characterizing the gut microbial ecosystem for diagnosis and therapy in IBDU54DK102557 · NIDDK · BROAD INSTITUTE, INC. · PI HUTTENHOWER, CURTIS, XAVIER, RAMNIK J · 2014 to 2015
$7.7M
Identification and characterization of gut microbial bioactive molecules that determine predisposition to autoimmune disease and atopyR01AT009708 · NCCIH · HARVARD MEDICAL SCHOOL · PI CLARDY, JON, XAVIER, RAMNIK J · 2017 to 2021
$3.3M
NCCIH NIH HHS R01 AT009708NIDDK NIH HHS P30 DK043351NIDDK NIH HHS P30 DK078392NIDDK NIH HHS U01 DK095745NIDDK NIH HHS U54 DK102557
6 · The paper itself

Abstract

Evaluating progression risk and determining optimal therapy for ulcerative colitis (UC) is challenging as many patients exhibit incomplete responses to treatment. As part of the PROTECT (Predicting Response to Standardized Colitis Therapy) Study, we evaluated the role of the gut microbiome in disease course for 405 pediatric, new-onset, treatment-naive UC patients. Patients were monitored for 1 year upon treatment initiation, and microbial taxonomic composition was analyzed from fecal samples and rectal biopsies. Depletion of core gut microbes and expansion of bacteria typical of the oral cavity were associated with baseline disease severity. Remission and refractory disease were linked to species-specific temporal changes that may be implicative of therapy efficacy, and a pronounced increase in microbiome variability was observed prior to colectomy. Finally, microbial associations with disease-associated serological markers suggest host-microbial interactions in UC. These insights will help improve existing treatments and develop therapeutic approaches guiding optimal medical care.

Indexed as

Disease ProgressionAdolescentAdrenal Cortex HormonesAnti-Inflammatory Agents, Non-SteroidalChildChild, PreschoolCohort StudiesColectomyColitis, UlcerativeEubacterialesFecesFemaleGastrointestinal MicrobiomeHumansLeukocyte L1 Antigen ComplexLongitudinal StudiesAdrenal Cortex HormonesAnti-Inflammatory Agents, Non-SteroidalLeukocyte L1 Antigen ComplexMesalamine5ASAcolectomycorticosteroidsdisease coursegut microbiomehost-microbial interactionspediatric ulcerative colitisresponse to therapyserological markerstreatment-naive

Identifiers

PMID30308161
PMCPMC6277984
OpenAlexW2896775536

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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.