Evidence map›Paper›PMID 34610115›Full record

ReviewBlood advances2021

Gut microbiome in pediatric acute leukemia: from predisposition to cure.

Riccardo Masetti, Edoardo Muratore, Davide Leardini, Daniele Zama, Silvia Turroni, Patrizia Brigidi, Susanna Esposito, Andrea Pession

Open access · goldAbstract readReview
In one paragraph

Review in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
13.7field-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.

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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Wnt/CaOncology letters · 2025
    Review
  17. Article
  18. Review
  19. Review
  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

8 authors at 3 institutions in 1 country.

Riccardo MasettiPediatric Oncology and Hematology Unit "Lalla Seràgnoli," Pediatric Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Edoardo MuratorePediatric Oncology and Hematology Unit "Lalla Seràgnoli," Pediatric Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID 0000-0001-6954-3140
Davide LeardiniPediatric Oncology and Hematology Unit "Lalla Seràgnoli," Pediatric Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID 0000-0002-4673-5876
Daniele ZamaPediatric Oncology and Hematology Unit "Lalla Seràgnoli," Pediatric Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Silvia TurroniUnit of Microbial Ecology of Health, Department of Pharmacy and Biotechnology, and.ORCID 0000-0003-2345-9482
Patrizia BrigidiDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy; and.
Susanna EspositoPediatric Clinic, Pietro Barilla Children's Hospital, University of Parma, Parma, Italy.ORCID 0000-0003-4103-2837
Andrea PessionPediatric Oncology and Hematology Unit "Lalla Seràgnoli," Pediatric Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Bologna · ITUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The gut microbiome (GM) has emerged as a key factor in the genesis and progression of many diseases. The intestinal bacterial composition also influences treatment-related side effects and even the efficacy of oncological therapies. Acute leukemia (AL) is the most common cancer among children and the most frequent cause of cancer-related death during childhood. Outcomes have improved considerably over the past 4 decades, with the current long-term survival for acute lymphoblastic leukemia being ∼90%. However, several acute toxicities and long-term sequelae are associated with the multimodal therapy protocols applied in these patients. Specific GM configurations could contribute to the multistep developmental hypothesis for leukemogenesis. Moreover, GM alterations occur during the AL therapeutic course and are associated with treatment-related complications, especially during hematopoietic stem cell transplantation. The GM perturbation could last even after the removal of microbiome-modifying factors, like antibiotics, chemotherapeutic drugs, or alloimmune reactions, contributing to several health-related issues in AL survivors. The purpose of this article is to provide a comprehensive review of the chronological changes of GM in children with AL, from predisposition to cure. The underpinning biological processes and the potential interventions to modulate the GM toward a potentially health-promoting configuration are also highlighted.

Indexed as

Gastrointestinal MicrobiomeHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteMicrobiotaPrecursor Cell Lymphoblastic Leukemia-LymphomaHumans

Identifiers

PMID34610115
PMCPMC8759140
OpenAlexW3201757249

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.