Evidence map›Paper›PMID 32690030›Full record

ArticleBMC geriatrics2020

Dysbiosis, gut barrier dysfunction and inflammation in dementia: a pilot study.

Vanessa Stadlbauer, Lara Engertsberger, Irina Komarova, Nicole Feldbacher, Bettina Leber, Gerald Pichler, Nicole Fink, Monika Scarpatetti, Walter Schippinger, Reinhold Schmidt and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03167983 (The Gut-Brain Axis in Dementia), which is not on this map. Cited by 95 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 4 pooled it
8.8field-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.

NCT03167983 completednot on this map

The Gut-Brain Axis in Dementia: Biomarker and Novel Intervention Strategies

TypeobservationalSponsorMedical University of GrazRan2017 to 2020Enrolled43ConditionsDementia
3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 4 syntheses or guidelines pooled it, 169 citations in OpenAlex.

  1. Pooled it
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  10. Nutrients · 2026
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35 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

11 authors at 2 institutions in 1 country.

Vanessa StadlbauerDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria. vanessa.stadlbauer@medunigraz.at.ORCID 0000-0001-5508-8271
Lara EngertsbergerDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
Irina KomarovaDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
Nicole FeldbacherDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
Bettina LeberDepartment of Surgery, Division of Transplantation Surgery, Medical University of Graz, Graz, Austria.
Gerald PichlerDepartment of Neurology, Geriatric Health Centers Graz, Albert Schweitzer Hospital, Graz, Austria.
Nicole FinkDepartment of Neurology, Geriatric Health Centers Graz, Albert Schweitzer Hospital, Graz, Austria.
Monika ScarpatettiDepartment of Neurology, Geriatric Health Centers Graz, Albert Schweitzer Hospital, Graz, Austria.
Walter SchippingerDepartment of Neurology, Geriatric Health Centers Graz, Albert Schweitzer Hospital, Graz, Austria.
Reinhold SchmidtClinical Division of Neurogeriatrics, Department of Neurology, Medical University of Graz, Graz, Austria.
Angela HorvathDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
Medical University of Graz · ATAlbert Schweitzer Klinik · AT

Funding

Österreichische Forschungsförderungsgesellschaft Center for Biomarker Research in Medicine
6 · The paper itself

Abstract

backgroundDementia is an increasing public health threat worldwide. The pathogenesis of dementia has not been fully elucidated yet. Inflammatory processes are hypothesized to play an important role as a driver for cognitive decline but the origin of inflammation is not clear. We hypothesize that disturbances in gut microbiome composition, gut barrier dysfunction, bacterial translocation and resulting inflammation are associated with cognitive dysfunction in dementia.

methodsTo test this hypothesis, a cohort of 23 patients with dementia and 18 age and sex matched controls without cognitive impairments were studied. Gut microbiome composition, gut barrier dysfunction, bacterial translocation and inflammation were assessed from stool and serum samples. Malnutrition was assessed by Mini Nutritional Assessment Short Form (MNA-SF), detailed information on drug use was collected. Microbiome composition was assessed by 16S rRNA sequencing, QIIME 2 and Calypso 7.14 tools.

resultsDementia was associated with dysbiosis characterized by differences in beta diversity and changes in taxonomic composition. Gut permeability was increased as evidenced by increased serum diamine oxidase (DAO) levels and systemic inflammation was confirmed by increased soluble cluster of differentiation 14 levels (sCD14). BMI and statin use had the strongest impact on microbiome composition.

conclusionDementia is associated with changes in gut microbiome composition and increased biomarkers of gut permeability and inflammation. Lachnospiraceae NK4A136 group as potential butyrate producer was reduced in dementia. Malnutrition and drug intake were factors, that impact on microbiome composition. Increasing butyrate producing bacteria and targeting malnutrition may be promising therapeutic targets in dementia.

trial registrationNCT03167983 .

Indexed as

DementiaGastrointestinal MicrobiomeBacteriaDysbiosisFecesHumansInflammationPilot ProjectsRNA, Ribosomal, 16SRNA, Ribosomal, 16SButyrate producerCognitive functionDiversityGut barrierInflammationMicrobiome

Identifiers

PMID32690030
PMCPMC7372911
OpenAlexW3043167826

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LicenceCC BY
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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.