Evidence map›Paper›PMID 31005411›Full record

ArticleThe Journal of molecular diagnostics : JMD2019

Leveraging Human Microbiome Features to Diagnose and Stratify Children with Irritable Bowel Syndrome.

Emily B Hollister, Numan Oezguen, Bruno P Chumpitazi, Ruth Ann Luna, Erica M Weidler, Michelle Rubio-Gonzales, Mahmoud Dahdouli, Julia L Cope, Toni-Ann Mistretta, Sabeen Raza and 8 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The Journal of molecular diagnostics : JMD, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04315714 (Impact of a Yoga Intervention on Chronic Abdominal Pain, and Associations With the Metagenome and Metabolome in Participants With IBS), which is not on this map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT04315714 nacompletednot on this mapstarted 2021, after this paper: background citation

Impact of a Yoga Intervention on Chronic Abdominal Pain, and Associations With the Metagenome and Metabolome in Participants With IBS

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2021 to 2021Enrolled17ConditionsIrritable Bowel Syndrome, Abdominal PainArmsYoga Program
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 85 citations in OpenAlex.

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  7. A Perspective on Artificial Intelligence for Molecular Pathologists.The Journal of molecular diagnostics : JMD · 2025
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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

18 authors at 2 institutions in 1 country.

Emily B HollisterDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas; Texas Children's Microbiome Center, Texas Children's Hospital, Houston, Texas; Diversigen, Inc., Houston, Texas; Department of Pathology, Texas Children's Hospital, Houston, Texas.
Numan OezguenDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas; Texas Children's Microbiome Center, Texas Children's Hospital, Houston, Texas; Department of Pathology, Texas Children's Hospital, Houston, Texas.
Bruno P ChumpitaziDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas; Section of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Texas Children's Hospital, Houston, Texas.
Ruth Ann LunaDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas; Texas Children's Microbiome Center, Texas Children's Hospital, Houston, Texas; Department of Pathology, Texas Children's Hospital, Houston, Texas.
Erica M WeidlerDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas; Section of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Texas Children's Hospital, Houston, Texas; Children's Nutrition Research Center, Houston, Texas.
Michelle Rubio-GonzalesDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas; Texas Children's Microbiome Center, Texas Children's Hospital, Houston, Texas; Department of Pathology, Texas Children's Hospital, Houston, Texas.
Mahmoud DahdouliDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas; Texas Children's Microbiome Center, Texas Children's Hospital, Houston, Texas; Department of Pathology, Texas Children's Hospital, Houston, Texas.
Julia L CopeDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas; Texas Children's Microbiome Center, Texas Children's Hospital, Houston, Texas; Department of Pathology, Texas Children's Hospital, Houston, Texas.
Toni-Ann MistrettaDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas; Texas Children's Microbiome Center, Texas Children's Hospital, Houston, Texas; Department of Pathology, Texas Children's Hospital, Houston, Texas.
Sabeen RazaDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas; Texas Children's Microbiome Center, Texas Children's Hospital, Houston, Texas; Department of Pathology, Texas Children's Hospital, Houston, Texas.
Ginger A MetcalfHuman Genome Sequencing Center, Baylor College of Medicine, Houston, Texas.
Donna M MuznyHuman Genome Sequencing Center, Baylor College of Medicine, Houston, Texas.
Richard A GibbsHuman Genome Sequencing Center, Baylor College of Medicine, Houston, Texas.
Joseph F PetrosinoDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, Texas; Alkek Center for Metagenomics and Microbiome Research, Baylor College of Medicine, Houston, Texas.
Margaret HeitkemperDepartment of Biobehavioral Nursing and Health Informatics, University of Washington, Seattle, Washington.
Tor C SavidgeDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas; Texas Children's Microbiome Center, Texas Children's Hospital, Houston, Texas; Department of Pathology, Texas Children's Hospital, Houston, Texas.
Robert J ShulmanDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas; Section of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Texas Children's Hospital, Houston, Texas; Children's Nutrition Research Center, Houston, Texas.
James VersalovicDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas; Texas Children's Microbiome Center, Texas Children's Hospital, Houston, Texas; Department of Pathology, Texas Children's Hospital, Houston, Texas; Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, Texas. Electronic address: jamesv@bcm.edu.
Baylor College of Medicine · USUniversity of Washington · US

Funding

Tissue Analysis & Molecular Imaging CoreP30DK056338 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI Geoffrey A Preidis · 2001 to 2026
$28.3M
Decoding Antibiotic-induced Susceptibility to Clostridium difficile InfectionU01AI124290 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI BRITTON, ROBERT A, GAREY, KEVIN W · 2016 to 2020
$7.9M
PATHWAYS TO NEW BIOMARKERS IN RECURRENT ABDOMINAL PAIN IN CHILDRENR01NR013497 · NINR · BAYLOR COLLEGE OF MEDICINE · PI SAVIDGE, TOR C. · 2012 to 2024
$4.7M
Recurrent Abdominal Pain in ChildrenR01NR005337 · NINR · BAYLOR COLLEGE OF MEDICINE · PI SHULMAN, ROBERT J · 2002 to 2012
$4.3M
The Human Microbiome in Pediatric Abdominal Pain and Intestinal InflammationUH3DK083990 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI VERSALOVIC, JAMES · 2010 to 2012
$3.3M
Gut L-Histidine Metabolism and Histamine Signaling in Colonic NeoplasiaU01CA170930 · NCI · BAYLOR COLLEGE OF MEDICINE · PI VERSALOVIC, JAMES · 2013 to 2017
$2.8M
Abdominal Symptom Phenotypes: Pathways to New BiomarkersRC2NR011959 · NINR · UNIVERSITY OF WASHINGTON · PI HEITKEMPER, MARGARET MCLEAN, SHULMAN, ROBERT J · 2009 to 2010
$1.9M
A Microbial Genome Reference Platform for MetagenomicsU54HG004973 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI GIBBS, RICHARD A, HIGHLANDER, SARAH KATHERINE · 2009 to 2010
$1.8M
Modulation of NF-kB Signaling by ImmunoprobioticsR01AT004326 · NCCIH · BAYLOR COLLEGE OF MEDICINE · PI VERSALOVIC, JAMES · 2008 to 2011
$1.8M
Intestinal Microbiome Fructan Metabolism and Symptom Generation in Childhood IBSK23DK101688 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI CHUMPITAZI, BRUNO PEDRO · 2014 to 2018
$879k
Metabolome-Based Biomarkers and Neutraceuticals in Clostridium Difficile InfectionR21DK096323 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI SAVIDGE, TOR C. · 2014 to 2015
$433k
Nonbacterial Gut Microbiome and Fructan Symptom Generation in Childhood IBSR03DK117219 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI CHUMPITAZI, BRUNO PEDRO · 2018 to 2019
$238k
NCCIH NIH HHS R01 AT004326NCI NIH HHS U01 CA170930NHGRI NIH HHS U54 HG004973NIAID NIH HHS U01 AI124290NIDDK NIH HHS K23 DK101688NIDDK NIH HHS P30 DK056338NIDDK NIH HHS R03 DK117219NIDDK NIH HHS R21 DK096323NIDDK NIH HHS UH3 DK083990NINR NIH HHS R01 NR005337NINR NIH HHS R01 NR013497NINR NIH HHS RC2 NR011959
6 · The paper itself

Abstract

Accurate diagnosis and stratification of children with irritable bowel syndrome (IBS) remain challenging. Given the central role of recurrent abdominal pain in IBS, we evaluated the relationships of pediatric IBS and abdominal pain with intestinal microbes and fecal metabolites using a comprehensive clinical characterization and multiomics strategy. Using rigorous clinical phenotyping, we identified preadolescent children (aged 7 to 12 years) with Rome III IBS (n = 23) and healthy controls (n = 22) and characterized their fecal microbial communities using whole-genome shotgun metagenomics and global unbiased fecal metabolomic profiling. Correlation-based approaches and machine learning algorithms identified associations between microbes, metabolites, and abdominal pain. IBS cases differed from controls with respect to key bacterial taxa (eg, Flavonifractor plautii and Lachnospiraceae bacterium 7_1_58FAA), metagenomic functions (eg, carbohydrate metabolism and amino acid metabolism), and higher-order metabolites (eg, secondary bile acids, sterols, and steroid-like compounds). Significant associations between abdominal pain frequency and severity and intestinal microbial features were identified. A random forest classifier built on metagenomic and metabolic markers successfully distinguished IBS cases from controls (area under the curve, 0.93). Leveraging multiple lines of evidence, intestinal microbes, genes/pathways, and metabolites were associated with IBS, and these features were capable of distinguishing children with IBS from healthy children. These multi-omics features, and their links to childhood IBS coupled with nutritional interventions, may lead to new microbiome-guided diagnostic and therapeutic strategies.

Indexed as

MicrobiotaAbdominal PainBacteriaCase-Control StudiesChildFecesFemaleGastrointestinal TractGenomicsHumansIrritable Bowel SyndromeMaleMetabolomeMultivariate AnalysisPrincipal Component AnalysisStatistics, Nonparametric

Identifiers

PMID31005411
PMCPMC6504675
OpenAlexW2936556823

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.