Evidence map›Paper›PMID 30521551›Full record

ArticlePloS one2018

Gut microbiota signatures in cystic fibrosis: Loss of host CFTR function drives the microbiota enterophenotype.

Pamela Vernocchi, Federica Del Chierico, Alessandra Russo, Fabio Majo, Martina Rossitto, Mariacristina Valerio, Luca Casadei, Antonietta La Storia, Francesca De Filippis, Cristiano Rizzo and 9 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 4 pooled it
8.6field-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

79 citing papers in PubMed, 4 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Prebiotics for people with cystic fibrosis.The Cochrane database of systematic reviews · 2023
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  4. Probiotics for people with cystic fibrosis.The Cochrane database of systematic reviews · 2020
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  14. The function of chloride channels in digestive system disease (Review).International journal of molecular medicine · 2025
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19 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

19 authors at 4 institutions in 1 country.

Pamela VernocchiUnit of Human Microbiome, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Federica Del ChiericoUnit of Human Microbiome, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Alessandra RussoUnit of Human Microbiome, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Fabio MajoCystic Fibrosis Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Martina RossittoDiagnostics of Cystic Fibrosis, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Mariacristina ValerioDepartment of Chemistry, Sapienza University of Rome, Rome, Italy.
Luca CasadeiDepartment of Chemistry, Sapienza University of Rome, Rome, Italy.
Antonietta La StoriaDepartment of Agricultural Sciences, Division of Microbiology, University of Naples Federico II, Portici, Napoli, Italy.
Francesca De FilippisDepartment of Agricultural Sciences, Division of Microbiology, University of Naples Federico II, Portici, Napoli, Italy.
Cristiano RizzoDivision of Metabolism, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Cesare ManettiDepartment of Environmental Biology; Sapienza University of Rome, Rome, Italy.
Paola PaciCNR-Institute for Systems Analysis and Computer Science (IASI), Rome, Italy.
Danilo ErcoliniDepartment of Agricultural Sciences, Division of Microbiology, University of Naples Federico II, Portici, Napoli, Italy.
Federico MariniDepartment of Chemistry, Sapienza University of Rome, Rome, Italy.
Ersilia Vita FiscarelliDiagnostics of Cystic Fibrosis, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Bruno DallapiccolaScientific Directorate, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Vincenzina LucidiCystic Fibrosis Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Alfredo MiccheliDepartment of Chemistry, Sapienza University of Rome, Rome, Italy.
Lorenza PutignaniUnit of Human Microbiome, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0003-0134-2830
Bambino Gesù Children's Hospital · ITSapienza University of Rome · ITUniversity of Naples Federico II · ITIstituto di Analisi dei Sistemi ed Informatica Antonio Ruberti · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCystic fibrosis (CF) is a disorder affecting the respiratory, digestive, reproductive systems and sweat glands. This lethal hereditary disease has known or suspected links to the dysbiosis gut microbiota. High-throughput meta-omics-based approaches may assist in unveiling this complex network of symbiosis modifications.

objectivesThe aim of this study was to provide a predictive and functional model of the gut microbiota enterophenotype of pediatric patients affected by CF under clinical stability.

methodsThirty-one fecal samples were collected from CF patients and healthy children (HC) (age range, 1-6 years) and analysed using targeted-metagenomics and metabolomics to characterize the ecology and metabolism of CF-linked gut microbiota. The multidimensional data were low fused and processed by chemometric classification analysis.

resultsThe fused metagenomics and metabolomics based gut microbiota profile was characterized by a high abundance of Propionibacterium, Staphylococcus and Clostridiaceae, including Clostridium difficile, and a low abundance of Eggerthella, Eubacterium, Ruminococcus, Dorea, Faecalibacterium prausnitzii, and Lachnospiraceae, associated with overexpression of 4-aminobutyrate (GABA), choline, ethanol, propylbutyrate, and pyridine and low levels of sarcosine, 4-methylphenol, uracil, glucose, acetate, phenol, benzaldehyde, and methylacetate. The CF gut microbiota pattern revealed an enterophenotype intrinsically linked to disease, regardless of age, and with dysbiosis uninduced by reduced pancreatic function and only partially related to oral antibiotic administration or lung colonization/infection.

conclusionsAll together, the results obtained suggest that the gut microbiota enterophenotypes of CF, together with endogenous and bacterial CF biomarkers, are direct expression of functional alterations at the intestinal level. Hence, it's possible to infer that CFTR impairment causes the gut ecosystem imbalance.This new understanding of CF host-gut microbiota interactions may be helpful to rationalize novel clinical interventions to improve the affected children's nutritional status and intestinal function.

Indexed as

Anti-Bacterial AgentsBacteriaChild, PreschoolCohort StudiesCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDysbiosisExocrine Pancreatic InsufficiencyFecesFemaleGastrointestinal MicrobiomeHost Microbial InteractionsHumansIntestinal MucosaMaleMetabolomicsAnti-Bacterial AgentsCFTR protein, humanCystic Fibrosis Transmembrane Conductance Regulator

Identifiers

PMID30521551
PMCPMC6283533
OpenAlexW2905475552

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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.