Evidence map›Paper›PMID 33270205›Full record

ArticleInfectious diseases and therapy2021

The Effect of Probiotics Supplementation on Gut Microbiota After Helicobacter pylori Eradication: A Multicenter Randomized Controlled Trial.

Bo Tang, Li Tang, Cheng Huang, Chuan Tian, Ling Chen, Zhijun He, Guodong Yang, Luo Zuo, Guoce Zhao, En Liu and 4 more

Abstract read
In one paragraph

Article in Infectious diseases and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

32 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Trial
  7. Trial
  8. Five-Day Treatment withNutrients · 2025
    Trial
  9. Evaluation of efficacy and safety ofFrontiers in immunology · 2024
    Trial
  10. Trial
  11. Effect of Probiotic-Assisted Eradication ofBioMed research international · 2022
    Trial
  12. Trial
  13. Review
  14. Review
  15. Article
  16. Article
  17. The Aging Stomach: Clinical Implications ofInternational journal of molecular sciences · 2024
    Review
  18. Opportunities forMicroorganisms · 2024
    Review
  19. 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

14 authors.

Bo TangDepartment of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Li TangDepartment of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Cheng HuangDepartment of Gastroenterology, Chongqing Iron and Steel General Hospital, Chongqing, China.
Chuan TianDepartment of Gastroenterology, Nanchuan People's Hospital, Nanchuan, China.
Ling ChenDepartment of Gastroenterology, 958 Hospital of PLA, Chongqing, China.
Zhijun HeDepartment of Gastroenterology, Chongqing Fifth People's Hospital, Chongqing, China.
Guodong YangDepartment of Gastroenterology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Luo ZuoDepartment of Gastroenterology, Affiliated Hospital of Chengdu Medical College, Chengdu, China.
Guoce ZhaoDepartment of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
En LiuDepartment of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Sumin WangDepartment of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Hui LinDepartment of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Jialin HeDepartment of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China. garinfly@163.com.
Shiming YangDepartment of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China. Yangshiming@tmmu.edu.cn.

Funding

Science and Technology Innovation Promotion Program of TMMU 2019XLC3022
6 · The paper itself

Abstract

introductionHelicobacter pylori eradication therapy may lead to the perturbation of gut microbiota. We aim to investigate the impact of probiotics on eradication rate and gut microbiota during eradication therapy.

methodsA total of 162 patients receiving bismuth quadruple therapy were enrolled and randomly assigned to groups given probiotics (n = 83) or placebo (n = 79) for 4 weeks. Fecal samples were collected before treatment and 2, 4, 6, and 8 weeks after eradication therapy. Gut microbiota was analyzed by 16S rRNA high-throughput sequencing.

resultsThe eradication rates in the placebo and probiotics group were 82.43% and 87.01%, respectively (P > 0.05). Compared with baseline, alpha and beta diversity was significantly altered 2 weeks after eradication in both groups, which was restored at week 8. There were no significant differences in diversity between the two groups. H. pylori eradication therapy resulted in enrichment of some detrimental bacteria taxa such as Shigella, Klebsiella, and Streptococcus, while probiotics supplementation could rapidly restore these taxa levels after eradication and increase the taxa of Bacillus and Lactobacillales. Functional analysis revealed that lipopolysaccharide biosynthesis and polymyxin resistance pathways were significantly enriched after eradication, while probiotics supplementation mainly enriched the cofactors and vitamins metabolism pathways. Increased relative abundances of Roseburia and Dialister were associated with the positive eradication outcome.

conclusionsProbiotics supplementation might help to construct a beneficial profile of gut microbiota after eradication therapy. Specific bacteria taxa are associated with H. pylori eradication outcome. These findings may be of value in rational use of probiotics during H. pylori eradication.

trial registrationChinese Clinical Trial Registry, ChiCTR1900022116.

Indexed as

Eradication therapyGut microbiotaHelicobacter pyloriProbiotics

Identifiers

PMID33270205
PMCPMC7955021

What OpenQuestion holds

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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.