Evidence map›Paper›PMID 31164972›Full record

ArticleClinical and translational allergy2019

A specific synbiotic-containing amino acid-based formula restores gut microbiota in non-IgE mediated cow's milk allergic infants: a randomized controlled trial.

Harm Wopereis, Marleen T J van Ampting, Aysun Cetinyurek-Yavuz, Rob Slump, David C A Candy, Assad M Butt, Diego G Peroni, Yvan Vandenplas, Adam T Fox, Neil Shah and 6 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational allergy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
7.2field-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.

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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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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

16 authors at 10 institutions in 5 countries.

Harm Wopereis1Danone Nutricia Research, Uppsalalaan 12, 3584 CT Utrecht, The Netherlands.ORCID 0000-0002-2103-1442
Marleen T J van Ampting1Danone Nutricia Research, Uppsalalaan 12, 3584 CT Utrecht, The Netherlands.
Aysun Cetinyurek-Yavuz1Danone Nutricia Research, Uppsalalaan 12, 3584 CT Utrecht, The Netherlands.
Rob Slump1Danone Nutricia Research, Uppsalalaan 12, 3584 CT Utrecht, The Netherlands.
David C A Candy3Royal Alexandra Children's Hospital, Brighton, UK.
Assad M Butt3Royal Alexandra Children's Hospital, Brighton, UK.
Diego G Peroni4University Hospital Verona, Verona, Italy.
Yvan VandenplasKidZ Health Castle, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Adam T Fox7Guy's and St Thomas' Hospitals NHS Foundation Trust, London, UK.
Neil Shah8Great Ormond Street Hospital, London, UK.
Guus Roeselers1Danone Nutricia Research, Uppsalalaan 12, 3584 CT Utrecht, The Netherlands.
Lucien F Harthoorn1Danone Nutricia Research, Uppsalalaan 12, 3584 CT Utrecht, The Netherlands.
Louise J Michaelis9Great North Children's Hospital, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Jan Knol1Danone Nutricia Research, Uppsalalaan 12, 3584 CT Utrecht, The Netherlands.
Christina E West10Umeå University, Umeå, Sweden.
ASSIGN study group
Danone (Netherlands) · NLRoyal Alexandra Children's Hospital · GBRoyal Victoria Infirmary · GBGreat Ormond Street Hospital · GBGuy's and St Thomas' NHS Foundation Trust · GBNutricia Research (Netherlands) · NLSt Thomas' Hospital · GBUmeå University · SEUniversity of Pisa · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAltered gut microbiota is implicated in cow's milk allergy (CMA) and differs markedly from healthy, breastfed infants. Infants who suffer from severe CMA often rely on cow's milk protein avoidance and, when breastfeeding is not possible, on specialised infant formulas such as amino-acid based formulas (AAF). Herein, we report the effects of an AAF including specific synbiotics on oral and gastrointestinal microbiota of infants with non-IgE mediated CMA with reference to healthy, breastfed infants.

methodsIn this prospective, randomized, double-blind controlled study, infants with suspected non-IgE mediated CMA received test or control formula. Test formula was AAF with synbiotics (prebiotic fructo-oligosaccharides and probiotic

resultsThe trial included 35 test subjects, 36 controls, and 51 HBR. The 16S rRNA-gene sequencing revealed moderate effects of test formula on oral microbiota. In contrast, the gut microbiota was substantially affected across time comparing test with control. In both groups bacterial diversity increased over time but was characterised by a more gradual increment in test compared to control. Compositionally this reflected an enhancement of

conclusionsThe AAF including specific synbiotics effectively modulates the gut microbiota and its metabolic activity in non-IgE mediated CMA infants bringing it close to a healthy breastfed profile.

Indexed as

Cow’s milk allergyGut microbiotaPediatricsPrebioticsProbiotics

Identifiers

PMID31164972
PMCPMC6543596
OpenAlexW2946940817

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.