Evidence map›Paper›PMID 34209688›Full record

ArticleBiomedicines2021

The Gut Microbiota-Immunity Axis in ALS: A Role in Deciphering Disease Heterogeneity?

Elena Niccolai, Vincenzo Di Pilato, Giulia Nannini, Simone Baldi, Edda Russo, Elisabetta Zucchi, Ilaria Martinelli, Marta Menicatti, Gianluca Bartolucci, Jessica Mandrioli and 1 more

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  9. Integrative genomics and functional immunology reveal Clostridia species as modulators of neuroinflammation in amyotrophic lateral sclerosis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
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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

11 authors at 4 institutions in 1 country.

Elena NiccolaiDepartment of Clinical and Experimental Medicine, University of Florence, 50134 Florence, Italy.ORCID 0000-0002-9205-8079
Vincenzo Di PilatoDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, 16132 Genoa, Italy.ORCID 0000-0002-5863-5805
Giulia NanniniDepartment of Clinical and Experimental Medicine, University of Florence, 50134 Florence, Italy.
Simone BaldiDepartment of Clinical and Experimental Medicine, University of Florence, 50134 Florence, Italy.ORCID 0000-0002-5151-2618
Edda RussoDepartment of Clinical and Experimental Medicine, University of Florence, 50134 Florence, Italy.ORCID 0000-0003-3141-1091
Elisabetta ZucchiDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Ilaria MartinelliNeurology Unit, Department of Neuroscience, Azienda Ospedaliero Universitaria di Modena, 41125 Modena, Italy.ORCID 0000-0003-2566-3671
Marta MenicattiDepartment of Neurosciences, Psychology, Drug Research and Child Health Section of Pharmaceutical and Nutraceutical Sciences, University of Florence, 50139 Florence, Italy.
Gianluca BartolucciDepartment of Neurosciences, Psychology, Drug Research and Child Health Section of Pharmaceutical and Nutraceutical Sciences, University of Florence, 50139 Florence, Italy.ORCID 0000-0002-5631-8769
Jessica MandrioliDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy.ORCID 0000-0002-9244-9782
Amedeo AmedeiDepartment of Clinical and Experimental Medicine, University of Florence, 50134 Florence, Italy.ORCID 0000-0002-6797-9343
University of Florence · ITUniversity of Modena and Reggio Emilia · ITAzienda Ospedaliero-Universitaria di Modena · ITUniversity of Genoa · IT

Funding

Ministero della Salute RF-2016-02361616
6 · The paper itself

Abstract

Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disorder with an unknown etiology and no effective treatment, and is characterized by large phenotypic heterogeneity, including variable sites, ages of symptom onset and rates of disease progression. Increasing data support the role of the microbiota-immunity axis in the pathogenesis of neurodegenerative diseases. In the present study, we compared the inflammatory and microbiota profile of ALS patients with different clinical characteristics, with healthy family caregivers. Measuring a panel of 30 inflammatory cytokines in serum and fecal samples, we observed a distinct cytokine profile both at the systemic and intestinal level in patients compared to controls and even in patients with different clinical phenotypes and progression rates. The 16S targeted metagenome analysis revealed slight differences in patients compared to controls as well as in patients with slow progression, marked by the reduction of butyrate-producing bacteria and a decrease of the Firmicutes/Bacteroidetes ratio in ALS. Finally, the short chain fatty acid analysis did not show a different distribution among the groups. If confirmed in a larger number of patients, the inflammatory cytokine profile and the microbial composition could be appropriate biomarker candidates for deciphering ALS heterogeneity.

Indexed as

Amyotrophic Lateral Sclerosiscytokinesheterogeneityinflammationmicrobiotamotor neuron diseaseshort chain fatty acids

Identifiers

PMID34209688
PMCPMC8301418
OpenAlexW3176888555

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.