Evidence map›Paper›PMID 32265922›Full record

ArticleFrontiers in immunology2020

Fungal Dysbiosis and Intestinal Inflammation in Children With Beta-Cell Autoimmunity.

Jarno Honkanen, Arja Vuorela, Daniel Muthas, Laura Orivuori, Kristiina Luopajärvi, Mysore Vishakante Gowda Tejesvi, Anton Lavrinienko, Anna Maria Pirttilä, Christopher L Fogarty, Taina Härkönen and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05252728 (Altered Faecal Microbiome and Metabolome in Childhood-onset Type 1 Diabetes, Adult-onset Type 1 Diabetes and Type 2 Diabetes), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
6.3field-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.

NCT05252728 completednot on this map

Altered Faecal Microbiome and Metabolome in Childhood-onset Type 1 Diabetes, Adult-onset Type 1 Diabetes and Type 2 Diabetes

TypeobservationalSponsorSecond Xiangya Hospital of Central South UniversityRan2019 to 2022Enrolled372ConditionsType 1 Diabetes Mellitus Maturity Onset
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 48 citations in OpenAlex.

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  9. The Gut Mycobiome for Precision Medicine.Journal of fungi (Basel, Switzerland) · 2025
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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

15 authors at 6 institutions in 2 countries.

Jarno HonkanenClinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Arja VuorelaClinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Daniel MuthasTranslational & Experimental Medicine, Early Respiratory, Inflammation and Autoimmunity, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Laura OrivuoriClinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Kristiina LuopajärviChildren's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Mysore Vishakante Gowda TejesviEcology and Genetics Research Unit, University of Oulu, Oulu, Finland.
Anton LavrinienkoEcology and Genetics Research Unit, University of Oulu, Oulu, Finland.
Anna Maria PirttiläEcology and Genetics Research Unit, University of Oulu, Oulu, Finland.
Christopher L FogartyClinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Taina HärkönenChildren's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Jorma IlonenImmunogenetics Laboratory, University of Turku, Turku, Finland.
Terhi RuohtulaClinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Mikael KnipChildren's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Janne J KoskimäkiEcology and Genetics Research Unit, University of Oulu, Oulu, Finland.
Outi VaaralaClinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
University of Helsinki · FIHelsinki University Hospital · FIUniversity of Oulu · FIAstraZeneca (Sweden) · SEUniversity of Jyväskylä · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although gut bacterial dysbiosis is recognized as a regulator of beta-cell autoimmunity, no data is available on fungal dysbiosis in the children at the risk of type 1 diabetes (T1D). We hypothesized that the co-occurrence of fungal and bacterial dysbiosis contributes to the intestinal inflammation and autoimmune destruction of insulin-producing beta-cells in T1D. Fecal and blood samples were collected from 26 children tested positive for at least one diabetes-associated autoantibody (IAA, GADA, IA-2A or ICA) and matched autoantibody-negative children with HLA-conferred susceptibility to T1D (matched for HLA-DQB1 haplotype, age, gender and early childhood nutrition). Bacterial 16S and fungal ITS2 sequencing, and analyses of the markers of intestinal inflammation, namely fecal human beta-defensin-2 (HBD2), calprotectin and secretory total IgA, were performed. Anti-Saccharomyces cerevisiae antibodies (ASCA) and circulating cytokines, IFNG, IL-17 and IL-22, were studied. After these analyses, the children were followed for development of clinical T1D (median 8 years and 8 months). Nine autoantibody positive children were diagnosed with T1D, whereas none of the autoantibody negative children developed T1D during the follow-up. Fungal dysbiosis, characterized by high abundance of fecal

Indexed as

AdolescentAntibodies, FungalAutoantibodiesAutoimmunitybeta-DefensinsCandidaChildChild, PreschoolDiabetes Mellitus, Type 1DysbiosisFecesFemaleFinlandHLA-DQ beta-ChainsHumansInsulin-Secreting CellsAntibodies, FungalAutoantibodiesbeta-DefensinsDEFB4A protein, humanHLA-DQB1 antigenHLA-DQ beta-ChainsCandidadysbiosisgutinflammationmycobiomeSaccharomycestype 1 diabetes

Identifiers

PMID32265922
PMCPMC7103650
OpenAlexW3011698661

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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.