Evidence map›Paper›PMID 33596852›Full record

Trial reportBMC microbiology2021

Limited effects of long-term daily cranberry consumption on the gut microbiome in a placebo-controlled study of women with recurrent urinary tract infections.

Timothy J Straub, Wen-Chi Chou, Abigail L Manson, Henry L Schreiber, Bruce J Walker, Christopher A Desjardins, Sinéad B Chapman, Kerrie L Kaspar, Orsalem J Kahsai, Elizabeth Traylor and 5 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01776021 (A Multicenter, Double-Blind, Randomized, Placebo-Controlled Trial to Assess the Effects of a Cranberry Beverage on Women With Recent History of Urinary Tract Infections), which is not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 5% 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.

NCT01776021 nacompletednot on this map

A Multicenter, Double-Blind, Randomized, Placebo-Controlled Trial to Assess the Effects of a Cranberry Beverage on Women With Recent History of Urinary Tract Infections

TypeinterventionalSponsorOcean Spray Cranberries, Inc.Ran2013 to 2015Enrolled330ConditionsUrinary Tract Infections, Infection, Urologic DiseasesArmscranberry juice, placebo beverage
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Cranberries for preventing urinary tract infections.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Cranberries for preventing urinary tract infections.The Cochrane database of systematic reviews · 2023
    Pooled it
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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

15 authors at 4 institutions in 1 country.

Timothy J Straub *Infectious Disease & Microbiome Program, Broad Institute, 415 Main Street, Cambridge, MA, 02142, USA.
Wen-Chi Chou *Infectious Disease & Microbiome Program, Broad Institute, 415 Main Street, Cambridge, MA, 02142, USA.
Abigail L MansonInfectious Disease & Microbiome Program, Broad Institute, 415 Main Street, Cambridge, MA, 02142, USA.
Henry L SchreiberDepartment of Molecular Microbiology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Bruce J WalkerInfectious Disease & Microbiome Program, Broad Institute, 415 Main Street, Cambridge, MA, 02142, USA.
Christopher A DesjardinsInfectious Disease & Microbiome Program, Broad Institute, 415 Main Street, Cambridge, MA, 02142, USA.
Sinéad B ChapmanInfectious Disease & Microbiome Program, Broad Institute, 415 Main Street, Cambridge, MA, 02142, USA.
Kerrie L KasparOcean Spray Cranberries, Lakeville-Middleboro, MA, USA.
Orsalem J KahsaiPublic Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Elizabeth TraylorPublic Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Karen W DodsonDepartment of Molecular Microbiology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Meredith A J HullarPublic Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Scott J HultgrenDepartment of Molecular Microbiology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Christina KhooOcean Spray Cranberries, Lakeville-Middleboro, MA, USA.
Ashlee M EarlInfectious Disease & Microbiome Program, Broad Institute, 415 Main Street, Cambridge, MA, 02142, USA. aearl@broadinstitute.org.
Broad Institute · USFred Hutch Cancer Center · USWashington University in St. Louis · USCalifornia Institute of Technology · US

Funding

Viral Genomics: evolution, spread, and host interactionsU19AI110818 · NIAID · BROAD INSTITUTE, INC. · PI EARL, ASHLEE MIRIAM · 2014 to 2024
$66.5M
Mucosal Immune Defense Mechanisms of the Urinary BladderU01AI095542 · NIAID · WASHINGTON UNIVERSITY · PI COLONNA, MARCO, HULTGREN, SCOTT J. · 2011 to 2020
$9.8M
Epidemiologic and molecular basis of the gut-urinary tract axis in urinary tract infectionR01DK121822 · NIDDK · WASHINGTON UNIVERSITY · PI Ashlee Miriam Earl, SCOTT J. HULTGREN · 2020 to 2026
$4.9M
NIAID NIH HHS HHSN272200900018CNIAID NIH HHS U01 AI095542NIAID NIH HHS U19 AI110818NIDDK NIH HHS R01 DK121822
6 · The paper itself

Abstract

backgroundUrinary tract infections (UTIs) affect 15 million women each year in the United States, with > 20% experiencing frequent recurrent UTIs. A recent placebo-controlled clinical trial found a 39% reduction in UTI symptoms among recurrent UTI sufferers who consumed a daily cranberry beverage for 24 weeks. Using metagenomic sequencing of stool from a subset of these trial participants, we assessed the impact of cranberry consumption on the gut microbiota, a reservoir for UTI-causing pathogens such as Escherichia coli, which causes > 80% of UTIs.

resultsThe overall taxonomic composition, community diversity, carriage of functional pathways and gene families, and relative abundances of the vast majority of observed bacterial taxa, including E. coli, were not changed significantly by cranberry consumption. However, one unnamed Flavonifractor species (OTU41), which represented ≤1% of the overall metagenome, was significantly less abundant in cranberry consumers compared to placebo at trial completion. Given Flavonifractor's association with negative human health effects, we sought to determine OTU41 characteristic genes that may explain its differential abundance and/or relationship to key host functions. Using comparative genomic and metagenomic techniques, we identified genes in OTU41 related to transport and metabolism of various compounds, including tryptophan and cobalamin, which have been shown to play roles in host-microbe interactions.

conclusionWhile our results indicated that cranberry juice consumption had little impact on global measures of the microbiome, we found one unnamed Flavonifractor species differed significantly between study arms. This suggests further studies are needed to assess the role of cranberry consumption and Flavonifractor in health and wellbeing in the context of recurrent UTI.

trial registrationClinical trial registration number: ClinicalTrials.gov NCT01776021 .

Indexed as

AdultBacteriaBeveragesDouble-Blind MethodFecesFemaleGastrointestinal MicrobiomeHumansMetagenomeMetagenomicsMiddle AgedPlant ExtractsReinfectionUrinary Tract InfectionsVaccinium macrocarponPlant ExtractsCranberryFlavonifractorMetagenomeMicrobiomeUrinary tract infection (UTI)

Identifiers

PMID33596852
PMCPMC7890861
OpenAlexW3132523644

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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.