Evidence map›Paper›PMID 33924396›Full record

Observational studyNutrients2021

Association of Gut Microbiome and Vitamin D Deficiency in Knee Osteoarthritis Patients: A Pilot Study.

Boopalan Ramasamy, Fabien Magne, Sujit Kumar Tripathy, Giriprasad Venugopal, Diptasree Mukherjee, Ramadass Balamurugan

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. The gut-joint axis in osteoarthritis.Nature reviews. Rheumatology · 2026
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  8. Review
  9. Review
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  13. Gut and Joint Microbiomes: Implications in Osteoarthritis.Rheumatic diseases clinics of North America · 2025
    Review
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  15. Article
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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

6 authors at 3 institutions in 2 countries.

Boopalan RamasamyDepartment of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu 632004, India.ORCID 0000-0003-2708-8420
Fabien MagneMicrobiology and Mycology Program, Biomedical Sciences Institute (ICBM), School of Medicine, University of Chile, Santiago Región Metropolitana 8380418, Chile.ORCID 0000-0002-8210-4561
Sujit Kumar TripathyDepartment of Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar 110608, India.ORCID 0000-0003-0179-9910
Giriprasad VenugopalCenter of Excellence for Clinical Microbiome Research, All India Institute of Medical Sciences, Bhubaneswar 110608, India.
Diptasree MukherjeeDepartment of Biochemistry, All India Institute of Medical Sciences, Bhubaneswar 110608, India.
Ramadass BalamuruganCenter of Excellence for Clinical Microbiome Research, All India Institute of Medical Sciences, Bhubaneswar 110608, India.
All India Institute of Medical Sciences Bhubaneswar · INChristian Medical College, Vellore · INUniversity of Chile · CL

Funding

Christian Medical College, Vellore IRB Min No: 9432 dated 29/04/2015. Account number - 22Y665
6 · The paper itself

Abstract

backgroundFew preclinical studies have shown that Knee osteoarthritis (KOA) is linked to gut microbiome dysbiosis and chronic inflammation. This pilot study was designed to look at the gut microbiome composition in KOA patients and normal individuals with or without vitamin D deficiency (VDD, serum vitamin D <30 ng/mL).

methodsThis pilot study was conducted prospectively in 24 participants. The faecal samples of all the participants were taken for DNA extraction. The V3-V4 region of 16s rRNA was amplified, and the library was prepared and sequenced on the Illumina Miseq platform.

resultsThe mean (±SD) age was 45.5 (±10.2) years with no defined comorbidities. Of 447 total Operational Taxonomic Units (OTUs), a differential abundance of 16 nominally significant OTUs between the groups was observed. Linear discriminate analysis (LEfSe) revealed a significant difference in bacteria among the study groups. Pseudobutyrivibrio and Odoribacter were specific for VDD, while Parabacteroides, Butyricimonas and Gordonibacter were abundant in the KOA_VDD group, and Peptococcus, Intestimonas, Delftia and Oribacterium were abundant in the KOA group. About 80% of bacterial species were common among different groups and hence labelled as core bacterial species. However, the core microbiome of KOA and VDD groups were not seen in the KOA_VDD group, suggesting that these bacterial groups were affected by the interaction of the KOA and VDD factors.

conclusionParabacteroides, Butyricimonas, Pseudobutyrivibrio, Odoribacter and Gordonibacter are the predominant bacteria in vitamin D deficient patients with or without KOA. Together these results indicate an association between the gut microbiome, vitamin D and knee osteoarthritis.

Indexed as

AdultDNA, BacterialDysbiosisFecesGastrointestinal MicrobiomeHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedOsteoarthritis, KneePhylogenyPilot ProjectsRNA, Ribosomal, 16SVitamin DVitamin D DeficiencyDNA, BacterialRNA, Ribosomal, 16SVitamin Dgut microbiomeknee osteoarthritisvitamin D

Identifiers

PMID33924396
PMCPMC8069973
OpenAlexW3154953210

What OpenQuestion holds

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LicenceCC BY
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.