Evidence map›Paper›PMID 32205337›Full record

ArticleAnnals of the rheumatic diseases2020

Faecal microbiota transplantation from metabolically compromised human donors accelerates osteoarthritis in mice.

ZeYu Huang, Jing Chen, BoLei Li, Benhua Zeng, Ching-Heng Chou, Xin Zheng, JingWei Xie, Hao Li, Yu Hao, Guo Chen and 6 more

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Annals of the rheumatic diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06791993 (Impact of Probiotics Combined with Antibiotic Prophylaxis on Gut Microbiome Balance in Patients Undergoing Elective Orthopedic Surgery, Double-Blinded Randomized Controlled Trial), which is not on this map. Cited by 96 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 4 pooled it
12.6field-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.

NCT06791993 phase4not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Impact of Probiotics Combined with Antibiotic Prophylaxis on Gut Microbiome Balance in Patients Undergoing Elective Orthopedic Surgery, Double-Blinded Randomized Controlled Trial

TypeinterventionalSponsorAcibadem Maslak HospitalRan2025 to 2025Enrolled60ConditionsDysbiosis, Gut -microbiota, Microbiome Analysis, ProbioticArmsPlacebo Capsule, Probiotic with Human Milk Oligosaccharides (HMO)
3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 4 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Pooled it
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  5. mSystems · 2025
    Trial
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  14. Review
  15. The gut-joint axis in osteoarthritis.Nature reviews. Rheumatology · 2026
    Review
  16. Intestinal microbiota and arthritis.EULAR rheumatology open · 2026
    Review
  17. Review
  18. Article
  19. Review
  20. Review

36 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

16 authors at 4 institutions in 2 countries.

ZeYu Huang *State Key Laboratory of Oral Diseases and National Clinical Research for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.ORCID 0000-0002-0456-8379
Jing Chen *State Key Laboratory of Oral Diseases and National Clinical Research for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
BoLei Li *State Key Laboratory of Oral Diseases and National Clinical Research for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Benhua Zeng *Department of Laboratory Animal Science, College of Basic Medical Sciences, Army Medical University, Chongqing, China.
Ching-Heng ChouDuke Molecular Physiology Institute, Duke University School of Medicine, Duke University, Durham, North Carolina, USA.
Xin ZhengState Key Laboratory of Oral Diseases and National Clinical Research for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
JingWei XieDepartment of Orthopaedic Surgery, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
Hao LiState Key Laboratory of Oral Diseases and National Clinical Research for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Yu HaoState Key Laboratory of Oral Diseases and National Clinical Research for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Guo ChenDepartment of Orthopaedic Surgery, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
FuXing PeiDepartment of Orthopaedic Surgery, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
Bin ShenDepartment of Orthopaedic Surgery, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
Virginia B KrausDuke Molecular Physiology Institute, Duke University School of Medicine, Duke University, Durham, North Carolina, USA.
Hong WeiCentral Laboratory, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China chengleidentist@163.com zhouxd@scu.edu.cn weihong63528@163.com.
Xuedong ZhouState Key Laboratory of Oral Diseases and National Clinical Research for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China chengleidentist@163.com zhouxd@scu.edu.cn weihong63528@163.com.
Lei ChengState Key Laboratory of Oral Diseases and National Clinical Research for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China chengleidentist@163.com zhouxd@scu.edu.cn weihong63528@163.com.ORCID 0000-0002-2762-4740
Sichuan University · CNDuke University · USArmy Medical University · CNTongji University · CN

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI CATHLEEN S COLON-EMERIC · 2006 to 2026
$24.6M
NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

objectivesEmerging evidence suggests that the microbiome plays an important role in the pathogenesis of osteoarthritis (OA). We aimed to test the two-hit model of OA pathogenesis and potentiation in which one 'hit' is provided by an adverse gut microbiome that activates innate immunity; the other 'hit' is underlying joint damage.

methodsMedical history, faecal and blood samples were collected from human healthy controls (OA-METS-, n=4), knee OA without metabolic syndrome (OA+METS-, n=7) and knee OA with metabolic syndrome (OA+METS+, n=9). Each group of human faecal samples, whose microbial composition was identified by 16S rRNA sequencing, was pooled and transplanted into germ-free mice 2 weeks prior to meniscal/ligamentous injury (MLI) (n≥6 per group). Eight weeks after MLI, mice were evaluated for histological OA severity and synovitis, systemic inflammation and gut permeability.

resultsHistological OA severity following MLI was minimal in germ-free mice. Compared with the other groups, transplantation with the OA+METS+ microbiome was associated with higher mean systemic concentrations of inflammatory biomarkers (interleukin-1β, interleukin-6 and macrophage inflammatory protein-1α), higher gut permeability and worse OA severity. A greater abundance of

conclusionThe study clearly establishes a direct gut microbiome-OA connection that sets the stage for a new means of exploring OA pathogenesis and potentially new OA therapeutics. Alterations of

Indexed as

Gastrointestinal MicrobiomeAnimalsBiomarkersBiopsy, NeedleDisease Models, AnimalDisease ProgressionFecal Microbiota TransplantationHumansImmunohistochemistryIn Situ Hybridization, FluorescenceMaleMenisci, TibialMetabolic SyndromeMice, Inbred C57BLMultivariate AnalysisOsteoarthritis, KneeBiomarkersinflammationknee osteoarthritisosteoarthritis

Identifiers

PMID32205337
PMCPMC7384301
OpenAlexW3012876718

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.