Evidence map›Paper›PMID 33976272›Full record

ArticleScientific reports2021

Evaluation of changes in intestinal microbiota in Crohn's disease patients after anti-TNF alpha treatment.

Laura Sanchis-Artero, Juan Francisco Martínez-Blanch, Sergio Manresa-Vera, Ernesto Cortés-Castell, Marina Valls-Gandia, Marisa Iborra, Jose Maria Paredes-Arquiola, Maia Boscá-Watts, Jose Maria Huguet, Rafael Gil-Borrás and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 11% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Trial
  5. Article
  6. Review
  7. A Developmental Perspective on the Intestinal Microbiota in Crohn's Disease.International journal of molecular sciences · 2026
    Review
  8. Article
  9. Decoding the power of the microbiome in human health.Frontiers in cellular and infection microbiology · 2026
    Review
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  11. Article
  12. Review
  13. Article
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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

12 authors at 10 institutions in 1 country.

Laura Sanchis-ArteroInflammatory Bowel Disease Unit, Department of Digestive Diseases, Sagunto Hospital, Av. Ramón y Cajal S/N, 46520, Sagunto, Valencia, Spain. laurasanchisartero@gmail.com.
Juan Francisco Martínez-BlanchADM-Lifesequencing S.L., University of Valencia Science Park, Carrer del Catedràtic Agustín Escardino Benlloch 9, Edificio 2, 46980, Paterna, Valencia, Spain. Juan.MartinezBlanch@adm.com.
Sergio Manresa-VeraADM-Lifesequencing S.L., University of Valencia Science Park, Carrer del Catedràtic Agustín Escardino Benlloch 9, Edificio 2, 46980, Paterna, Valencia, Spain.
Ernesto Cortés-CastellDepartment of Pharmacology, Pediatrics and Organic Chemistry, Miguel Hernández University, Carretera de Valencia-Alicante S/N, 03550, San Juan de Alicante, Alicante, Spain. ernesto.cortes@umh.es.
Marina Valls-GandiaInflammatory Bowel Disease Unit, Department of Digestive Diseases, Hospital General de Castellón, Castellón de la Plana, Spain.
Marisa IborraInflammatory Bowel Disease Unit, Department of Digestive Diseases, Hospital Universitario y Politécnico La Fe de Valencia, Valencia, Spain.
Jose Maria Paredes-ArquiolaInflammatory Bowel Disease Unit, Department of Digestive Diseases, Hospital Doctor Peset de Valencia, Valencia, Spain.
Maia Boscá-WattsInflammatory Bowel Disease Unit, Department of Digestive Diseases, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Jose Maria HuguetInflammatory Bowel Disease Unit, Department of Digestive Diseases, Hospital General de Valencia, Valencia, Spain.
Rafael Gil-BorrásInflammatory Bowel Disease Unit, Department of Digestive Diseases, Hospital Lluís Alcanyís de Xàtiva, Valencia, Spain.
Josefa Rodríguez-MoralesInflammatory Bowel Disease Unit, Department of Digestive Diseases, Sagunto Hospital, Av. Ramón y Cajal S/N, 46520, Sagunto, Valencia, Spain.
Xavier Cortés-RizoDepartment of Medicine, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.
Hospital de Sagunto · ESParc Científic de la Universitat de València · ESHospital Clínico Universitario de Valencia · ESHospital General Universitari de Castelló · ESHospital General Universitario De Valencia · ESHospital Lluis Alcanyis · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario Doctor Peset · ESUniversidad Cardenal Herrera CEU · ESUniversitat de Miguel Hernández d'Elx · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intestinal dysbiosis is key in the onset and development of Crohn's disease (CD). We evaluated the microbiota changes in CD patients before and after a six-month anti-TNF treatment, comparing these changes with the microbiota of healthy subjects. This prospective multicenter observational study involved 27 CD patients initiating anti-TNF treatment and 16 healthy individuals. Inflammatory activity was determined at baseline, 3 and 6 months, classifying patients into responders and non-responders. Fecal microbiota was analyzed by massive genomic sequencing thought 16S rRNA amplicon sequencing before and after six months of anti-TNF treatment. The CD cohort showed a decrease in genera of the class Clostridia, short-chain fatty acid producers, and an increase in the phylum Proteobacteria (p < 0.01) versus the healthy cohort. After anti-TNF treatment, the phylum Proteobacteria also increased in non-responders versus responders (13/27) (p < 0.005), with the class Clostridia increasing. In addition, alpha diversity increased in responders versus non-responders (p < 0.01), tending towards eubiosis. An association was found (p < 0.001) in the F.prausnitzii/E.coli ratio between responders and non-responders. The F/E ratio was the most accurate biomarker of anti-TNF response (area under the curve 0.87). Thus, anti-TNF treatment allows partial restoration of intestinal microbiota in responders and the F.prausnitzii/E.coli ratio can provide a reliable indicator of response to anti-TNF in CD.

Indexed as

AdultBiomarkersCase-Control StudiesCrohn DiseaseEscherichia coliFaecalibacterium prausnitziiFemaleGastrointestinal MicrobiomeHumansMaleMiddle AgedTreatment OutcomeTumor Necrosis Factor InhibitorsYoung AdultBiomarkersTumor Necrosis Factor Inhibitors

Identifiers

PMID33976272
PMCPMC8113350
OpenAlexW3161454193

What OpenQuestion holds

Textmetadata
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.