Evidence map›Paper›PMID 33819509›Full record

ArticleThe Journal of allergy and clinical immunology2021

Cytokine-specific autoantibodies shape the gut microbiome in autoimmune polyendocrine syndrome type 1.

Anders Ø Petersen, Martta Jokinen, Damian R Plichta, Gerhard Liebisch, Wolfram Gronwald, Katja Dettmer, Peter J Oefner, Hera Vlamakis, Daniel C Chung, Annamari Ranki and 1 more

Open access · greenAbstract readControlled Clinical Trial
In one paragraph

Article in The Journal of allergy and clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-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

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. Gut microbes
    Trial
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Frontiers in immunology · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. Review
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

11 authors at 8 institutions in 4 countries.

Anders Ø PetersenBroad Institute of MIT and Harvard, Cambridge, Mass; Center for Microbiome Informatics and Therapeutics, Massachusetts Institute of Technology, Cambridge, Mass; Department of Health Technology, Technical University of Denmark, Kongens Lyngby, Denmark.
Martta JokinenDepartment of Dermatology and Allergology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Damian R PlichtaBroad Institute of MIT and Harvard, Cambridge, Mass; Center for Microbiome Informatics and Therapeutics, Massachusetts Institute of Technology, Cambridge, Mass.
Gerhard LiebischInstitute of Clinical Chemistry and Laboratory Medicine, University Hospital Regensburg, Regensburg, Germany.
Wolfram GronwaldInstitute of Functional Genomics, University of Regensburg, Regensburg, Germany.
Katja DettmerInstitute of Functional Genomics, University of Regensburg, Regensburg, Germany.
Peter J OefnerInstitute of Functional Genomics, University of Regensburg, Regensburg, Germany.
Hera VlamakisBroad Institute of MIT and Harvard, Cambridge, Mass; Center for Microbiome Informatics and Therapeutics, Massachusetts Institute of Technology, Cambridge, Mass.
Daniel C ChungDivision of Gastroenterology, Massachusetts General Hospital and Harvard Medical School, Boston, Mass.
Annamari RankiDepartment of Dermatology and Allergology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. Electronic address: Annamari.Ranki@hus.fi.
Ramnik J XavierBroad Institute of MIT and Harvard, Cambridge, Mass; Center for Microbiome Informatics and Therapeutics, Massachusetts Institute of Technology, Cambridge, Mass; Division of Gastroenterology, Massachusetts General Hospital and Harvard Medical School, Boston, Mass; Center for Computational and Integrative Biology and Department of Molecular Biology, Massachusetts General Hospital and Harvard Medical School, Boston, Mass. Electronic address: xavier@molbio.mgh.harvard.edu.
University of Regensburg · DEBroad Institute · USHarvard University · USHelsinki University Hospital · FIMassachusetts General Hospital · USMassachusetts Institute of Technology · USUniversity Hospital Regensburg · DEUniversity of Helsinki · FI

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG · 1991 to 2026
$35.3M
The importance of the IgG4 glycome in IgG4-related disease(s)U19AI110495 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Ramnik J Xavier · 2014 to 2026
$7.9M
Identification and characterization of gut microbial bioactive molecules that determine predisposition to autoimmune disease and atopyR01AT009708 · NCCIH · HARVARD MEDICAL SCHOOL · PI CLARDY, JON, XAVIER, RAMNIK J · 2017 to 2021
$3.3M
NCCIH NIH HHS R01 AT009708NIAID NIH HHS U19 AI110495NIDDK NIH HHS P30 DK043351
6 · The paper itself

Abstract

backgroundGastrointestinal dysfunction is a frequent and disabling manifestation of autoimmune polyendocrine syndrome type 1 (APS-1), a rare monogenic multiorgan autoimmune disease caused by the loss of central AIRE-controlled immune tolerance.

objectivesThis study aimed to understand the role of the gut microbiome in APS-1 symptoms and potentially alleviate common gastrointestinal symptoms by probiotic intervention.

methodsThis study characterized the fecal microbiomes of 28 patients with APS-1 and searched for associations with gastrointestinal symptoms, circulating anti-cytokine autoantibodies, and tryptophan-related metabolites. Additionally, daily doses of the probiotic Lactobacillus rhamnosus GG were administered for 3 months.

resultsOf 581 metagenomic operational taxonomic units (mOTUs) characterized in total, 14 were significantly associated with patients with APS-1 compared with healthy controls, with 6 mOTUs depleted and 8 enriched in patients with APS-1. Four overabundant mOTUs were significantly associated with severity of constipation. Phylogenetically conserved microbial associations with autoantibodies against cytokines were observed. After the 3-month intervention with the probiotic L rhamnosus GG, a subset of gastrointestinal symptoms were alleviated. L rhamnosus GG abundance was increased postintervention and corresponded with decreased abundances of Alistipes onderdonkii and Collinsella aerofaciens, 2 species positively associated with severity of diarrhea in patients with APS-1.

conclusionsThe APS-1 microbiome correlates with several APS-1 symptoms, some of which are alleviated after a 3-month L rhamnosus GG intervention. Autoantibodies against cytokines appear to shape the gut microbiome by positively correlating with a taxonomically consistent group of bacteria.

Indexed as

Gastrointestinal MicrobiomeLacticaseibacillus rhamnosusActinobacteriaAdolescentAdultAgedAIRE ProteinAutoantibodiesBacteroidetesChildChild, PreschoolCytokinesFemaleHumansMaleMiddle AgedAIRE ProteinAutoantibodiesCytokinesTranscription FactorsAPECEDAPS-1autoantibodyautoimmunitychemokinecytokineGABALactobacillus rhamnosus GGmicrobiometryptophan

Identifiers

PMID33819509
PMCPMC8429070
OpenAlexW3151556271

What OpenQuestion holds

Textmetadata
LicenceTDM
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.