Evidence map›Paper›PMID 34256014›Full record

Trial reportCell2021

Gut-microbiota-targeted diets modulate human immune status.

Hannah C Wastyk, Gabriela K Fragiadakis, Dalia Perelman, Dylan Dahan, Bryan D Merrill, Feiqiao B Yu, Madeline Topf, Carlos G Gonzalez, William Van Treuren, Shuo Han and 5 more

5 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cell, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 753 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
753citing papers in PubMed, 5 pooled it
64.4field-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.

NCT03275662 nacompletednot on this map

Microbiota-targeted Dietary Strategies to Reduce Inflammatory Markers of Americans: High Fiber vs Fermented Food

TypeinterventionalSponsorStanford UniversityRan2016 to 2017Enrolled37ConditionsMetabolic Syndrome, Microbiome, Immune Function, InflammationArmsDietary Fiber, Fermented Foods
NCT05027763 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Can Low-fat/high-fiber or Fermented Diet Modulate the Gut Microbiome to Improve Surgical Outcomes?

TypeinterventionalSponsorStanford UniversityRan2022 to 2025Enrolled60ConditionsSurgical Site InfectionArmshigh-fiber/low fat, fermented
NCT05900609 nacompletednot on this mapstarted 2023, after this paper: background citation

Gut Health Enhancement by Eating Favourable Food

TypeinterventionalSponsorVU University of AmsterdamRan2023 to 2024Enrolled146ConditionsMicrobial ColonizationArmsWholeFiber, Kombucha, Maltodextrin DE19/21
NCT06560554 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Evaluating the Effects of a Fermented Diet on Microbiome Diversity in Individuals With Long COVID

TypeinterventionalSponsorMayo ClinicRan2024 to 2026Enrolled40ConditionsLong COVIDArmsFermented foods, Control
NCT06695221 narecruitingnot on this mapstarted 2026, after this paper: background citation

Improving Health Outcomes With Kefir

TypeinterventionalSponsorUniversity of AlbertaRan2026 to 2027Enrolled156ConditionsSystemic Inflammatory Response, Diabetes Mellitus, Type 2, Cardiovascular DiseasesArmsTraditional Kefir, Milk (placebo)
3 · Its place in the literature

Who cites it

753 citing papers in PubMed, 5 syntheses or guidelines pooled it, 1,192 citations in OpenAlex.

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693 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Hannah C WastykDepartment of Bioengineering, Stanford School of Medicine, Stanford, CA 94305, USA.
Gabriela K FragiadakisMicrobiology & Immunology, Stanford School of Medicine, Stanford, CA 94305, USA.
Dalia PerelmanStanford Prevention Research Center, Department of Medicine, Stanford School of Medicine, Stanford, CA 94305, USA.
Dylan DahanMicrobiology & Immunology, Stanford School of Medicine, Stanford, CA 94305, USA.
Bryan D MerrillMicrobiology & Immunology, Stanford School of Medicine, Stanford, CA 94305, USA.
Feiqiao B YuChan Zuckerberg Biohub, San Francisco, CA 94158, USA.
Madeline TopfMicrobiology & Immunology, Stanford School of Medicine, Stanford, CA 94305, USA.
Carlos G GonzalezDepartment of Chemical and Systems Biology, Stanford School of Medicine, Stanford University, Stanford, CA 94305, USA.
William Van TreurenMicrobiology & Immunology, Stanford School of Medicine, Stanford, CA 94305, USA.
Shuo HanMicrobiology & Immunology, Stanford School of Medicine, Stanford, CA 94305, USA.
Jennifer L RobinsonStanford Prevention Research Center, Department of Medicine, Stanford School of Medicine, Stanford, CA 94305, USA.
Joshua E EliasChan Zuckerberg Biohub, San Francisco, CA 94158, USA.
Erica D SonnenburgMicrobiology & Immunology, Stanford School of Medicine, Stanford, CA 94305, USA; Center for Human Microbiome Studies, Stanford School of Medicine, Stanford University, Stanford, CA 94305, USA. Electronic address: erica.sonnenburg@stanford.edu.
Christopher D GardnerStanford Prevention Research Center, Department of Medicine, Stanford School of Medicine, Stanford, CA 94305, USA. Electronic address: cgardner@stanford.edu.
Justin L SonnenburgMicrobiology & Immunology, Stanford School of Medicine, Stanford, CA 94305, USA; Center for Human Microbiome Studies, Stanford School of Medicine, Stanford University, Stanford, CA 94305, USA. Electronic address: jsonnenburg@stanford.edu.
Stanford Medicine · USChan Zuckerberg Initiative (United States) · USStanford University · US

Funding

MOLECULAR BASIS OF HOST-PARASITE INTERACTIONT32AI007328 · NIAID · STANFORD UNIVERSITY · PI JUSTIN L SONNENBURG · 1987 to 2026
$11.9M
Impact of Diet on Intestinal Microbiota-Host DynamicsR01DK085025 · NIDDK · STANFORD UNIVERSITY · PI JUSTIN L SONNENBURG · 2010 to 2026
$6.4M
Impact of gut microbiota-derived molecules on mammalian host health and longevityF32AG062119 · NIA · STANFORD UNIVERSITY · PI HAN, SHUO · 2019 to 2021
$202k
NIAID NIH HHS T32 AI007328NIA NIH HHS F32 AG062119NIDDK NIH HHS R01 DK085025
6 · The paper itself

Abstract

Diet modulates the gut microbiome, which in turn can impact the immune system. Here, we determined how two microbiota-targeted dietary interventions, plant-based fiber and fermented foods, influence the human microbiome and immune system in healthy adults. Using a 17-week randomized, prospective study (n = 18/arm) combined with -omics measurements of microbiome and host, including extensive immune profiling, we found diet-specific effects. The high-fiber diet increased microbiome-encoded glycan-degrading carbohydrate active enzymes (CAZymes) despite stable microbial community diversity. Although cytokine response score (primary outcome) was unchanged, three distinct immunological trajectories in high-fiber consumers corresponded to baseline microbiota diversity. Alternatively, the high-fermented-food diet steadily increased microbiota diversity and decreased inflammatory markers. The data highlight how coupling dietary interventions to deep and longitudinal immune and microbiome profiling can provide individualized and population-wide insight. Fermented foods may be valuable in countering the decreased microbiome diversity and increased inflammation pervasive in industrialized society.

Indexed as

DietGastrointestinal MicrobiomeImmunityBiodiversityDietary FiberFeeding BehaviorFemaleFermented FoodsHumansInflammationMaleMiddle AgedSignal TransductionDietary FiberCAZymesCyTOFfermented foodfiber dietimmune systemimmune system profilinginflammationmicrobiomenutritionproteomics

Identifiers

PMID34256014
PMCPMC9020749
OpenAlexW3179557623

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.