Evidence map›Paper›PMID 33515008›Full record

ArticleJournal of Crohn's & colitis2021

The Composition and Metabolic Potential of the Human Small Intestinal Microbiota Within the Context of Inflammatory Bowel Disease.

Renate A A A Ruigrok, Valerie Collij, Paula Sureda, Marjolein A Y Klaassen, Laura A Bolte, Bernadien H Jansen, Michiel D Voskuil, Jingyuan Fu, Cisca Wijmenga, Alexandra Zhernakova and 2 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of Crohn's & colitis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. AnmSystems · 2026
    Article
  4. A Developmental Perspective on the Intestinal Microbiota in Crohn's Disease.International journal of molecular sciences · 2026
    Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Influence ofMediators of inflammation · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Type 2 Diabetes and the Microbiome.Journal of the Endocrine Society · 2022
    Review
  17. Article
  18. Review
  19. Article
  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 1 institution in 1 country.

Renate A A A RuigrokDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, Groningen, The Netherlands.
Valerie CollijDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, Groningen, The Netherlands.
Paula SuredaDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, Groningen, The Netherlands.
Marjolein A Y KlaassenDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, Groningen, The Netherlands.
Laura A BolteDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, Groningen, The Netherlands.
Bernadien H JansenDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, Groningen, The Netherlands.
Michiel D VoskuilDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, Groningen, The Netherlands.
Jingyuan FuDepartment of Genetics, University Medical Center Groningen, Groningen, The Netherlands.
Cisca WijmengaDepartment of Genetics, University Medical Center Groningen, Groningen, The Netherlands.
Alexandra ZhernakovaDepartment of Genetics, University Medical Center Groningen, Groningen, The Netherlands.
Rinse K WeersmaDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, Groningen, The Netherlands.
Arnau Vich VilaDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, Groningen, The Netherlands.
University Medical Center Groningen · NL

Funding

CardioVasculair Onderzoek Nederland CVON 2012-03Diagnostics Grant from the Dutch Digestive Foundation D16-14ERC ERC-671274Netherlands Organization for Scientific ResearchNetherlands' Top Institute Food and Nutrition GH001University of GroningenVIDI 016.136.308
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe human gastrointestinal tract harbours distinct microbial communities essential for health. Little is known about small intestinal communities, despite the small intestine playing a fundamental role in nutrient absorption and host-microbe immune homeostasis. We aimed to explore the small intestine microbial composition and metabolic potential, in the context of inflammatory bowel disease [IBD].

methodsMetagenomes derived from faecal samples and extensive phenotypes were collected from 57 individuals with an ileostomy or ileoanal pouch, and compared with 1178 general population and 478 IBD faecal metagenomes. Microbiome features were identified using MetaPhAn2 and HUMAnN2, and association analyses were performed using multivariate linear regression.

resultsSmall intestinal samples had a significantly lower bacterial diversity, compared with the general population and, to a lesser extent, IBD samples. Comparing bacterial composition, small intestinal samples clustered furthest from general population samples and closest to IBD samples with intestinal resections. Veillonella atypica, Streptococcus salivarius, and Actinomyces graevenitzii were among the species significantly enriched in the small intestine. Predicted metabolic pathways in the small intestine are predominantly involved in simple carbohydrate and energy metabolism, but also suggest a higher pro-inflammatory potential.

conclusionsWe described the bacterial composition and metabolic potential of the small intestinal microbiota. The colonic microbiome of IBD patients, particularly with intestinal resections, showed resemblance to that of the small intestine. Moreover, several features characterising the small intestinal microbiome have been previously associated with IBD. These results highlight the importance of studying the small intestinal microbiota to gain new insight into disease pathogenesis.

Indexed as

Gastrointestinal MicrobiomeInflammatory Bowel DiseasesCohort StudiesFecesFemaleHumansIntestine, SmallMaleMiddle AgedInflammatory bowel diseaseshotgun sequencingsmall intestinal microbiota

Identifiers

PMID33515008
PMCPMC8328293
OpenAlexW3124271747

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.