Evidence map›Paper›PMID 30988420›Full record

ArticleScientific reports2019

Dysbiosis patterns during re-induction/salvage versus induction chemotherapy for acute leukemia.

Armin Rashidi, Thomas Kaiser, Robin Shields-Cutler, Carolyn Graiziger, Shernan G Holtan, Tauseef Ur Rehman, Justin Wasko, Daniel J Weisdorf, Gary Dunny, Alexander Khoruts and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

37 citing papers in PubMed, 53 citations in OpenAlex.

  1. Trial
  2. Review
  3. Immune interplay between sepsis and haematological malignancies.Intensive care medicine experimental · 2026
    Review
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  15. Interaction of the Gut Microbiome With Cancer Treatment.Journal of the advanced practitioner in oncology · 2024
    Review
  16. Article
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  18. Article
  19. Article
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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

11 authors at 3 institutions in 1 country.

Armin RashidiDivision of Hematology, Oncology, and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, MN, USA. arashidi@umn.edu.
Thomas KaiserDepartment of Surgery, University of Minnesota, Minneapolis, MN, USA.
Robin Shields-CutlerDepartment of Biology, Macalester College, St. Paul, Minnesota, USA.
Carolyn GraizigerDivision of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Shernan G HoltanDivision of Hematology, Oncology, and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Tauseef Ur RehmanDivision of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Justin WaskoDepartment of Pharmacy, University of Minnesota Medical Center, Minneapolis, MN, USA.
Daniel J WeisdorfDivision of Hematology, Oncology, and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Gary DunnyDepartment of Microbiology and Immunology, University of Minnesota, Minneapolis, MN, USA.
Alexander KhorutsBioTechnology Institute, University of Minnesota, St. Paul, MN, USA.ORCID http://orcid.org/0000-0002-3205-3188
Christopher StaleyDepartment of Surgery, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0002-2309-0083
University of Minnesota · USMacalester College · USUniversity of Minnesota Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute leukemia (AL) patients undergoing intensive induction chemotherapy develop severe gut dysbiosis, placing them at heightened risk for infectious complications. Some AL patients will undergo "repeat therapy" (re-induction or salvage) due to persistent or relapsed disease. We hypothesized that prior injury to the microbiome during induction may influence dysbiosis patterns during repeat therapy. To test this hypothesis, we analyzed the bacterial microbiome profiles of thrice-weekly stool samples from 20 intensively treated AL patients (first induction: 13, repeat therapy: 7) by 16S rRNA sequencing. In mixed-effects modeling, repeat therapy was a significant predictor of Enterococcus expansion (P = 0.006), independently of antibiotic exposure, disease type, feeding mode, and week of chemotherapy. Bayesian analysis of longitudinal data demonstrated larger departures of microbial communities from the pre-chemotherapy baseline during repeat therapy compared to induction. This increased ecosystem instability during repeat therapy possibly impairs colonization resistance and increases vulnerability to Enterococcus outgrowth. Microbiota restoration therapies at the end of induction or before starting subsequent therapy warrant investigation.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsDNA, BacterialDysbiosisEnterococcusFecesFemaleGastrointestinal MicrobiomeHumansInduction ChemotherapyLeukemia, Myeloid, AcuteLongitudinal StudiesMaleMiddle AgedRNA, Ribosomal, 16SDNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID30988420
PMCPMC6465677
OpenAlexW2938382341

What OpenQuestion holds

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LicenceCC BY
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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.