Evidence map›Paper›PMID 35149871›Full record

ArticleJournal of tropical pediatrics2022

Associations between Gut Microbiota and Intestinal Inflammation, Permeability and Damage in Young Malawian Children.

Emma Kortekangas, Yue-Mei Fan, David Chaima, Kirsi-Maarit Lehto, Chikondi Malamba-Banda, Andrew Matchado, Chilungamo Chingwanda, Zhifei Liu, Ulla Ashorn, Yin Bun Cheung and 3 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Journal of tropical pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 28% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Article
  5. Review
  6. Review
  7. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 4 countries.

Emma KortekangasCenter for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere 33014, Finland.ORCID 0000-0003-2568-1941
Yue-Mei FanCenter for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere 33014, Finland.ORCID 0000-0002-3241-6225
David ChaimaSchool of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.ORCID 0000-0002-5480-7542
Kirsi-Maarit LehtoCenter for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere 33014, Finland.
Chikondi Malamba-BandaSchool of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.
Andrew MatchadoSchool of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.
Chilungamo ChingwandaSchool of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.
Zhifei LiuCenter for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere 33014, Finland.
Ulla AshornCenter for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere 33014, Finland.
Yin Bun CheungProgram in Health Services & Systems Research and Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore 169857, Singapore.ORCID 0000-0003-0517-7625
Kathryn G DeweyDepartment of Nutrition and Institute for Global Nutrition, University of California Davis, Davis, CA 95616, USA.
Kenneth MaletaSchool of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.ORCID 0000-0002-2536-3938
Per AshornCenter for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere 33014, Finland.
Tampere University · FIUniversity of Malawi · MWDuke-NUS Medical School · SGUniversity of California, Davis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnvironmental enteric dysfunction (EED) is common in low- and middle-income countries and associated with childhood undernutrition. The composition of gut microbiota has been implicated in the pathogenesis of EED. Our aim was to assess the associations between gut microbiota and EED biomarkers in rural Malawian children. We hypothesized that there would be an inverse association between microbiota maturity and diversity and fecal concentrations of EED biomarkers.

methodsWe used data from fecal samples collected at 6, 18 and 30 months from 611 children who were followed up during a nutrition intervention trial. The primary time point for analysis was 18 months. Microbiota data were obtained through 16S rRNA sequencing and variables included microbiota maturity and diversity, phylogenetic dissimilarity and relative abundances of individual taxa. EED biomarkers included calprotectin (marker of inflammation), alpha-1 antitrypsin (intestinal permeability) and REG1B (intestinal damage).

resultsThere was an inverse association between microbiota maturity and diversity and fecal concentrations of all 3 EED biomarkers at 18 months (p≤0.001). The results were similar at 30 months, while at 6 months inverse associations were found only with calprotectin and alpha-1 antitrypsin concentrations. At 18 months, EED biomarkers were not associated with phylogenetic dissimilarity, but at 6 and 30 months several associations were observed. Individual taxa predicting EED biomarker concentrations at 18 months included several Bifidobacterium and Enterobacteriaceae taxa as well as potentially displaced oral taxa.

conclusionsOur findings support the hypothesis of an inverse association between microbiota maturity and diversity and EED in rural Malawian children.

Indexed as

Gastrointestinal MicrobiomeChildFecesHumansInflammationPermeabilityPhylogenyRNA, Ribosomal, 16SRNA, Ribosomal, 16Salpha 1-antitrypsinchild healthenvironmental enteric dysfunctiongastrointestinal microbiomeleukocyte L1 antigen complexREG1B

Identifiers

PMID35149871
PMCPMC8846364
OpenAlexW4210737901

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.