Evidence map›Paper›PMID 34281401›Full record

Trial reportmBio2021

Dynamic Colonization of Microbes and Their Functions after Fecal Microbiota Transplantation for Inflammatory Bowel Disease.

Nathaniel D Chu, Jessica W Crothers, Le T T Nguyen, Sean M Kearney, Mark B Smith, Zain Kassam, Cheryl Collins, Ramnik Xavier, Peter L Moses, Eric J Alm

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in mBio, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 9% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Distinct Effects ofMicroorganisms · 2025
    Article
  16. Review
  17. Review
  18. Fecal Microbiota Transplantation Activity ofFoods (Basel, Switzerland) · 2024
    Article
  19. Article
  20. Article
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

10 authors at 3 institutions in 1 country.

Nathaniel D ChuCenter for Microbiome Informatics and Therapeutics, Broad Institute, Cambridge, Massachusetts, USA.
Jessica W CrothersLarner College of Medicine, University of Vermont, Burlington, Vermont, USA.
Le T T NguyenCenter for Microbiome Informatics and Therapeutics, Broad Institute, Cambridge, Massachusetts, USA.
Sean M KearneyCenter for Microbiome Informatics and Therapeutics, Broad Institute, Cambridge, Massachusetts, USA.
Mark B SmithFinch Therapeutics, Somerville, Massachusetts, USA.
Zain KassamFinch Therapeutics, Somerville, Massachusetts, USA.
Cheryl CollinsLarner College of Medicine, University of Vermont, Burlington, Vermont, USA.
Ramnik XavierCenter for Microbiome Informatics and Therapeutics, Broad Institute, Cambridge, Massachusetts, USA.
Peter L MosesLarner College of Medicine, University of Vermont, Burlington, Vermont, USA.
Eric J AlmCenter for Microbiome Informatics and Therapeutics, Broad Institute, Cambridge, Massachusetts, USA.
Broad Institute · USUniversity of Vermont · USFinch Therapeutics (United States) · US

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG · 1991 to 2026
$35.3M
Using Dengue Controlled Human Infection Model to Identify Adaptive Immune Correlates of ProtectionP20GM125498 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Ellen Kozelka · 2018 to 2026
$24.9M
NIDDK NIH HHS P30 DK043351NIGMS NIH HHS P20 GM125498
6 · The paper itself

Abstract

For fecal microbiota transplantation (FMT) to be successful in immune diseases like inflammatory bowel disease, it is assumed that therapeutic microbes and their beneficial functions and immune interactions must colonize a recipient patient and persist in sufficient quantity and for a sufficient period of time to produce a clinical benefit. Few studies, however, have comprehensively profiled the colonization and persistence of transferred microbes along with the transfer of their microbial functions and interactions with the host immune system. Using 16S, metagenomic, and immunoglobulin A (IgA) sequencing, we analyzed hundreds of longitudinal microbiome samples from a randomized controlled trial of 12 patients with ulcerative colitis who received fecal transplant or placebo for 12 weeks. We uncovered diverse competitive dynamics among donor and patient strains, showing that persistence of transferred microbes is far from static. Indeed, one patient experienced a dramatic loss of donor bacteria 10 weeks into the trial, coinciding with a bloom of pathogenic bacteria and worsening symptoms. We evaluated the transfer of microbial functions, including desired ones, such as butyrate production, and unintended ones, such as antibiotic resistance. By profiling bacteria coated with IgA, we identified bacteria associated with inflammation and found that microbial interactions with the host immune system can be transferred across people, which could play a role in gut microbiome therapeutics for immune-related diseases. Our findings shed light on the colonization dynamics of gut microbes and their functions in the context of FMT to treat a complex disease-information that may provide a foundation for developing more-targeted therapeutics.

Indexed as

Fecal Microbiota TransplantationGastrointestinal MicrobiomeBacteriaButyratesCohort StudiesFecesHumansInflammatory Bowel DiseasesLongitudinal StudiesMetagenomicsButyrates16S RNAbacteriacompetitionfecal microbiota transplantimmunoglobulinsinflammatory bowel diseasemetagenomicsmicrobiome

Identifiers

PMID34281401
PMCPMC8406238
OpenAlexW3183786444

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.