Evidence map›Paper›PMID 32598476›Full record

ArticleBlood advances2020

Patterns of salivary microbiota injury and oral mucositis in recipients of allogeneic hematopoietic stem cell transplantation.

Roni Shouval, Adi Eshel, Bar Dubovski, Amir A Kuperman, Ivetta Danylesko, Joshua A Fein, Shalev Fried, Mika Geva, Elizaveta Kouniavski, Hadar Neuman and 8 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
5.4field-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.

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

39 citing papers in PubMed, 62 citations in OpenAlex.

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  9. NO: a key player in microbiome dynamics and cancer pathogenesis.Frontiers in cellular and infection microbiology · 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

18 authors at 6 institutions in 2 countries.

Roni ShouvalHematology and Bone Marrow Transplantation Division, Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Adi EshelAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.
Bar DubovskiDepartment of Mathematics, Bar Ilan University, Ramat Gan, Israel.
Amir A KupermanAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.
Ivetta DanyleskoHematology and Bone Marrow Transplantation Division, Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Joshua A FeinHematology and Bone Marrow Transplantation Division, Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Shalev FriedHematology and Bone Marrow Transplantation Division, Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Mika GevaHematology and Bone Marrow Transplantation Division, Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Elizaveta KouniavskiHematology and Bone Marrow Transplantation Division, Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Hadar NeumanZiv Medical Center, Zefat, Israel.
Ayelet Armon-OmerZiv Medical Center, Zefat, Israel.
Radi ShahienAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.
Efrat MullerThe Blavatnik School of Computer Science, Tel Aviv University, Tel Aviv, Israel.
Cecilia NoeckerDepartment of Microbiology and Immunology, University of California, San Francisco, San Francisco, CA.
Elhanan BorensteinThe Blavatnik School of Computer Science, Tel Aviv University, Tel Aviv, Israel.
Yoram LouzounDepartment of Mathematics, Bar Ilan University, Ramat Gan, Israel.
Arnon NaglerHematology and Bone Marrow Transplantation Division, Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Omry KorenAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.
Tel Aviv University · ILBar-Ilan University · ILRebecca Sieff Hospital · ILMemorial Sloan Kettering Cancer Center · USSanta Fe Institute · USUniversity of California, San Francisco · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Microbial Pathogenesis and Host DefenseT32AI060537 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Joanne N. Engel · 2004 to 2026
$6.5M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Oral mucositis (OM) is a common debilitating dose-limiting toxicity of cancer treatment, including hematopoietic stem cell transplantation (HSCT). We hypothesized that the oral microbiome is disturbed during allogeneic HSCT, partially accounting for the variability in OM severity. Using 16S ribosomal RNA gene sequence analysis, metabolomic profiling, and computational methods, we characterized the behavior of the salivary microbiome and metabolome of 184 patients pre- and post-HSCT. Transplantation was associated with a decrease in oral α diversity in all patients. In contrast to the gut microbiome, an association with overall survival was not detected. Among 135 patients given methotrexate for graft-versus-host disease prophylaxis pre-HSCT, Kingella and Atopobium abundance correlated with future development of severe OM. Posttransplant, Methylobacterium species were significantly enriched in patients with severe OM. Moreover, the oral microbiome and metabolome of severe OM patients underwent distinct changes post-HSCT, compared with patients with no or mild OM. Changes in specific metabolites were well explained by microbial composition, and the common metabolic pathway was the polyamines pathway, which is essential for epithelial homeostasis. Together, our findings suggest that salivary microbial composition and metabolites are associated with the development of OM, offering new insights on pathophysiology and potential avenues of intervention.

Indexed as

Gastrointestinal MicrobiomeGraft vs Host DiseaseHematopoietic Stem Cell TransplantationMicrobiotaStomatitisHumans

Identifiers

PMID32598476
PMCPMC7362373
OpenAlexW3037713327

What OpenQuestion holds

Textmetadata
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.