Evidence map›Paper›PMID 32991720›Full record

ArticleBlood advances2020

Prebiotics protect against acute graft-versus-host disease and preserve the gut microbiota in stem cell transplantation.

Kota Yoshifuji, Kyoko Inamoto, Yuko Kiridoshi, Kozue Takeshita, Satoshi Sasajima, Yukiko Shiraishi, Yuko Yamashita, Yuko Nisaka, Yukari Ogura, Rie Takeuchi and 12 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 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
5.6field-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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Feasibility of tooth brushing during prolonged neutropenia in adults receiving intensive induction for acute leukemia: a randomized trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
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  10. Observational
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  13. Radiomitigators: Breakthroughs in Post-Radiation Recovery.Antioxidants (Basel, Switzerland) · 2026
    Review
  14. Article
  15. The Potential of the Gut Microbiota and Butyrate to Enhance CAR T-cell Therapy in Non-Hodgkin Lymphoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  16. Review
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1 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

22 authors at 5 institutions in 1 country.

Kota YoshifujiHematology Division, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Kyoko InamotoHematology Division, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Yuko KiridoshiJSR-Keio University Medical and Chemical Innovation Center (JKiC), Tokyo, Japan.
Kozue TakeshitaDepartment of Microbiology and Immunology, Keio University School of Medicine, Tokyo, Japan.
Satoshi SasajimaDepartment of Microbiology and Immunology, Keio University School of Medicine, Tokyo, Japan.
Yukiko ShiraishiNutrition Division and.
Yuko YamashitaNursing Division, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Yuko NisakaNursing Division, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Yukari OguraNutrition Division and.
Rie TakeuchiNutrition Division and.
Takashi ToyaHematology Division, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Aiko IgarashiHematology Division, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Yuho NajimaHematology Division, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Noriko DokiHematology Division, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Takeshi KobayashiHematology Division, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Kazuteru OhashiHematology Division, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Wataru SudaRIKEN Center for Integrative Medical Sciences (IMS), Yokohama City, Japan.
Koji AtarashiJSR-Keio University Medical and Chemical Innovation Center (JKiC), Tokyo, Japan.
Atsushi ShiotaJSR-Keio University Medical and Chemical Innovation Center (JKiC), Tokyo, Japan.
Masahira HattoriRIKEN Center for Integrative Medical Sciences (IMS), Yokohama City, Japan.
Kenya HondaJSR-Keio University Medical and Chemical Innovation Center (JKiC), Tokyo, Japan.
Kazuhiko KakihanaHematology Division, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Tokyo Metropolitan Komagome Hospital · JPKeio University · JPRIKEN Center for Integrative Medical Sciences · JPTokyo Medical and Dental University · JPWaseda University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute graft-versus-host disease (aGVHD) is a major cause of morbidity and mortality after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Therefore, management of aGVHD is important for successful transplantation. Mucosal damage and alteration of the gut microbiota after allo-HSCT are key factors in the development of aGVHD. We conducted a prospective study to evaluate the ability of prebiotics, which can alleviate mucosal damage and manipulate the gut microbiota, to mitigate posttransplantation complications, including aGVHD. Resistant starch (RS) and a commercially available prebiotics mixture, GFO, were administered to allo-HSCT recipients from pretransplantation conditioning to day 28 after allo-HSCT. Prebiotic intake mitigated mucosal injury and reduced the incidence of all aGVHD grades combined and of aGVHD grades 2 to 4. The cumulative incidence of skin aGVHD was markedly decreased by prebiotics intake. Furthermore, the gut microbial diversity was well maintained and butyrate-producing bacterial population were preserved by prebiotics intake. In addition, the posttransplantation fecal butyrate concentration was maintained or increased more frequently in the prebiotics group. These observations indicate that prebiotic intake may be an effective strategy for preventing aGVHD in allo-HSCT, thereby improving treatment outcomes and the clinical utility of stem cell transplantation approaches. This study was registered on the University Hospital Medical Information Network (UMIN) clinical trials registry (https://www.umin.ac.jp/ctr/index.htm) as #UMIN000027563.

Indexed as

Gastrointestinal MicrobiomeGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansPrebioticsProspective StudiesPrebiotics

Identifiers

PMID32991720
PMCPMC7556149
OpenAlexW3089831531

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.