Evidence map›Paper›PMID 30832381›Full record

ReviewMicroorganisms2019

Probiotics and Prebiotics for the Amelioration of Type 1 Diabetes: Present and Future Perspectives.

Sidharth Prasad Mishra, Shaohua Wang, Ravinder Nagpal, Brandi Miller, Ria Singh, Subhash Taraphder, Hariom Yadav

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Microorganisms, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05571865 (Preventing Diabetic Cardiomyopathy and Heart Failure by Ketone Bodies), which is not on this map. Cited by 61 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 4 pooled it
6.2field-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.

NCT05571865 nawithdrawnnot on this mapstarted 2025, after this paper: background citation

Preventing Diabetic Cardiomyopathy and Heart Failure by Ketone Bodies

TypeinterventionalSponsorUniversity of LouisvilleRan2025 to 2026Enrolled0ConditionsDiabetic Cardiomyopathies, Heart FailureArmsProbiotic
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 4 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Use of probiotics and similar in pediatric patients with Type 1 Diabetes Mellitus: a systematic review.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2024
    Pooled it
  5. Trial
  6. Adjuvant Probiotics ofFrontiers in endocrinology · 2022
    Trial
  7. Lack of effect ofBMJ open diabetes research & care · 2021
    Trial
  8. Article
  9. Review
  10. Age-Related Cognitive Decline and Dementia: Interface of Microbiome-Immune-Neuronal Interactions.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Effects of Free or ImmobilizedMicroorganisms · 2024
    Article
  17. Review
  18. Review
  19. The role of GABA in type 1 diabetes.Frontiers in endocrinology · 2024
    Review
  20. Review

1 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

7 authors at 2 institutions in 2 countries.

Sidharth Prasad MishraDepartment of Internal Medicine-Molecular Medicine, Centre for Diabetes, Obesity and Metabolism, Wake Forest School of Medicine, Winston-Salem, NC 27101, USA. spmishra@wakehealth.edu.
Shaohua WangDepartment of Internal Medicine-Molecular Medicine, Centre for Diabetes, Obesity and Metabolism, Wake Forest School of Medicine, Winston-Salem, NC 27101, USA. shaowang@wakehealth.edu.ORCID 0000-0002-8548-1602
Ravinder NagpalDepartment of Internal Medicine-Molecular Medicine, Centre for Diabetes, Obesity and Metabolism, Wake Forest School of Medicine, Winston-Salem, NC 27101, USA. rnagpal@wakehealth.edu.
Brandi MillerDepartment of Internal Medicine-Molecular Medicine, Centre for Diabetes, Obesity and Metabolism, Wake Forest School of Medicine, Winston-Salem, NC 27101, USA.
Ria SinghDepartment of Internal Medicine-Molecular Medicine, Centre for Diabetes, Obesity and Metabolism, Wake Forest School of Medicine, Winston-Salem, NC 27101, USA. ria.singh@gmail.com.
Subhash TaraphderDepartment of Animal Genetics and Breeding, West Bengal University of Animal and Fishery Science, Kolkata 700 037, India. subhash.taraphder@gmail.com.
Hariom YadavDepartment of Internal Medicine-Molecular Medicine, Centre for Diabetes, Obesity and Metabolism, Wake Forest School of Medicine, Winston-Salem, NC 27101, USA. hyadav@wakehealth.edu.ORCID 0000-0003-4504-1597
Wake Forest University · USWest Bengal University of Animal and Fishery Sciences · IN

Funding

Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Congressionally Directed Medical Research Programs PR170446National Institutes of Health UL1TR001420NCATS NIH HHS UL1 TR001420
6 · The paper itself

Abstract

Type 1-diabetes (T1D) is an autoimmune disease characterized by immune-mediated destruction of pancreatic beta (β)-cells. Genetic and environmental interactions play an important role in immune system malfunction by priming an aggressive adaptive immune response against β-cells. The microbes inhabiting the human intestine closely interact with the enteric mucosal immune system. Gut microbiota colonization and immune system maturation occur in parallel during early years of life; hence, perturbations in the gut microbiota can impair the functions of immune cells and vice-versa. Abnormal gut microbiota perturbations (dysbiosis) are often detected in T1D subjects, particularly those diagnosed as multiple-autoantibody-positive as a result of an aggressive and adverse immunoresponse. The pathogenesis of T1D involves activation of self-reactive T-cells, resulting in the destruction of β-cells by CD8⁺ T-lymphocytes. It is also becoming clear that gut microbes interact closely with T-cells. The amelioration of gut dysbiosis using specific probiotics and prebiotics has been found to be associated with decline in the autoimmune response (with diminished inflammation) and gut integrity (through increased expression of tight-junction proteins in the intestinal epithelium). This review discusses the potential interactions between gut microbiota and immune mechanisms that are involved in the progression of T1D and contemplates the potential effects and prospects of gut microbiota modulators, including probiotic and prebiotic interventions, in the amelioration of T1D pathology, in both human and animal models.

Indexed as

autoimmunediabetesdietfibergutmicrobiotamicrofloraprebioticsprobiotics

Identifiers

PMID30832381
PMCPMC6463158
OpenAlexW2919655320

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.