Evidence map›Paper›PMID 34704805›Full record

ArticleMicrobiology spectrum2021

Unraveling the Microbiome of Necrotizing Enterocolitis: Insights in Novel Microbial and Metabolomic Biomarkers.

Chiara Tarracchini, Christian Milani, Giulia Longhi, Federico Fontana, Leonardo Mancabelli, Roberta Pintus, Gabriele Andrea Lugli, Giulia Alessandri, Rosaria Anzalone, Alice Viappiani and 11 more

Open access · goldAbstract read
In one paragraph

Article in Microbiology spectrum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% 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

65 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
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  18. Necrotizing Enterocolitis: What's New and What's Next?International journal of molecular sciences · 2025
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5 more citing papers are in PubMed but not listed here.

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

21 authors at 3 institutions in 2 countries.

Chiara Tarracchini *Laboratory of Probiogenomics, Department of Chemistry, Life Sciences, and Environmental Sustainability, University of Parmagrid.10383.39, Parma, Italy.
Christian Milani *Laboratory of Probiogenomics, Department of Chemistry, Life Sciences, and Environmental Sustainability, University of Parmagrid.10383.39, Parma, Italy.ORCID 0000-0002-5062-3164
Giulia LonghiLaboratory of Probiogenomics, Department of Chemistry, Life Sciences, and Environmental Sustainability, University of Parmagrid.10383.39, Parma, Italy.
Federico FontanaLaboratory of Probiogenomics, Department of Chemistry, Life Sciences, and Environmental Sustainability, University of Parmagrid.10383.39, Parma, Italy.
Leonardo MancabelliLaboratory of Probiogenomics, Department of Chemistry, Life Sciences, and Environmental Sustainability, University of Parmagrid.10383.39, Parma, Italy.
Roberta PintusNeonatal Intensive Care Unit, Department of Surgical Sciences, University of Cagliarigrid.7763.5, Monserrato, Italy.
Gabriele Andrea LugliLaboratory of Probiogenomics, Department of Chemistry, Life Sciences, and Environmental Sustainability, University of Parmagrid.10383.39, Parma, Italy.
Giulia AlessandriLaboratory of Probiogenomics, Department of Chemistry, Life Sciences, and Environmental Sustainability, University of Parmagrid.10383.39, Parma, Italy.
Rosaria AnzaloneGenProbio Srl, Parma, Italy.
Alice ViappianiGenProbio Srl, Parma, Italy.
Francesca TurroniLaboratory of Probiogenomics, Department of Chemistry, Life Sciences, and Environmental Sustainability, University of Parmagrid.10383.39, Parma, Italy.ORCID 0000-0001-5363-0231
Michele MussapNeonatal Intensive Care Unit, Department of Surgical Sciences, University of Cagliarigrid.7763.5, Monserrato, Italy.
Angelica DessìNeonatal Intensive Care Unit, Department of Surgical Sciences, University of Cagliarigrid.7763.5, Monserrato, Italy.
Flaminia Cesare MarincolaDepartment of Chemical and Geological Sciences, University of Cagliarigrid.7763.5, Monserrato, Cagliari, Italy.
Antonio NotoDepartment of Medical Science and Public Health, University of Cagliarigrid.7763.5, Monserrato, Cagliari, Italy.
Anna De MagistrisNeonatal Intensive Care Unit, Department of Surgical Sciences, University of Cagliarigrid.7763.5, Monserrato, Italy.
Marine VincentNeonatology Unit, Croix-Rousse University Hospital, Hospices Civils de Lyongrid.413852.9, Lyon, France.
Sergio BernasconiMicrobiome Research Hub, University of Parmagrid.10383.39, Parma, Italy.
Jean-Charles PicaudNeonatology Unit, Croix-Rousse University Hospital, Hospices Civils de Lyongrid.413852.9, Lyon, France.
Vassilios Fanos *Neonatal Intensive Care Unit, Department of Surgical Sciences, University of Cagliarigrid.7763.5, Monserrato, Italy.
Marco Ventura *Laboratory of Probiogenomics, Department of Chemistry, Life Sciences, and Environmental Sustainability, University of Parmagrid.10383.39, Parma, Italy.ORCID 0000-0002-4875-4560
University of Parma · ITUniversity of Cagliari · ITUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Necrotizing enterocolitis (NEC) is among the most relevant gastrointestinal diseases affecting mostly prematurely born infants with low birth weight. While intestinal dysbiosis has been proposed as one of the possible factors involved in NEC pathogenesis, the role of the gut microbiota remains poorly understood. In this study, the gut microbiota of preterm infants was explored to highlight differences in the composition between infants affected by NEC and infants prior to NEC development. A large-scale gut microbiome analysis was performed, including 47 shotgun sequencing data sets generated in the framework of this study, along with 124 retrieved from publicly available repositories. Meta-analysis led to the identification of preterm community state types (PT-CSTs), which recur in healthy controls and NEC infants. Such analyses revealed an overgrowth of a range of opportunistic microbial species accompanying the loss of gut microbial biodiversity in NEC subjects. Moreover, longitudinal insights into preterm infants prior to NEC development indicated Clostridium neonatale and Clostridium perfringens species as potential biomarkers for predictive early diagnosis of this disease. Furthermore, functional investigation of the enzymatic reaction profiles associated with pre-NEC condition suggested DL-lactate as a putative metabolic biomarker for early detection of NEC onset.

Indexed as

BiomarkersClostridiumClostridium perfringensDysbiosisEnterocolitis, NecrotizingFecesGastrointestinal MicrobiomeHumansInfant, Low Birth WeightInfant, NewbornInfant, PrematureInfant, Premature, DiseasesIntestinesLactic AcidMetagenomeBiomarkersLactic AcidmetagenomicsmicrobiotaNECnecrotizing enterocolitisshotgun

Identifiers

PMID34704805
PMCPMC8549755
OpenAlexW3209284335

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.