Evidence map›Paper›PMID 34335609›Full record

ArticleFrontiers in immunology2021

Low Dietary Fiber Intake Links Development of Obesity and Lupus Pathogenesis.

Anna-Lena Schäfer, Alexandra Eichhorst, Carolin Hentze, Antoine N Kraemer, Anaïs Amend, Dalina T L Sprenger, Cara Fluhr, Stephanie Finzel, Christoph Daniel, Ulrich Salzer and 3 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  12. Gut-X axis.iMeta · 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

13 authors at 2 institutions in 1 country.

Anna-Lena SchäferDepartment of Rheumatology and Clinical Immunology, University Medical Centre Freiburg, Freiburg, Germany.
Alexandra EichhorstDepartment of Rheumatology and Clinical Immunology, University Medical Centre Freiburg, Freiburg, Germany.
Carolin HentzeDepartment of Rheumatology and Clinical Immunology, University Medical Centre Freiburg, Freiburg, Germany.
Antoine N KraemerDepartment of Rheumatology and Clinical Immunology, University Medical Centre Freiburg, Freiburg, Germany.
Anaïs AmendDepartment of Rheumatology and Clinical Immunology, University Medical Centre Freiburg, Freiburg, Germany.
Dalina T L SprengerDepartment of Rheumatology and Clinical Immunology, University Medical Centre Freiburg, Freiburg, Germany.
Cara FluhrDepartment of Rheumatology and Clinical Immunology, University Medical Centre Freiburg, Freiburg, Germany.
Stephanie FinzelDepartment of Rheumatology and Clinical Immunology, University Medical Centre Freiburg, Freiburg, Germany.
Christoph DanielDepartment of Nephropathology, Friedrich-Alexander University (FAU) of Erlangen-Nuremberg, Erlangen, Germany.
Ulrich SalzerDepartment of Rheumatology and Clinical Immunology, University Medical Centre Freiburg, Freiburg, Germany.
Marta RizziDepartment of Rheumatology and Clinical Immunology, University Medical Centre Freiburg, Freiburg, Germany.
Reinhard E VollDepartment of Rheumatology and Clinical Immunology, University Medical Centre Freiburg, Freiburg, Germany.
Nina ChevalierDepartment of Rheumatology and Clinical Immunology, University Medical Centre Freiburg, Freiburg, Germany.
University Medical Center Freiburg · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Changed dietary habits in Western countries such as reduced fiber intake represent an important lifestyle factor contributing to the increase in inflammatory immune-mediated diseases. The mode of action of beneficial fiber effects is not fully elucidated, but short-chain fatty acids (SCFA) and gut microbiota have been implicated. The aim of this study was to explore the impact of dietary fiber on lupus pathology and to understand underlying mechanisms. Here, we show that in lupus-prone NZB/WF1 mice low fiber intake deteriorates disease progression reflected in accelerated mortality, autoantibody production and immune dysregulation. In contrast to our original assumption, microbiota suppression by antibiotics or direct SCFA feeding did not influence the course of lupus-like disease. Mechanistically, our data rather indicate that in low fiber-fed mice, an increase in white adipose tissue mass, fat-inflammation and a disrupted intestinal homeostasis go along with systemic, low-grade inflammation driving autoimmunity. The links between obesity, intestinal leakage and low-grade inflammation were confirmed in human samples, while adaptive immune activation predominantly correlated with lupus activity. We further propose that an accelerated gastro-intestinal passage along with energy dilution underlies fiber-mediated weight regulation. Thus, our data highlight the often-overlooked effects of dietary fiber on energy homeostasis and obesity prevention. Further, they provide insight into how intricately the pathologies of inflammatory immune-mediated conditions, such as obesity and autoimmunity, might be interlinked, possibly sharing common pathways.

Indexed as

Adaptive ImmunityAdipose Tissue, WhiteAdiposityAdolescentAdultAgedAged, 80 and overAnimal FeedAnimalsAutoantibodiesAutoimmunityCase-Control StudiesDietary FiberDisease Models, AnimalDisease ProgressionEnergy MetabolismAutoantibodiesDietary FiberInflammation MediatorsautoimmunitydietfiberlupusobesitySCFASLE

Identifiers

PMID34335609
PMCPMC8320762
OpenAlexW3183821444

What OpenQuestion holds

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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.