Evidence map›Paper›PMID 34408753›Full record

ReviewFrontiers in immunology2021

Gut Microbiome and Common Variable Immunodeficiency: Few Certainties and Many Outstanding Questions.

Gilda Varricchi, Remo Poto, Gianluca Ianiro, Alessandra Punziano, Gianni Marone, Antonio Gasbarrini, Giuseppe Spadaro

Open access · goldAbstract readReview
In one paragraph

Review 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 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
2.7field-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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Gilda VarricchiDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Remo PotoDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Gianluca IaniroDepartment of Internal Medicine and Gastroenterology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Cattolica del Sacro Cuore University, Rome, Italy.
Alessandra PunzianoDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Gianni MaroneDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Antonio GasbarriniDepartment of Internal Medicine and Gastroenterology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Cattolica del Sacro Cuore University, Rome, Italy.
Giuseppe SpadaroDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
University of Naples Federico II · ITUniversità Cattolica del Sacro Cuore · ITInstitute for Experimental Endocrinology and Oncology · ITNational Research Council · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Common variable immunodeficiency (CVID) is the most common symptomatic primary antibody immunodeficiency, characterized by reduced serum levels of IgG, IgA, and/or IgM. The vast majority of CVID patients have polygenic inheritance. Immune dysfunction in CVID can frequently involve the gastrointestinal tract and lung. Few studies have started to investigate the gut microbiota profile in CVID patients. Overall, the results suggest that in CVID patients there is a reduction of alpha and beta diversity compared to controls. In addition, these patients can exhibit increased plasma levels of lipopolysaccharide (LPS) and markers (sCD14 and sCD25) of systemic immune cell activation. CVID patients with enteropathy exhibit decreased IgA expression in duodenal tissue. Mouse models for CVID unsatisfactorily recapitulate the polygenic causes of human CVID. The molecular pathways by which gut microbiota contribute to systemic inflammation and possibly tumorigenesis in CVID patients remain poorly understood. Several fundamental questions concerning the relationships between gut microbiota and the development of chronic inflammatory conditions, autoimmune disorders or cancer in CVID patients remain unanswered. Moreover, it is unknown whether it is possible to modify the microbiome and the outcome of CVID patients through specific therapeutic interventions.

Indexed as

Disease SusceptibilityGastrointestinal MicrobiomeAnimalsAntigens, CD19BiomarkersCommon Variable ImmunodeficiencyDiet TherapyDisease ManagementDysbiosisFecal Microbiota TransplantationFeedback, PhysiologicalHumansImmunity, MucosalInflammationIntestinal MucosaNeoplasmsAntigens, CD19Biomarkerscommon variable immunodeficiencyfecal microbiota transplantationinflammationmicrobiotamucosal immunologyprobiotics

Identifiers

PMID34408753
PMCPMC8366412
OpenAlexW3188048417

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.