Evidence map›Paper›PMID 31311609›Full record

ArticleMicrobiome2019

Pregnancy and lactation interfere with the response of autoimmunity to modulation of gut microbiota.

Qinghui Mu, Xavier Cabana-Puig, Jiangdi Mao, Brianna Swartwout, Leila Abdelhamid, Thomas E Cecere, Haifeng Wang, Christopher M Reilly, Xin M Luo

Open access · goldAbstract read
In one paragraph

Article in Microbiome, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  7. Article
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  9. Article
  10. Frontiers in immunology · 2024
    Article
  11. Review
  12. Article
  13. CXInflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Frontiers in immunology · 2022
    Article
  19. Gut Microbiota in Lupus: a Butterfly Effect?Current rheumatology reports · 2021
    Review
  20. Review
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

9 authors at 3 institutions in 2 countries.

Qinghui MuDepartment of Biomedical Sciences and Pathobiology, College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, USA.
Xavier Cabana-PuigDepartment of Biomedical Sciences and Pathobiology, College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, USA.
Jiangdi MaoDepartment of Biomedical Sciences and Pathobiology, College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, USA.
Brianna SwartwoutTranslational Biology, Medicine, and Health Graduate Program, Virginia Tech Carilion Research Institute, Virginia Tech, Roanoke, VA, USA.
Leila AbdelhamidDepartment of Biomedical Sciences and Pathobiology, College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, USA.
Thomas E CecereDepartment of Biomedical Sciences and Pathobiology, College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, USA.
Haifeng WangCollege of Animal Science, Key Laboratory of Molecular Animal Nutrition, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China.
Christopher M ReillyDepartment of Biomedical Sciences and Pathobiology, College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, USA.
Xin M LuoDepartment of Biomedical Sciences and Pathobiology, College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, USA. xinluo@vt.edu.ORCID 0000-0002-2809-5836
Virginia–Maryland College of Veterinary Medicine · USCarilion Clinic · USZhejiang University · CN

Funding

Mechanistic role of probiotic Lactobacillus reuteri in autoimmune lupusR01AR073240 · NIAMS · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI LUO, XIN · 2018 to 2022
$1.7M
Dissecting the Roles of Vitamin A in AutoimmunityR15AR067418 · NIAMS · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI LUO, XIN · 2017 to 2017
$451k
NIAMS NIH HHS R01 AR073240NIAMS NIH HHS R15 AR067418
6 · The paper itself

Abstract

backgroundDysbiosis of gut microbiota exists in the pathogenesis of many autoimmune diseases, including systemic lupus erythematosus (lupus). Lupus patients who experienced pregnancy usually had more severe disease flares post-delivery. However, the possible role of gut microbiota in the link between pregnancy and exacerbation of lupus remains to be explored.

resultsIn the classical lupus mouse model MRL/lpr, we compared the structures of gut microbiota in pregnant and lactating individuals vs. age-matched naïve mice. Consistent with studies on non-lupus mice, both pregnancy and lactation significantly changed the composition and diversity of gut microbiota. Strikingly, modulation of gut microbiota using the same strategy resulted in different disease outcomes in postpartum (abbreviated as "PP," meaning that the mice had undergone pregnancy and lactation) vs. control (naïve; i.e., without pregnancy or lactation) MRL/lpr females; while vancomycin treatment attenuated lupus in naïve mice, it did not do so, or even exacerbated lupus, in PP mice. Lactobacillus animalis flourished in the gut upon vancomycin treatment, and direct administration of L. animalis via oral gavage recapitulated the differential effects of vancomycin in PP vs. control mice. An enzyme called indoleamine 2,3-dioxygenase was significantly inhibited by L. animalis; however, this inhibition was only apparent in PP mice, which explained, at least partially, the lack of beneficial response to vancomycin in these mice. The differential production of immunosuppressive IL-10 and proinflammatory IFNγ in PP vs. control mice further explained why the disease phenotypes varied between the two types of mice bearing the same gut microbiota remodeling strategy.

conclusionsThese results suggest that pregnancy and lactation interfere with the response of autoimmunity to modulation of gut microbiota. Further studies are necessary to better understand the complex relationship between pregnancy and lupus.

Indexed as

AutoimmunityLactationPregnancy, AnimalAnimalsAnti-Bacterial AgentsFemaleGastrointestinal MicrobiomeIndoleamine-Pyrrole 2,3,-DioxygenaseInterferon-gammaInterleukin-10LactobacillusLupus Erythematosus, SystemicMiceMice, Inbred MRL lprPregnancyVancomycinAnti-Bacterial AgentsIFNG protein, mouseIL10 protein, mouseIndoleamine-Pyrrole 2,3,-DioxygenaseInterferon-gammaInterleukin-10VancomycinGut microbiotaIDOIFNγLactobacillus animalisLeaky gutLupusPregnancyTreg

Identifiers

PMID31311609
PMCPMC6635999
OpenAlexW2958346395

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.