Evidence map›Paper›PMID 33531483›Full record

ArticleNature communications2021

Host immunity modulates the efficacy of microbiota transplantation for treatment of Clostridioides difficile infection.

Eric R Littmann, Jung-Jin Lee, Joshua E Denny, Zahidul Alam, Jeffrey R Maslanka, Isma Zarin, Rina Matsuda, Rebecca A Carter, Bože Susac, Miriam S Saffern and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06992453 (Disentangling Microbiome Engraftment by Multi-omics of the Gut Ecosystem During Fecal Transplant), which is not on this map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
4.3field-weighted citation impact, top 4% 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.

NCT06992453 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Disentangling Microbiome Engraftment by Multi-omics of the Gut Ecosystem During Fecal Transplant

TypeinterventionalSponsorCatholic University of the Sacred HeartRan2026 to 2029Enrolled90ConditionsRecurrent C. Difficile (rCDI), Ulcerative Colitis (UC), Metabolic Syndrome (MetS)ArmsFecal microbiota transplantation (FMT)
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 93 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Clostridioides difficile pathogenesis and control.Nature reviews. Microbiology · 2026
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Dietary iron attenuatesVirulence · 2025
    Article
  15. Article
  16. Article
  17. Unravelling three-way interactions betweenJournal of medical microbiology · 2025
    Review
  18. Review
  19. Review
  20. Review

5 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

14 authors at 4 institutions in 1 country.

Eric R LittmannThe Duchossois Family Institute, University of Chicago, Chicago, IL, USA.
Jung-Jin LeeDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Joshua E DennyDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Zahidul AlamDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Jeffrey R MaslankaDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Isma ZarinDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Rina MatsudaDepartment of Pathobiology, University of Pennsylvania School of Veterinary Medicine, Philadelphia, PA, USA.
Rebecca A CarterLucille Castori Center, Molecular Microbiology Core Facility, Sloan-Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Bože SusacLucille Castori Center, Molecular Microbiology Core Facility, Sloan-Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-4330-949X
Miriam S SaffernLucille Castori Center, Molecular Microbiology Core Facility, Sloan-Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-0365-3704
Bryton FettDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Lisa M MatteiDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-2238-0281
Kyle BittingerDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-3472-5934
Michael C AbtDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Michael.abt@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-7351-2061
University of Pennsylvania · USChildren's Hospital of Philadelphia · USMemorial Sloan Kettering Cancer Center · USUniversity of Chicago · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Immune-Microbiota Interaction in defense against Clostridium difficileR00AI125786 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ABT, MICHAEL C. · 2018 to 2019
$498k
Immune - Microbiota Interaction in defense against Clostridium difficileK99AI125786 · NIAID · SLOAN-KETTERING INST CAN RESEARCH · PI ABT, MICHAEL C. · 2016 to 2017
$223k
NCI NIH HHS P30 CA008748NIAID NIH HHS K99 AI125786NIAID NIH HHS R00 AI125786
6 · The paper itself

Abstract

Fecal microbiota transplantation (FMT) is a successful therapeutic strategy for treating recurrent Clostridioides difficile infection. Despite remarkable efficacy, implementation of FMT therapy is limited and the mechanism of action remains poorly understood. Here, we demonstrate a critical role for the immune system in supporting FMT using a murine C. difficile infection system. Following FMT, Rag1 heterozygote mice resolve C. difficile while littermate Rag1

Indexed as

AnimalsCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesClostridioides difficileClostridium InfectionsFecesForkhead Transcription FactorsHomeodomain ProteinsInflammationMiceT-Lymphocytes, RegulatoryForkhead Transcription FactorsFoxp3 protein, mouseHomeodomain ProteinsRAG-1 protein

Identifiers

PMID33531483
PMCPMC7854624
OpenAlexW3128496458

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.