Evidence map›Paper›PMID 35729169›Full record

ArticleScientific reports2022

Profiling gut microbiota and bile acid metabolism in critically ill children.

Iain Robert Louis Kean, Joseph Wagner, Anisha Wijeyesekera, Marcus De Goffau, Sarah Thurston, John A Clark, Deborah K White, Jenna Ridout, Shruti Agrawal, Riaz Kayani and 8 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03238040 (Biomarkers of Acute Serious Illness in Children), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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.

NCT03238040 completednot on this map

Biomarkers of Acute Serious Illness in Children (BASIC): Understanding the Genetic Basis and Biological Pathways Underlying Critical Illness and How They Influence Outcome in Children Requiring Emergency Intensive Care

TypeobservationalSponsorGreat Ormond Street Hospital for Children NHS Foundation TrustRan2014 to 2017Enrolled674ConditionsCritical Illness, Infection, Mixed, Children, OnlyArmsNone, observational study
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
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  7. Review
  8. Gut microbiota and metabolite changes in metastatic colorectal cancerWorld journal of gastrointestinal oncology · 2025
    Article
  9. Article
  10. Review
  11. Review
  12. Observational
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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

18 authors at 10 institutions in 3 countries.

Iain Robert Louis KeanDepartment of Paediatrics, University of Cambridge, Cambridge, United Kingdom. irlk2@cam.ac.uk.
Joseph WagnerThe Peter Doherty Institute for Infection and Immunity, Melbourne Health, Melbourne, Australia.
Anisha WijeyesekeraDepartment of Food and Nutritional Sciences, University of Reading, Reading, United Kingdom.
Marcus De GoffauWellcome Sanger Institute, Cambridge, United Kingdom.
Sarah ThurstonDepartment of Paediatrics, University of Cambridge, Cambridge, United Kingdom.
John A ClarkDepartment of Paediatrics, University of Cambridge, Cambridge, United Kingdom.
Deborah K WhiteDepartment of Paediatrics, University of Cambridge, Cambridge, United Kingdom.
Jenna RidoutDepartment of Paediatrics, University of Cambridge, Cambridge, United Kingdom.
Shruti AgrawalDepartment of Paediatrics, University of Cambridge, Cambridge, United Kingdom.
Riaz KayaniCambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, United Kingdom.
Roddy O'DonnellDepartment of Paediatrics, University of Cambridge, Cambridge, United Kingdom.
Padmanabhan RamnarayanPaediatric Intensive Care Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Mark J PetersPaediatric Intensive Care Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Nigel KleinPaediatric Intensive Care Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Elaine HolmesSection of Biomolecular Medicine, Division of Systems Medicine, Department of Metabolism, Digestion and Reproduction, Imperial College London, London, United Kingdom.
Julian ParkhillWellcome Sanger Institute, Cambridge, United Kingdom.
Stephen BakerCambridge Institute of Therapeutic Immunology and Infectious Disease, Jeffrey Cheah Biomedical Centre, University of Cambridge, Cambridge, United Kingdom.
Nazima PathanDepartment of Paediatrics, University of Cambridge, Cambridge, United Kingdom.
University of Cambridge · GBAddenbrooke's Hospital · GBAmsterdam University Medical Centers · NLCambridge University Hospitals NHS Foundation Trust · GBGreat Ormond Street Hospital · GBImperial College London · GBMelbourne Health · AUSt Mary's Hospital · GBUniversity College London · GBUniversity of Reading · GB

Funding

Department of Health BRC-1215-20014Wellcome TrustWellcome Trust 215515
6 · The paper itself

Abstract

Broad-spectrum antimicrobial use during the treatment of critical illness influences gastrointestinal fermentation endpoints, host immune response and metabolic activity including the conversion of primary to secondary bile acids. We previously observed reduced fermentation capacity in the faecal microbiota of critically ill children upon hospital admission. Here, we further explore the timecourse of the relationship between the microbiome and bile acid profile in faecal samples collected from critically ill children. The microbiome was assayed by sequencing of the 16S rRNA gene, and faecal water bile acids were measured by liquid chromatography mass spectrometry. In comparison to admission faecal samples, members of the Lachnospiraceae recovered during the late-acute phase (days 8-10) of hospitalisation. Patients with infections had a lower proportion of Lachnospiraceae in their gut microbiota than controls and patients with primary admitting diagnoses. Keystone species linked to ecological recovery were observed to decline with the length of PICU admission. These species were further suppressed in patients with systemic infection, respiratory failure, and undergoing surgery. Bile acid composition recovers quickly after intervention for critical illness which may be aided by the compositional shift in Lachnospiraceae. Our findings suggest gut microbiota recovery can be readily assessed via measurement of faecal bile acids.

Indexed as

Gastrointestinal MicrobiomeBile Acids and SaltsChildCritical IllnessEubacterialesFecesHumansRNA, Ribosomal, 16SBile Acids and SaltsRNA, Ribosomal, 16S

Identifiers

PMID35729169
PMCPMC9213539
OpenAlexW4283273774

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.