Evidence map›Paper›PMID 32461638›Full record

ArticleNature communications2020

Permissive microbiome characterizes human subjects with a neurovascular disease cavernous angioma.

Sean P Polster, Anukriti Sharma, Ceylan Tanes, Alan T Tang, Patricia Mericko, Ying Cao, Julián Carrión-Penagos, Romuald Girard, Janne Koskimäki, Dongdong Zhang and 16 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01764529 (Modifiers of Disease Severity and Progression in Cerebral Cavernous Malformations), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 8% 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.

NCT01764529 completednot on this map

Modifiers of Disease Severity and Progression in Cerebral Cavernous Malformations

Typeobservational_patient_registrySponsorUniversity of California, San FranciscoRan2010 to 2025Enrolled789ConditionsCavernous Angioma, Familial, Cerebral Cavernous Malformations, Cerebral Cavernous Hemangioma
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Neurovascular interactions in the ageing heart.Nature reviews. Cardiology · 2026
    Review
  5. Article
  6. bioRxiv : the preprint server for biology · 2026
    Article
  7. The Role of the Microbiome and the Neurovascular Unit.The Surgical clinics of North America · 2025
    Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Namco: a microbiome explorer.Microbial genomics · 2022
    Article
  19. Childhood stroke.Nature reviews. Disease primers · 2022
    Review
  20. Review
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

26 authors at 6 institutions in 1 country.

Sean P Polster *Section of Neurosurgery, Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA.ORCID http://orcid.org/0000-0002-3229-5021
Anukriti Sharma *Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA.
Ceylan TanesDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, 2716 South Street, Philadelphia, PA, 19146, USA.
Alan T TangDepartment of Medicine and Cardiovascular Institute, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
Patricia MerickoDepartment of Medicine and Cardiovascular Institute, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
Ying CaoSection of Neurosurgery, Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA.
Julián Carrión-PenagosSection of Neurosurgery, Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA.ORCID http://orcid.org/0000-0002-5773-0966
Romuald GirardSection of Neurosurgery, Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA.ORCID http://orcid.org/0000-0002-5893-9315
Janne KoskimäkiSection of Neurosurgery, Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA.ORCID http://orcid.org/0000-0002-2311-6327
Dongdong ZhangSection of Neurosurgery, Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA.
Agnieszka StadnikSection of Neurosurgery, Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA.
Sharbel G RomanosSection of Neurosurgery, Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA.
Seán B LyneSection of Neurosurgery, Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA.ORCID http://orcid.org/0000-0002-9270-7518
Robert ShenkarSection of Neurosurgery, Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA.ORCID http://orcid.org/0000-0002-1300-6845
Kimberly YanDepartment of Anesthesia and Perioperative Care, Center for Cerebrovascular Research, 513 Parnassus Avenue, San Francisco, CA, 94143, USA.ORCID http://orcid.org/0000-0002-0678-4235
Cornelia LeeAngioma Alliance, 520W 21st Street, Norfolk, VA, 23517, USA.ORCID http://orcid.org/0000-0003-3769-431X
Amy AkersAngioma Alliance, 520W 21st Street, Norfolk, VA, 23517, USA.
Leslie MorrisonDepartment of Neurology, University of New Mexico, 1 University of New Mexico, Albuquerque, NM, 87131, USA.ORCID http://orcid.org/0000-0002-0092-193X
Myranda RobinsonDepartment of Neurology, University of New Mexico, 1 University of New Mexico, Albuquerque, NM, 87131, USA.ORCID http://orcid.org/0000-0002-5494-4627
Atif ZafarDepartment of Neurology, University of New Mexico, 1 University of New Mexico, Albuquerque, NM, 87131, USA.ORCID http://orcid.org/0000-0002-2738-5225
Kyle BittingerDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, 2716 South Street, Philadelphia, PA, 19146, USA.ORCID http://orcid.org/0000-0003-3472-5934
Helen KimDepartment of Anesthesia and Perioperative Care, Center for Cerebrovascular Research, 513 Parnassus Avenue, San Francisco, CA, 94143, USA.ORCID http://orcid.org/0000-0002-1937-354X
Jack A GilbertDepartment of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA.
Mark L KahnDepartment of Medicine and Cardiovascular Institute, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
Le Shen *Section of Neurosurgery, Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA. leshen@uchicago.edu.ORCID http://orcid.org/0000-0002-4367-5476
Issam A Awad *Section of Neurosurgery, Department of Surgery, The University of Chicago, 5841S. Maryland Avenue, Chicago, IL, 60637, USA. iawad@uchicago.edu.ORCID http://orcid.org/0000-0003-1510-602X
University of Chicago · USUniversity of New Mexico · USUniversity of Pennsylvania · USAngioma Alliance · USChildren's Hospital of Philadelphia · USScripps Institution of Oceanography · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
VCRC Administration UnitU54NS065705 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KIM, HELEN · 2009 to 2023
$20.8M
Somatic mutation(s) and cellular changes in CCM pathogenesisP01NS092521 · NINDS · DUKE UNIVERSITY · PI MARCHUK, DOUGLAS A. · 2015 to 2024
$12.9M
Heg-CCM Signaling in Cardiovascular Development and DiseaseR01HL094326 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KAHN, MARK L · 2009 to 2018
$3.5M
TLR4 and the microbiome in CCM diseaseR01NS100949 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI KAHN, MARK L · 2017 to 2021
$2.8M
The molecular pathogenesis of cerebral cavernous malformationsF30NS100252 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI TANG, ALAN TIEN · 2017 to 2018
$80k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL094326NINDS NIH HHS F30 NS100252NINDS NIH HHS P01 NS092521NINDS NIH HHS R01 NS100949NINDS NIH HHS U54 NS065705
6 · The paper itself

Abstract

Cavernous angiomas (CA) are common vascular anomalies causing brain hemorrhage. Based on mouse studies, roles of gram-negative bacteria and altered intestinal homeostasis have been implicated in CA pathogenesis, and pilot study had suggested potential microbiome differences between non-CA and CA individuals based on 16S rRNA gene sequencing. We here assess microbiome differences in a larger cohort of human subjects with and without CA, and among subjects with different clinical features, and conduct more definitive microbial analyses using metagenomic shotgun sequencing. Relative abundance of distinct bacterial species in CA patients is shown, consistent with postulated permissive microbiome driving CA lesion genesis via lipopolysaccharide signaling, in humans as in mice. Other microbiome differences are related to CA clinical behavior. Weighted combinations of microbiome signatures and plasma inflammatory biomarkers enhance associations with disease severity and hemorrhage. This is the first demonstration of a sensitive and specific diagnostic microbiome in a human neurovascular disease.

Indexed as

AdolescentAdultBiomarkersBrain NeoplasmsDNA, BacterialFecesFemaleGastrointestinal MicrobiomeHemangioma, CavernousHumansIntestinesMaleMetagenomicsMiddle AgedPilot ProjectsRNA, Ribosomal, 16SBiomarkersDNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID32461638
PMCPMC7253448
OpenAlexW3028842373

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.