Evidence map›Paper›PMID 33387350›Full record

ArticleJournal of endocrinological investigation2021

Gut microbiota alterations reveal potential gut-brain axis changes in polycystic ovary syndrome.

Z Liang, N Di, L Li, D Yang

Abstract read
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In one paragraph

Article in Journal of endocrinological investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 12 pooled it
5.7field-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

70 citing papers in PubMed, 12 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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  2. Global Microbiome: Core and Unique Signatures Across Diverse Populations.International journal of molecular sciences · 2026
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10 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

4 authors at 1 institution in 1 country.

Z LiangDepartment of Obstetrics and Gynecology, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, China.
N DiDepartment of Ultrasound, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, China.
L LiDepartment of Obstetrics and Gynecology, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, China. lilinsums@163.com.
D YangDepartment of Obstetrics and Gynecology, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, China. yangfuchanke@163.com.ORCID http://orcid.org/0000-0001-9890-219X
Sun Yat-sen University · CN

Funding

2014 Sun Yat-sen University 5010 project: A long-term follow-up study on metabolic abnormalities and outcomes in patients with polycystic ovary syndrome 20140052017 Sun Yat-sen University 5010 Youth Project: A randomized controlled trial comparing the efficacy and safety of berberine versus metformin for polycystic ovary syndrome with metabolic disorders 2017015National Key Research and development Program of China SQ2017YFSF080004National Natural Science Youth Fund 81703784
6 · The paper itself

Abstract

purposePolycystic ovary syndrome (PCOS) is a common heterogeneous endocrine disorder companied with neuroendocrine and metabolic disorders. Gut microbiota has been implicated to play a key role in metabolic diseases and the production of neurotransmitters. Previous studies have reported the alterations in the gut microbiota of PCOS patients and animal models, however, most of the articles did not take the effect of age or diet on gut microbiota into account. The aim of this study was to identify the differential gut microbial species in PCOS patients compared with age and BMI-matched healthy control women.

methodsWe performed physical examinations and dietary survey in 20 women with PCOS (lean PCOS, PL, n = 10; overweight PCOS, PO, n = 10) and 20 healthy control women (lean control, CL, n = 10; overweight control, CO, n = 10), and collected the blood on the days 1-3 of the menstrual cycle for the measurement of endocrine and metabolic profiles, and inflammatory factors; and collected the feces in non-menstrual period to investigate the composition of gut microbiota by sequencing the V4 region of the 16S rDNA gene in fecal samples. The correlations between clinical parameters and the differential species were evaluated.

resultsDietary analysis showed that the intake of dietary fiber, vitamin D were significantly decreased in PCOS. For the first time, our study found an increase of gamma-aminobutyric acid (GABA)-producing species in PCOS, including Parabacteroides distasonis, Bacteroides fragilis and Escherichia coli, which significantly positively correlated with serum LH levels and LH:FSH ratios.

conclusionsGABA-producing bacteria that were increased in PCOS, including Parabacteroides distasonis, Bacteroides fragilis and Escherichia coli, showed positive relationship with serum LH levels and LH:FSH ratios. In conclusion, gut microbial dysbiosis in women with PCOS is associated with neuroendocrine changes, revealing a potential gut-brain axis in PCOS.

Indexed as

BacteriaDysbiosisOverweightPolycystic Ovary SyndromeAdultBrain-Gut AxisFecesFemaleFollicle Stimulating Hormonegamma-Aminobutyric AcidGastrointestinal MicrobiomeHumansLuteinizing HormoneNeurosecretory SystemsNutrition SurveysRNA, Ribosomal, 16SFollicle Stimulating Hormonegamma-Aminobutyric AcidLuteinizing HormoneRNA, Ribosomal, 16SGamma-aminobutyric acidGut–brain axisGut microbiotaOverweightPolycystic ovary syndrome

Identifiers

PMID33387350
OpenAlexW3116337552

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.