Evidence map›Paper›PMID 30645630›Full record

ArticlePloS one2019

Oral Candida administration in a Clostridium difficile mouse model worsens disease severity but is attenuated by Bifidobacterium.

Wimonrat Panpetch, Naraporn Somboonna, Matanee Palasuk, Pratsanee Hiengrach, Malcolm Finkelman, Somying Tumwasorn, Asada Leelahavanichkul

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
6.8field-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

47 citing papers in PubMed, 65 citations in OpenAlex.

  1. Trial
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  5. Clinical microbiology reviews · 2024
    Review
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  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Frontiers in immunology · 2023
    Article
  14. Regulatory effects of oral microbe on intestinal microbiota and the illness.Frontiers in cellular and infection microbiology · 2023
    Review
  15. International journal of molecular sciences · 2022
    Article
  16. Article
  17. International journal of molecular sciences · 2022
    Article
  18. Article
  19. Article
  20. Uremia-Induced Gut Barrier Defect in 5/6 Nephrectomized Mice Is Worsened byInternational journal of molecular sciences · 2022
    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

7 authors at 2 institutions in 2 countries.

Wimonrat PanpetchDepartment of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Naraporn SomboonnaDepartment of Microbiology, Faculty of Science, Chulalongkorn University, Bangkok, Thailand.
Matanee PalasukDepartment of Microbiology, Faculty of Science, Chulalongkorn University, Bangkok, Thailand.
Pratsanee HiengrachDepartment of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Malcolm FinkelmanAssociates of Cape Cod, Inc., East Falmouth, MA, USA.
Somying TumwasornDepartment of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Asada LeelahavanichkulDepartment of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.ORCID 0000-0002-5566-6403
Chulalongkorn University · THCape Cod Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gut fungi may influence the course of Clostridium difficile infection either positively or negatively for the host. Fungi are not prominent in the mouse gut, and C. albicans, the major human gastrointestinal commensal yeast, is in low abundance or absent in mice. Bifidobacterium is one of the probiotics that may attenuate the severity of C. difficile infection. Inflammatory synergy between C. albicans and C. difficile, in gut, may provide a state that more closely resembles human infection and be more suitable for testing probiotic effects. We performed fecal mycobiota analysis and administered C. albicans at 1 day prior to C. difficile dosing. Fecal eukaryotic 18S rDNA analysis demonstrated the presence of Ascomycota, specifically, Candida spp., after oral antibiotics, despite negative fecal fungal culture. C. albicans administration enhanced the severity of the C. difficile infection model as determined by mortality rate, weight loss, gut leakage (FITC-dextran assay), and serum and intestinal tissue cytokines. This occurred without increased fecal C. difficile or bacteremia, in comparison with C. difficile gavage alone. Candida lysate with C. difficile increased IL-8 production from HT-29 and Caco-2 human intestinal epithelial cell-lines. Bifidobacterium attenuated the disease severity of the C. difficile plus Candida model. The reduced severity was associated with decreased Candida burdens in feces. In conclusion, gut C. albicans worsened C. difficile infection, possibly through exacerbation of inflammation. Hence, a mouse model of Clostridium difficile infection with C. albicans present in the gut may better model the human patient condition. Gut fungal mycobiome investigation in patients with C. difficile is warranted and may suggest therapeutic targets.

Indexed as

Administration, OralAnimalsBifidobacteriumCaco-2 CellsCandida albicansClostridium InfectionsDisease Models, AnimalGastrointestinal MicrobiomeHT29 CellsHumansInterleukin-8Intestinal MucosaMaleMiceMice, Inbred C57BLMycobiomeCXCL8 protein, humanInterleukin-8

Identifiers

PMID30645630
PMCPMC6333342
OpenAlexW2909798293

What OpenQuestion holds

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LicenceCC BY
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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.