Evidence map›Paper›PMID 34669143›Full record

ArticleJournal of clinical immunology2022

Altered Plasma Fatty Acids Associate with Gut Microbial Composition in Common Variable Immunodeficiency.

Tonje Skarpengland, Magnhild E Macpherson, Johannes R Hov, Xiang Y Kong, Pavol Bohov, Bente Halvorsen, Børre Fevang, Rolf K Berge, Pål Aukrust, Silje F Jørgensen

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. ProbioticNutrients · 2024
    Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
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.

Tonje SkarpenglandResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway. tskarp@ous-hf.no.ORCID http://orcid.org/0000-0002-2531-8408
Magnhild E MacphersonResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Johannes R HovResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Xiang Y KongResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Pavol BohovDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Bente HalvorsenResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Børre FevangResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Rolf K BergeDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Pål AukrustResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Silje F JørgensenResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway. s.f.jorgensen@medisin.uio.no.
Oslo University Hospital · NOHaukeland University Hospital · NOUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFatty acid (FA) abnormalities are found in various inflammatory disorders and have been related to disturbed gut microbiota. Patients with common variable immunodeficiency (CVID) have inflammatory complications associated with altered gut microbial composition. We hypothesized that there is an altered FA profile in CVID patients, related to gut microbial dysbiosis.

methodsPlasma FAs were measured in 39 CVID patients and 30 healthy controls. Gut microbial profile, a food frequency questionnaire, and the effect of the oral antibiotic rifaximin were investigated in CVID patients.

resultsThe n-3 polyunsaturated fatty acids (PUFAs), eicosapentaenoic acid (EPA) (1.4 [1.0-1.8] vs. 1.9 [1.2-2.5], median (IQR), P < 0.05), and docosahexaenoic acid (DHA) (3.2 [2.4-3.9] vs. 3.5 [2.9-4.3], P < 0.05), all values expressed as weight percent of total plasma FAs, were reduced in CVID compared to controls. Also, n-6 PUFAs (34.3 ± 3.4 vs. 37.1 ± 2.8, mean ± SD, P < 0.001) and linoleic acid (LA) (24.5 ± 3.3 vs. 28.1 ± 2.7, P < 0.0001) and the FA anti-inflammatory index (98.9 [82.1-119.4] vs. 117.0 [88.7-153.1], median (IQR), P < 0.05) were reduced in CVID. The microbial alpha diversity was positively associated with plasma n-6 PUFAs (r = 0.41, P < 0.001) and LA (r = 0.51, P < 0.001), but not n-3 PUFAs (P = 0.78). Moreover, a 2-week course of rifaximin significantly reduced the proportion of n-6 PUFAs (P = 0.04, UNIANOVA). Serum immunoglobulin G (IgG) levels correlated with plasma n-3 PUFAs (rho = 0.36, P = 0.03) and DHA (rho = 0.41, P = 0.009).

conclusionWe found a potentially unfavorable FA profile in CVID, related to low IgG levels. High plasma n-6 PUFAs were related to increased gut microbial diversity and altered by rifaximin therapy.

Indexed as

Common Variable ImmunodeficiencyFatty Acids, Omega-3Gastrointestinal MicrobiomeFatty AcidsFatty Acids, Omega-6HumansFatty AcidsFatty Acids, Omega-3Fatty Acids, Omega-6ALAalpha diversityalpha-linolenic acidARAarachidonic acidBifidobacteriumBlautiacommon variable immunodeficiencyCVIDdesulfovibrionaceaeDHAdocosahexaenoic aciddysbiosiseicosapentaenoic acidEPAfatty acidsgut microbiotahypogammaIgGimmunoglobulin GLAlinoleic acidmonounsaturated fatty acidMUFAn-3 PUFAn-6 PUFAomega 3omega 6PIDpolyunsaturated fatty acidPUFArifaximinruminococcaceae

Identifiers

PMID34669143
PMCPMC8821409
OpenAlexW3178107643

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.