Evidence map›Paper›PMID 32433519›Full record

ArticleScientific reports2020

Microbiota in vitro modulated with polyphenols shows decreased colonization resistance against Clostridioides difficile but can neutralize cytotoxicity.

Aleksander Mahnic, Jennifer M Auchtung, Nataša Poklar Ulrih, Robert A Britton, Maja Rupnik

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 29% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Biological Mechanisms of Polyphenols againstInfectious disorders drug targets · 2025
    Pooled it
  2. Article
  3. Review
  4. Journal of bacteriology · 2025
    Review
  5. mSphere · 2025
    Article
  6. Article
  7. Clinical microbiology reviews · 2024
    Review
  8. Article
  9. Clostridioides difficile Biofilm.Advances in experimental medicine and biology · 2024
    Article
  10. Review
  11. MiniBioReactor Array (MBRA)JAC-antimicrobial resistance · 2022
    Article
  12. Disordered Intestinal Microbial Communities DuringFrontiers in cellular and infection microbiology · 2022
    Article
  13. Review
  14. Article
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

5 authors at 5 institutions in 2 countries.

Aleksander MahnicNational Laboratory for Health, Environment and Food, Prvomajska 1, 2000, Maribor, Slovenia.
Jennifer M AuchtungBaylor College of Medicine, 1 Baylor Plaza, Houston, TX, 77030, USA.
Nataša Poklar UlrihUniversity of Ljubljana, Biotechnical Faculty, Jamnikarjeva 101, 1000, Ljubljana, Slovenia.
Robert A BrittonBaylor College of Medicine, 1 Baylor Plaza, Houston, TX, 77030, USA.
Maja RupnikNational Laboratory for Health, Environment and Food, Prvomajska 1, 2000, Maribor, Slovenia. maja.rupnik@nlzoh.si.
Baylor College of Medicine · USNational Laboratory of Health, Environment and Food · SIUniversity of Ljubljana · SIUniversity of Maribor · SIUniversity of Nebraska–Lincoln · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While the knowledge on gut microbiota - C. difficile interactions has improved over the years, the understanding of the underlying mechanisms providing colonization resistance as well as preventative measures against the infection remain incomplete. In this study the antibiotic clindamycin and polyphenol extracts from pomegranate and blueberries were used individually and in combination to modulate fecal microbial communities in minibioreactor arrays (MBRA). Modulated communities were inoculated with C. difficile (ribotype 027). Subsequent 7-day periodical monitoring included evaluation of C. difficile growth and activity of toxins TcdA and TcdB as well as analysis of MBRA bacterial community structure (V3V4 16 S metagenomics). Polyphenols affected multiple commensal bacterial groups and showed different synergistic and antagonistic effects in combination with clindamycin. Exposure to either clindamycin or polyphenols led to the loss of colonization resistance against C. difficile. The successful growth of C. difficile was most significantly correlated with the decrease in Collinsella and Lachnospiraceae. Additionally, we demonstrated that Clostridium sporogenes decreased the activity of both C. difficile toxins TcdA and TcdB. The feature was shown to be common among distinct C. sporogenes strains and could potentially be applicable as a non-antibiotic agent for the alleviation of C. difficile infection.

Indexed as

ActinobacteriaBacterial ToxinsBiological AssayBioreactorsClindamycinClostridioides difficileClostridiumClostridium InfectionsDisease ResistanceFecesGastrointestinal MicrobiomeHumansPolyphenolsBacterial ToxinsClindamycinPolyphenols

Identifiers

PMID32433519
PMCPMC7239955
OpenAlexW3028215187

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.