Evidence map›Paper›PMID 31936237›Full record

ArticleInternational journal of molecular sciences2020

Fecal Microbiota Transplantation Prevents Intestinal Injury, Upregulation of Toll-Like Receptors, and 5-Fluorouracil/Oxaliplatin-Induced Toxicity in Colorectal Cancer.

Ching-Wei Chang, Hung-Chang Lee, Li-Hui Li, Jen-Shiu Chiang Chiau, Tsang-En Wang, Wei-Hung Chuang, Ming-Jen Chen, Horng-Yuan Wang, Shou-Chuan Shih, Chia-Yuan Liu and 2 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 121 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 1 pooled it
15.4field-weighted citation impact, top 1% 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

121 citing papers in PubMed, 1 synthesis or guideline pooled it, 193 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Foods (Basel, Switzerland) · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review

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

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

12 authors at 3 institutions in 1 country.

Ching-Wei ChangInstitute of Traditional Medicine, National Yang-Ming University, Taipei 11221, Taiwan.
Hung-Chang LeeDepartment of Medical Research, MacKay Memorial Hospital, New Taipei City 25173, Taiwan.
Li-Hui LiDepartment of Medical Research, MacKay Memorial Hospital, New Taipei City 25173, Taiwan.
Jen-Shiu Chiang ChiauDepartment of Medical Research, MacKay Memorial Hospital, New Taipei City 25173, Taiwan.ORCID 0000-0002-3680-5703
Tsang-En WangDivision of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei 10449, Taiwan.
Wei-Hung ChuangInstitute of Biomedical Informatics, Center for Systems and Synthetic Biology, National Yang-Ming University, Taipei 11221, Taiwan.
Ming-Jen ChenDivision of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei 10449, Taiwan.
Horng-Yuan WangDivision of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei 10449, Taiwan.
Shou-Chuan ShihDivision of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei 10449, Taiwan.
Chia-Yuan LiuInstitute of Traditional Medicine, National Yang-Ming University, Taipei 11221, Taiwan.
Tung-Hu TsaiInstitute of Traditional Medicine, National Yang-Ming University, Taipei 11221, Taiwan.ORCID 0000-0002-9007-2547
Yu-Jen ChenInstitute of Traditional Medicine, National Yang-Ming University, Taipei 11221, Taiwan.
Mackay Memorial Hospital · TWNational Yang Ming Chiao Tung University · TWNational United University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

FOLFOX (5-fluorouracil, leucovorin, and oxaliplatin), a 5-fluorouracil (5-FU)-based chemotherapy regimen, is one of most common therapeutic regimens for colorectal cancer. However, intestinal mucositis is a common adverse effect for which no effective preventive strategies exist. Moreover, the efficacy and the safety of fecal microbiota transplants (FMT) in cancer patients treated with anti-neoplastic agents are still scant. We investigated the effect of FMT on FOLFOX-induced mucosal injury. BALB/c mice implanted with syngeneic CT26 colorectal adenocarcinoma cells were orally administered FMT daily during and two days after five-day injection of FOLFOX regimen for seven days. Administration of FOLFOX significantly induced marked levels of diarrhea and intestinal injury. FMT reduced the severity of diarrhea and intestinal mucositis. Additionally, the number of goblet cells and zonula occludens-1 decreased, while apoptotic and NF-κB-positive cells increased following FOLFOX treatment. The expression of toll-like receptors (TLRs), MyD88, and serum IL-6 were upregulated following FOLFOX treatment. These responses were attenuated following FMT. The disrupted fecal gut microbiota composition was also restored by FMT after FOLFOX treatment. Importantly, FMT did not cause bacteremia and safely alleviated FOLFOX-induced intestinal mucositis in colorectal cancer-bearing mice. The putative mechanism may involve the gut microbiota TLR-MyD88-NF-κB signaling pathway in mice with implanted colorectal carcinoma cells.

Indexed as

Fecal Microbiota TransplantationAnimalsAntineoplastic Combined Chemotherapy ProtocolsApoptosisCell Line, TumorColorectal NeoplasmsDisease Models, AnimalFluorouracilGastrointestinal MicrobiomeGene Expression Regulation, NeoplasticHeterograftsHumansIntestinal DiseasesIntestinesLeucovorinMiceFluorouracilLeucovorinOrganoplatinum CompoundsOxaliplatinToll-Like Receptorsapoptosisfecal microbiota transplantFOLFOXgut microbiotaintestinal mucositis

Identifiers

PMID31936237
PMCPMC7013718
OpenAlexW3000391868

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.