Evidence map›Paper›PMID 32949377›Full record

ArticleHepatology international2021

Alterations of the salivary and fecal microbiome in patients with primary sclerosing cholangitis.

Y Lapidot, A Amir, S Ben-Simon, E Veitsman, O Cohen-Ezra, Y Davidov, P Weiss, T Bradichevski, S Segev, O Koren and 2 more

Abstract read
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In one paragraph

Article in Hepatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Intestinal microbiota and biliary system diseases.Frontiers in cellular and infection microbiology · 2024
    Pooled it
  2. Pooled it
  3. Oral Microbiome Characteristics in Patients With Autoimmune Hepatitis.Frontiers in cellular and infection microbiology · 2021
    Trial
  4. Article
  5. Review
  6. Article
  7. Liver GPBAR1 Associates With Immune Dysfunction in Primary Sclerosing Cholangitis and Its Activation Attenuates Cholestasis in Abcb4-/- Mice.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Frontiers in cellular and infection microbiology · 2024
    Article
  14. Article
  15. Current Therapeutics in Primary Sclerosing Cholangitis.Journal of clinical and translational hepatology · 2023
    Review
  16. Article
  17. Review
  18. The oral microbiome in autoimmune diseases: friend or foe?Journal of translational medicine · 2023
    Review
  19. The microbiota and the gut-liver axis in primary sclerosing cholangitis.Nature reviews. Gastroenterology & hepatology · 2023
    Review
  20. 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

12 authors at 3 institutions in 1 country.

Y LapidotLiver Research Laboratory, Sheba Medical Center, Tel Hashomer, Israel. Lena.lapidot@gmail.com.ORCID http://orcid.org/0000-0002-7776-6069
A AmirCancer Research Center, Sheba Medical Center, Ramat-Gan, Israel.
S Ben-SimonFaculty of Medicine, Bar-Ilan University, Safed, Israel.
E VeitsmanLiver Diseases Center, Sheba Medical Center, Tel Hashomer, Israel.
O Cohen-EzraLiver Diseases Center, Sheba Medical Center, Tel Hashomer, Israel.
Y DavidovLiver Diseases Center, Sheba Medical Center, Tel Hashomer, Israel.
P WeissLiver Diseases Center, Sheba Medical Center, Tel Hashomer, Israel.
T BradichevskiLiver Diseases Center, Sheba Medical Center, Tel Hashomer, Israel.
S SegevMedical Screening Unit, Sheba Medical Center, Tel Hashomer, Israel.
O KorenFaculty of Medicine, Bar-Ilan University, Safed, Israel.
Z Ben-Ari *Liver Research Laboratory, Sheba Medical Center, Tel Hashomer, Israel.
M Safran *Liver Research Laboratory, Sheba Medical Center, Tel Hashomer, Israel.
Sheba Medical Center · ILBar-Ilan University · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary sclerosing cholangitis (PSC) is a chronic, progressive liver disease known for its frequent concurrence with inflammatory bowel disease. PSC can progress to cirrhosis, end-stage liver disease, hepatobiliary cancer, and/or colorectal cancer. The etiopathogenesis of PSC remains poorly understood, and, as such, pharmacotherapy has yet to be definitively established. Little is known about the salivary microbiome in PSC and PSC-IBD. This study aimed to evaluate the oral microbiome of patients with PSC, with association to these patient's fecal microbial composition.

methodsSaliva, fecal samples and Food Frequency Questionnaires were collected from 35 PSC patients with or without concomitant inflammatory bowel disease and 30 age- and BMI-matched healthy volunteers. 16S rRNA gene sequencing was performed using Illumina MiSeq platform.

resultsThe salivary microbial signature of PSC was significantly altered as compared to healthy controls, independent of concomitant IBD, and was comprised of 19 significantly altered species, of which, eight species were consistently overrepresented in both fecal and saliva of patients with PSC, including Veillonella, Scardovia and Streptococcus.

conclusionsPSC is characterized by microbial dysbiosis in the gut and the salivary microbiome, independently from IBD. The PSC dysbiotic signature includes a reduction in autochthonous bacteria and an increased relative abundance of pathogenic bacteria, including an invasion of oral bacteria to the gut. PSC is a strong modulator of the microbial profile, in the gut and the oral microbiome. These results may lead to the development of biomarkers for screening and early diagnosis or the development of personalized medicine in PSC.

Indexed as

Cholangitis, SclerosingGastrointestinal MicrobiomeDysbiosisHumansInflammatory Bowel DiseasesRNA, Ribosomal, 16SRNA, Ribosomal, 16SCholestatic livers diseaseDietDysbiosisFood frequency questionnaireGutGut liver axisLiverMicrobiomePrimary sclerosing cholangitisSaliva

Identifiers

PMID32949377
OpenAlexW3087574823

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.