Evidence map›Paper›PMID 31700190›Full record

ArticleNature medicine2019

Preventing dysbiosis of the neonatal mouse intestinal microbiome protects against late-onset sepsis.

Jeffrey R Singer, Emily G Blosser, Carlene L Zindl, Daniel J Silberger, Sean Conlan, Vincent A Laufer, Daniel DiToro, Clay Deming, Ranjit Kumar, Casey D Morrow and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Nature medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06893939 (Limited Versus Extended Trophic Feeding), which is not on this map. Cited by 84 papers.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed
6.5field-weighted citation impact, top 2% 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.

NCT06893939 phase2 / phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Limited Versus Extended Trophic Feeding (LET-FEED) Trial

TypeinterventionalSponsorUniversity of WashingtonRan2025 to 2031Enrolled350ConditionsSepsis, Length of Stay, Mortality, Neurodevelopmental DelayArmsLimited Trophic Feeds (1 day of trophic feeds), Extended Trophic Feeds (3 days of trophics)
3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 140 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. The gut-lung axis in early life: microbiome-associated mechanisms and clinical relevance.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  5. Review
  6. Article
  7. GGut microbes · 2025
    Review
  8. Article
  9. Review
  10. Probiotic biogeography and sepsis prevention in the neonatal intestine.bioRxiv : the preprint server for biology · 2025
    Article
  11. Review
  12. Review
  13. Article
  14. Foods (Basel, Switzerland) · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Jeffrey R Singer *Department of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA. jrsinger@uab.edu.ORCID http://orcid.org/0000-0001-7033-3001
Emily G Blosser *Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
Carlene L ZindlDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Daniel J SilbergerDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Sean ConlanNational Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.
Vincent A LauferDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Daniel DiToroDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Clay DemingNational Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.
Ranjit KumarCenter for Clinical and Translational Science Informatics Institute, University of Alabama at Birmingham, Birmingham, AL, USA.
Casey D MorrowDepartment of Cell Developmental and Integrative Biology, University of Alabama at Birmingham, Birmingham, AL, USA.
Julia A SegreNational Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.ORCID http://orcid.org/0000-0001-6860-348X
Michael J GrayDepartment of Microbiology, University of Alabama at Birmingham, Birmingham, AL, USA.
David A RandolphDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
Casey T WeaverDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA. cweaver@uab.edu.ORCID http://orcid.org/0000-0002-2180-1793
University of Alabama at Birmingham · USNational Institutes of Health · USOchsner Health System · US

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
National Dissemination of I-Corps@NCATS: Accelerating Translation through CommercializationUL1TR003096 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUTIERREZ, ORLANDO M, KIMBERLY, ROBERT P. · 2019 to 2023
$43.6M
UAB Center for Clinical and Translational Science (CCTS)UL1TR001417 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLY, ROBERT P. · 2015 to 2018
$31.4M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008361 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI YACOUBIAN, TALENE ALENE · 1992 to 2024
$16.8M
IMMUNOLOGIC DISEASES AND BASIC IMMUNOLOGYT32AI007051 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Laurie Ellen Harrington · 1985 to 2026
$13.1M
UAB Skin Diseases Research CenterP30AR050948 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GRIZZLE, WILLIAM E. · 2004 to 2013
$5.5M
Training Program in Rheumatic and Musculoskeletal Diseases ResearchT32AR069516 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI John D Mountz · 2016 to 2026
$2.6M
Role of Rorγt positive Innate Lymphoid Cells in Neonatal Intestinal Barrier DevelopmentF30DK105680 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SINGER, JEFFREY ROBERT · 2015 to 2018
$154k
NCATS NIH HHS UL1 TR001417NCATS NIH HHS UL1 TR003096NCI NIH HHS P30 CA013148NIAID NIH HHS T32 AI007051NIAMS NIH HHS P30 AR050948NIAMS NIH HHS T32 AR069516NIDDK NIH HHS F30 DK105680NIGMS NIH HHS T32 GM008361
6 · The paper itself

Abstract

Late-onset sepsis (LOS) is thought to result from systemic spread of commensal microbes from the intestines of premature infants. Clinical use of probiotics for LOS prophylaxis has varied owing to limited efficacy, reflecting an incomplete understanding of relationships between development of the intestinal microbiome, neonatal dysbiosis and LOS. Using a model of LOS, we found that components of the developing microbiome were both necessary and sufficient to prevent LOS. Maternal antibiotic exposure that eradicated or enriched transmission of Lactobacillus murinus exacerbated and prevented disease, respectively. Prophylactic administration of some, but not all Lactobacillus spp. was protective, as was administration of Escherichia coli. Intestinal oxygen level was a major driver of colonization dynamics, albeit via mechanisms distinct from those in adults. These results establish a link between neonatal dysbiosis and LOS, and provide a basis for rational selection of probiotics that modulate primary succession of the microbiome to prevent disease.

Indexed as

Age of OnsetAnimalsAnimals, NewbornDisease Models, AnimalDysbiosisGastrointestinal MicrobiomeHumansInfant, PrematureMiceProbioticsProtective AgentsSepsisProtective Agents

Identifiers

PMID31700190
PMCPMC7250008
OpenAlexW2986476597

What OpenQuestion holds

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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.