Evidence map›Paper›PMID 32539741›Full record

SynthesisBMC psychiatry2020

Effect of fecal microbiota transplant on symptoms of psychiatric disorders: a systematic review.

Arthi Chinna Meyyappan, Evan Forth, Caroline J K Wallace, Roumen Milev

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 141 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 5 pooled it
21.7field-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

141 citing papers in PubMed, 5 syntheses or guidelines pooled it, 237 citations in OpenAlex.

  1. Pooled it
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  4. Microbiota in Autism Spectrum Disorder: A Systematic Review.International journal of molecular sciences · 2023
    Pooled it
  5. Pooled it
  6. Trial
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  8. Trial
  9. Review
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  17. Cross-Organ Neuroimmunology of Behavior.Annual review of immunology · 2026
    Review
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  19. Article
  20. Review

81 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

4 authors at 2 institutions in 1 country.

Arthi Chinna MeyyappanDepartment of Psychiatry, Queen's University, 752 King St. West, Kingston, ON, K7L 4X3, Canada. 14acm@queensu.ca.ORCID 0000-0003-3424-4196
Evan ForthDepartment of Psychiatry, Queen's University, 752 King St. West, Kingston, ON, K7L 4X3, Canada.
Caroline J K WallaceDepartment of Psychiatry, Queen's University, 752 King St. West, Kingston, ON, K7L 4X3, Canada.
Roumen MilevDepartment of Psychiatry, Queen's University, 752 King St. West, Kingston, ON, K7L 4X3, Canada.
Providence Health Care · CAQueen's University · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundThe Gut-Brain-Axis is a bidirectional signaling pathway between the gastrointestinal (GI) tract and the brain. The hundreds of trillions of microorganisms populating the gastrointestinal tract are thought to modulate this connection, and have far reaching effects on the immune system, central and autonomic nervous systems, and GI functioning. These interactions Diagnostic and statistical manual of mental disorders have also been linked to various psychiatric illnesses such as depression, anxiety, substance abuse, autism spectrum disorder, and eating disorders. It is hypothesized that techniques aimed at strengthening and repopulating the gut microbiome, such as Fecal Microbiota Transplant (FMT), may be useful in the prevention and treatment of psychiatric illnesses.

methodsA systematic search of five databases was conducted using key terms related to FMT and psychiatric illnesses. All results were then evaluated based on specific eligibility criteria.

resultsTwenty-one studies met the eligibility criteria and were analysed for reported changes in mood and behavioural measures indicative of psychiatric wellbeing. The studies included were either entirely clinical (n = 8), preclinical with human donors (n = 9), or entirely preclinical (n = 11). All studies found a decrease in depressive and anxiety-like symptoms and behaviours resulting from the transplantation of healthy microbiota. The inverse was also found, with the transmission of depressive and anxiety-like symptoms and behaviours resulting from the transplantation of microbiota from psychiatrically ill donors to healthy recipients.

conclusionThere appears to be strong evidence for the treatment and transmission of psychiatric illnesses through FMT. Further research with larger sample sizes and stronger scientific design is warranted in order to fully determine the efficacy and safety of this potential treatment. Registered on PROSPERO, IRD: CRD42019126795.

Indexed as

Autism Spectrum DisorderGastrointestinal MicrobiomeMicrobiotaAnxietyFecal Microbiota TransplantationHumansAnxietyChronic stressDepressionEating disordersFecal microbiota transplantGut-brain axisPsychiatric illnessSubstance abuse

Identifiers

PMID32539741
PMCPMC7294648
OpenAlexW3035496405

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.