Evidence map›Paper›PMID 33948576›Full record

ArticleCell reports. Medicine2021

Potential role of indolelactate and butyrate in multiple sclerosis revealed by integrated microbiome-metabolome analysis.

Izhak Levi, Michael Gurevich, Gal Perlman, David Magalashvili, Shay Menascu, Noam Bar, Anastasia Godneva, Liron Zahavi, Danyel Chermon, Noa Kosower and 18 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 pooled it
10.3field-weighted citation impact, top 1% 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

58 citing papers in PubMed, 4 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Changes in Gut Microbiota and Multiple Sclerosis: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. The Gut Microbiome in Multiple Sclerosis.Neurology(R) neuroimmunology & neuroinflammation · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Butyrate enhances CD56Genes and immunity · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Metabolic and lipid alterations in multiple sclerosis linked to disease severity.Multiple sclerosis (Houndmills, Basingstoke, England) · 2025
    Article
  19. Article
  20. 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

28 authors at 3 institutions in 1 country.

Izhak LeviDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Michael GurevichMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Gal PerlmanDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
David MagalashviliMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Shay MenascuMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Noam BarDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Anastasia GodnevaDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Liron ZahaviDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Danyel ChermonMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Noa KosowerDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Bat Chen WolfDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Gal MalkaDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Maya Lotan-PompanDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Adina WeinbergerDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Erez YirmiyaDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Daphna RothschildDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Sigal LeviatanDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Avishag TsurMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Maria DidkinMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Sapir DreyerMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Hen EizikovitzMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Yamit TitngiMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Sue MayostMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Polina SonisMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Mark DolevMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Yael SternMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Anat AchironMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Ramat-Gan 526200, Israel.
Eran SegalDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.
Weizmann Institute of Science · ILSheba Medical Center · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple sclerosis (MS) is an immune-mediated disease whose precise etiology is unknown. Several studies found alterations in the microbiome of individuals with MS, but the mechanism by which it may affect MS is poorly understood. Here we analyze the microbiome of 129 individuals with MS and find that they harbor distinct microbial patterns compared with controls. To study the functional consequences of these differences, we measure levels of 1,251 serum metabolites in a subgroup of subjects and unravel a distinct metabolite signature that separates affected individuals from controls nearly perfectly (AUC = 0.97). Individuals with MS are found to be depleted in butyrate-producing bacteria and in bacteria that produce indolelactate, an intermediate in generation of the potent neuroprotective antioxidant indolepropionate, which we found to be lower in their serum. We identify microbial and metabolite candidates that may contribute to MS and should be explored further for their causal role and therapeutic potential.

Indexed as

AdultBacteriaButyratesFemaleGastrointestinal MicrobiomeHumansMaleMetabolomeMicrobiotaMultiple SclerosisButyrates

Identifiers

PMID33948576
PMCPMC8080254
OpenAlexW3152493312

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.