Evidence map›Paper›PMID 35505248›Full record

ArticleNature microbiology2022

Longitudinal multi-omics analyses link gut microbiome dysbiosis with recurrent urinary tract infections in women.

Colin J Worby, Henry L Schreiber, Timothy J Straub, Lucas R van Dijk, Ryan A Bronson, Benjamin S Olson, Jerome S Pinkner, Chloe L P Obernuefemann, Vanessa L Muñoz, Alexandra E Paharik and 15 more

Open access · greenAbstract read
In one paragraph

Article in Nature microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 114 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 1 pooled it
13.2field-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

114 citing papers in PubMed, 1 synthesis or guideline pooled it, 167 citations in OpenAlex.

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  17. Microorganisms · 2026
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54 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 4 institutions in 2 countries.

Colin J WorbyInfectious Disease and Microbiome Program, Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-9132-7249
Henry L SchreiberDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA.
Timothy J StraubInfectious Disease and Microbiome Program, Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0001-5009-0778
Lucas R van DijkInfectious Disease and Microbiome Program, Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-7565-5859
Ryan A BronsonInfectious Disease and Microbiome Program, Broad Institute, Cambridge, MA, USA.
Benjamin S OlsonDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-5440-1315
Jerome S PinknerDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA.
Chloe L P ObernuefemannDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA.
Vanessa L MuñozDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA.
Alexandra E PaharikDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA.
Philippe N AzimzadehDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA.
Bruce J WalkerApplied Invention, Cambridge, MA, USA.
Christopher A DesjardinsInfectious Disease and Microbiome Program, Broad Institute, Cambridge, MA, USA.
Wen-Chi ChouInfectious Disease and Microbiome Program, Broad Institute, Cambridge, MA, USA.
Karla BergeronDepartment of Surgery, Division of Urologic Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Sinéad B ChapmanInfectious Disease and Microbiome Program, Broad Institute, Cambridge, MA, USA.
Aleksandra KlimDepartment of Surgery, Division of Urologic Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Abigail L MansonInfectious Disease and Microbiome Program, Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-3800-0714
Thomas J HannanDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-0498-8231
Thomas M HootonDepartment of Medicine, University of Miami, Miami, FL, USA.
Andrew L KauCenter for Women's Infectious Disease Research, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-9386-3766
H Henry LaiDepartment of Surgery, Division of Urologic Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Karen W DodsonDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA.
Scott J HultgrenDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA. hultgren@wustl.edu.ORCID http://orcid.org/0000-0001-8785-564X
Ashlee M EarlInfectious Disease and Microbiome Program, Broad Institute, Cambridge, MA, USA. aearl@broadinstitute.org.ORCID http://orcid.org/0000-0001-7857-9145
Washington University in St. Louis · USBroad Institute · USCalifornia Institute of Technology · USUniversity of Miami · US

Funding

Viral Genomics: evolution, spread, and host interactionsU19AI110818 · NIAID · BROAD INSTITUTE, INC. · PI NEAFSEY, DANIEL E · 2014 to 2024
$66.5M
TRAINING PROGRAM IN CELLULAR AND MOLECULAR BIOLOGYT32GM007067 · NIGMS · WASHINGTON UNIVERSITY · PI TRUE-KROB, HEATHER L · 1985 to 2020
$20.4M
Mucosal Immune Defense Mechanisms of the Urinary BladderU01AI095542 · NIAID · WASHINGTON UNIVERSITY · PI COLONNA, MARCO, HULTGREN, SCOTT J. · 2011 to 2020
$9.8M
Training Program in Cellular and Molecular BiologyT32GM139774 · NIGMS · WASHINGTON UNIVERSITY · PI HEATHER L TRUE-KROB · 2021 to 2026
$6.7M
Epidemiologic and molecular basis of the gut-urinary tract axis in urinary tract infectionR01DK121822 · NIDDK · WASHINGTON UNIVERSITY · PI Ashlee Miriam Earl, SCOTT J. HULTGREN · 2020 to 2026
$4.9M
Harnessing Antibody Responses to Prevent and Treat Urinary Tract InfectionsR01AI165915 · NIAID · WASHINGTON UNIVERSITY · PI Andrew Leon Kau · 2022 to 2026
$3.1M
Pathogenic Fiber Formation in Bacteria: Structural BasisR37AI048689 · NIAID · WASHINGTON UNIVERSITY · PI SCOTT J. HULTGREN · 2021 to 2026
$2.9M
Doris Duke Charitable Foundation 2019083NIAID NIH HHS R01 AI165915NIAID NIH HHS R37 AI048689NIAID NIH HHS U01 AI095542NIAID NIH HHS U19 AI110818NIDDK NIH HHS R01 DK121822NIGMS NIH HHS T32 GM007067NIGMS NIH HHS T32 GM139774
6 · The paper itself

Abstract

Recurrent urinary tract infections (rUTIs) are a major health burden worldwide, with history of infection being a significant risk factor. While the gut is a known reservoir for uropathogenic bacteria, the role of the microbiota in rUTI remains unclear. We conducted a year-long study of women with (n = 15) and without (n = 16) history of rUTI, from whom we collected urine, blood and monthly faecal samples for metagenomic and transcriptomic interrogation. During the study 24 UTIs were reported, with additional samples collected during and after infection. The gut microbiome of individuals with a history of rUTI was significantly depleted in microbial richness and butyrate-producing bacteria compared with controls, reminiscent of other inflammatory conditions. However, Escherichia coli gut and bladder populations were comparable between cohorts in both relative abundance and phylogroup. Transcriptional analysis of peripheral blood mononuclear cells revealed expression profiles indicative of differential systemic immunity between cohorts. Altogether, these results suggest that rUTI susceptibility is in part mediated through the gut-bladder axis, comprising gut dysbiosis and differential immune response to bacterial bladder colonization, manifesting in symptoms.

Indexed as

Escherichia coli InfectionsGastrointestinal MicrobiomeUrinary Tract InfectionsDysbiosisEscherichia coliFemaleHumansLeukocytes, Mononuclear

Identifiers

PMID35505248
PMCPMC9136705
OpenAlexW4225388682

What OpenQuestion holds

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Registered trials

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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.