Evidence map›Paper›PMID 34152099›Full record

Trial reportBrain and behavior2021

Changes in the gut microbiome associated with infliximab in patients with bipolar disorder.

Aadil Bharwani, Jake C Szamosi, Valerie H Taylor, Yena Lee, Asem Bala, Rodrigo Mansur, Mehala Subramaniapillai, Michael Surette, Roger S McIntyre

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 53% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. 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

9 authors at 4 institutions in 2 countries.

Aadil BharwaniMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Jake C SzamosiDepartment of Medicine, McMaster University, Hamilton, Ontario, Canada.
Valerie H TaylorDepartment of Psychiatry, Foothills Medical Centre, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-8948-638X
Yena LeeMood Disorders Psychopharmacology Unit, University Health Network, Toronto, Ontario, Canada.
Asem BalaDepartment of Psychiatry, Foothills Medical Centre, University of Calgary, Calgary, Alberta, Canada.
Rodrigo MansurMood Disorders Psychopharmacology Unit, University Health Network, Toronto, Ontario, Canada.
Mehala SubramaniapillaiMood Disorders Psychopharmacology Unit, University Health Network, Toronto, Ontario, Canada.
Michael SuretteDepartment of Medicine, Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
Roger S McIntyreMood Disorders Psychopharmacology Unit, University Health Network, Toronto, Ontario, Canada.
University Health Network · CAMcMaster University · CAUniversity of Calgary · CAPopulation Health Research Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAvailable information exists supporting the gut-brain axis, but additional information is needed to explore how the gut microbiome changes when exposed to mood disorder treatments. We sought to explore the effects of a novel treatment for bipolar disorder (BD), infliximab, on the gut microbiome.

methodsParticipants with a primary diagnosis of BD (n = 15) who participated in a 12-week, randomized placebo-controlled trial evaluating the efficacy of adjunctive infliximab in the treatment of BD were recruited and followed. Stool samples were collected prior to randomization and at 12 weeks. 16S rRNA sequencing was employed in order to analyze the gut microbial community profile.

resultsA total of 17 participants were randomized to infliximab (n = 9; mean [SD] age, 47.6 [10.3] years; 8 female) or to placebo (n = 8; mean [SD] age, 45.9 [10.7] years; 7 female) but two participants from the infliximab group were lost to follow-up post randomization. Across all time points, there were no differences in the diversity on either Shannon or Simpson's Diversity indices. Comparison of Aitchison distances revealed a lack of clustering of the microbiota by time point, but did reveal a small overall effect of treatment that was not significantly different at individual time points. There were also no effects of either time or treatment on differential abundance at either the amplicon sequence variant or genus level.

conclusionsThese observations indicate that no community-wide changes in the microbiota diversity and profile were detected after the use of infliximab treatment.

Indexed as

Bipolar DisorderGastrointestinal MicrobiomeCluster AnalysisFemaleHumansInfliximabMiddle AgedRNA, Ribosomal, 16SInfliximabRNA, Ribosomal, 16S16S rRNA sequencingbipolar disordergut microbiotainflammationinfliximab

Identifiers

PMID34152099
PMCPMC8413825
OpenAlexW3175485210

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.