Evidence map›Paper›PMID 34810234›Full record

ArticleGut2022

Two microbiota subtypes identified in irritable bowel syndrome with distinct responses to the low FODMAP diet.

Kevin Vervier, Stephen Moss, Nitin Kumar, Anne Adoum, Meg Barne, Hilary Browne, Arthur Kaser, Christopher J Kiely, B Anne Neville, Nina Powell and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Gut, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 3 pooled it
15.8field-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

77 citing papers in PubMed, 3 syntheses or guidelines pooled it, 125 citations in OpenAlex.

  1. Pooled it
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  6. Nutrients · 2026
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  14. Gut microbes
    Trial
  15. Article
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  17. Irritable bowel syndrome.Nature reviews. Disease primers · 2026
    Review
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  20. A Randomized Trial of Rifaximin vs Low Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols Diet for Symptom Outcomes and Microbiome Changes in Irritable Bowel Syndrome.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article

17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 2 countries.

Kevin VervierHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, Cambridgeshire, UK kv4@sanger.ac.uk.ORCID 0000-0002-8497-4907
Stephen MossDepartment of Gastroenterology, Addenbrookes Hospital, Cambridge, UK.
Nitin KumarHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, Cambridgeshire, UK.
Anne AdoumHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, Cambridgeshire, UK.
Meg BarneDepartment of Dietetics, Addenbrookes Hospital, Cambridge, UK.
Hilary BrowneHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, Cambridgeshire, UK.
Arthur KaserDivision of Gastroenterology and Hepatology, Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.
Christopher J KielyDepartment of Gastroenterology, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
B Anne NevilleHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, Cambridgeshire, UK.
Nina PowellDepartment of Dietetics, Addenbrookes Hospital, Cambridge, UK.
Tim RaineDepartment of Gastroenterology, Addenbrookes Hospital, Cambridge, UK.ORCID 0000-0002-5855-9873
Mark D StaresHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, Cambridgeshire, UK.
Ana ZhuHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, Cambridgeshire, UK.
Juan De La Revilla NegroDepartment of Gastroenterology, Addenbrookes Hospital, Cambridge, UK.
Trevor D LawleyHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, Cambridgeshire, UK.
Miles ParkesDepartment of Gastroenterology, Addenbrookes Hospital, Cambridge, UK.ORCID 0000-0002-6467-0631
Wellcome Sanger Institute · GBAddenbrooke's Hospital · GBUniversity of Cambridge · GBRoyal North Shore Hospital · AU

Funding

Wellcome Trust 098051
6 · The paper itself

Abstract

objectiveReducing FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides and polyols) can be clinically beneficial in IBS but the mechanism is incompletely understood. We aimed to detect microbial signatures that might predict response to the low FODMAP diet and assess whether microbiota compositional and functional shifts could provide insights into its mode of action.

designWe used metagenomics to determine high-resolution taxonomic and functional profiles of the stool microbiota from IBS cases and household controls (n=56 pairs) on their usual diet. Clinical response and microbiota changes were studied in 41 pairs after 4 weeks on a low FODMAP diet.

resultsUnsupervised analysis of baseline IBS cases pre-diet identified two distinct microbiota profiles, which we refer to as IBS

conclusion50% of IBS cases manifested a 'pathogenic' gut microbial signature. This shifted towards the healthy profile on the low FODMAP diet; and IBS

Indexed as

Gastrointestinal MicrobiomeIrritable Bowel SyndromeDietDiet, Carbohydrate-RestrictedDisaccharidesFermentationHumansMonosaccharidesOligosaccharidesDisaccharidesMonosaccharidesOligosaccharidesdietintestinal microbiologyirritable bowel syndrome

Identifiers

PMID34810234
PMCPMC9380505
OpenAlexW3215196138

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.