Evidence map›Paper›PMID 30488079›Full record

ArticleSingapore medical journal2019

Effects of proton pump inhibitor on the human gut microbiome profile in multi-ethnic groups in Singapore.

Seok Hwee Koo, Jing Deng, Daphne Shih Wen Ang, John Chen Hsiang, Lian Shien Lee, Shafiq Aazmi, Elsa Haniffah Mejia Mohamed, Hong Yang, Siew Yoon Yap, Lay Kek Teh and 3 more

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Singapore medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

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  15. PPI-Induced Changes in Plasma Metabolite Levels Influence Total Hip Bone Mineral Density in a UK Cohort.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2023
    Article
  16. Review
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  19. A pilot study to examine the association between human gut microbiota and the host's central obesity.JGH open : an open access journal of gastroenterology and hepatology · 2019
    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

13 authors at 3 institutions in 2 countries.

Seok Hwee KooClinical Trials and Research Unit, Changi General Hospital, Singapore.
Jing DengClinical Trials and Research Unit, Changi General Hospital, Singapore.
Daphne Shih Wen AngDepartment of Gastroenterology and Hepatology, Changi General Hospital, Singapore.
John Chen HsiangDepartment of Gastroenterology and Hepatology, Changi General Hospital, Singapore.
Lian Shien LeeIntegrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA, Selangor Campus, Selangor, Malaysia.
Shafiq AazmiIntegrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA, Selangor Campus, Selangor, Malaysia.
Elsa Haniffah Mejia MohamedDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Hong YangSchool of Applied Science, Temasek Polytechnic, Singapore.
Siew Yoon YapClinical Trials and Research Unit, Changi General Hospital, Singapore.
Lay Kek TehIntegrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA, Selangor Campus, Selangor, Malaysia.
Mohd Zaki SallehIntegrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA, Selangor Campus, Selangor, Malaysia.
Edmund Jon Deoon LeeClinical Trials and Research Unit, Changi General Hospital, Singapore.
Tiing Leong AngDepartment of Gastroenterology and Hepatology, Changi General Hospital, Singapore.
Changi General Hospital · SGNational University of Singapore · SGTemasek Polytechnic · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe objectives of this study were to examine the effects of ethnicity, gender and a proton pump inhibitor (PPI), omeprazole, on the human gut microbiome. PPIs are commonly used for the treatment of acid-related disorders. We hypothesised that PPI therapy might perturb microbial communities and alter the gut microbiome.

methodsHealthy subjects of Chinese (n = 12), Malay (n = 12) and Indian (n = 10) ancestry, aged 21-37 years, were enrolled. They provided a baseline stool sample (Day 1) and were then given a course of omeprazole at therapeutic dose (20 mg daily) for seven days. Stool samples were collected again on Day 7 and 14 (one week after stopping omeprazole). Microbial DNA was extracted from the stool samples, followed by polymerase chain reaction, library construction, 16S rRNA sequencing using Illumina MiSeq, and statistical and bioinformatics analyses.

resultsThe findings showed an increase in species richness (p = 0.018) after omeprazole consumption on Day 7, which reverted to baseline on Day 14. There were significant increases in the relative abundance of Streptococcus vestibularis (p = 0.0001) and Veillonella dispar (p = 0.0001) on Day 7, which diminished on Day 14. Faecalibacterium prausnitzii, Sutterella stercoricanis and Bacteroides denticanum were characteristic of Chinese, Malays and Indians, respectively. Lactobacillaceae and Bacteroides xylanisolvens were the signature taxa of male and female subjects, respectively.

conclusionThe study demonstrated alterations in the gut microbiome following omeprazole treatment. This may explain the underlying pathology of increased risk of Clostridium difficile infections associated with omeprazole therapy.

Indexed as

AdultBacillusChinaEthnicityFecesFemaleGastrointestinal MicrobiomeHumansIndiaMalaysiaMaleOmeprazoleProton Pump InhibitorsSingaporeYoung AdultOmeprazoleProton Pump Inhibitorsgastroesophageal reflux diseasegastrointestinal microbiomeomeprazole

Identifiers

PMID30488079
PMCPMC6875812
OpenAlexW2902886852

What OpenQuestion holds

Textmetadata
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.