Evidence map›Paper›PMID 36239621›Full record

ArticleJournal of Crohn's & colitis2023

The Oral Microbiome in Treatment-Naïve Paediatric IBD Patients Exhibits Dysbiosis Related to Disease Severity that Resolves Following Therapy.

Khalid Elmaghrawy, Paddy Fleming, Kirsten Fitzgerald, Sarah Cooper, Anna Dominik, Séamus Hussey, Gary P Moran

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2023. 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 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  7. [The Impact of Oral Microecology on the Development of Inflammatory Bowel Disease].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
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  19. Evolution of a Pathogenic Microbiome.Journal of clinical medicine · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Khalid ElmaghrawySchool of Dental Science, Trinity College Dublin and Dublin Dental University Hospital, Dublin 2, Republic of Ireland.
Paddy FlemingSchool of Dental Science, Trinity College Dublin and Dublin Dental University Hospital, Dublin 2, Republic of Ireland.
Kirsten FitzgeraldSchool of Dental Science, Trinity College Dublin and Dublin Dental University Hospital, Dublin 2, Republic of Ireland.
Sarah CooperDOCHAS Study, Children's Health Ireland, Crumlin, Dublin, Republic of Ireland.
Anna DominikDOCHAS Study, Children's Health Ireland, Crumlin, Dublin, Republic of Ireland.
Séamus HusseyDOCHAS Study, Children's Health Ireland, Crumlin, Dublin, Republic of Ireland.ORCID 0000-0002-9362-0465
Gary P MoranSchool of Dental Science, Trinity College Dublin and Dublin Dental University Hospital, Dublin 2, Republic of Ireland.ORCID 0000-0003-0469-1788
Trinity College Dublin · IEChildren's Health Ireland at Crumlin · IEUniversity College Dublin · IE

Funding

Irish Health Research Board ILP-POR-2019-030National Children's Research Centre, Dublin J/15/1
6 · The paper itself

Abstract

backgroundThere is a limited literature describing the oral microbiome and its diagnostic potential in paediatric inflammatory bowel disease [IBD].

methodsWe examined the dorsum tongue microbiome by V1-V2 sequencing in a cohort of 156 treatment-naïve children diagnosed with IBD compared to 102 healthy control children. Microbiome changes over time following treatment were examined in a subset of patients and associations between IBD diagnosis and dysbiosis were explored.

resultsAnalysis of community structure of the microbiome in tongue samples revealed that IBD samples diverged significantly from healthy control samples [PERMANOVA p = 0.0009] and exhibited a reduced abundance of Clostridia in addition to several major oral genera [Veillonella, Prevotella and Fusobacterium species] with an increased abundance of streptococci. This dysbiosis was more marked in patients with severe disease. Higher levels of the potential pathobionts Klebsiella and Pseudomonas spp. were also associated with IBD. In terms of predicted functions, the IBD oral microbiome was potentially more acidogenic and exhibited reduced capacity for B vitamin biosynthesis. We used a machine learning approach to develop a predictive model of IBD which exhibited a mean-prediction AUC [area under the ROC curve] of 0.762. Finally, we examined a subset of 53 patients following 12 months of therapy and could show resolution of oral dysbiosis as demonstrated by a shift towards a healthy community structure and a significant reduction in oral dysbiosis.

conclusionOral dysbiosis found in children with IBD is related to disease severity and resolves over time following successful IBD treatment.

Indexed as

Gastrointestinal MicrobiomeInflammatory Bowel DiseasesMicrobiotaChildDysbiosisFecesHumansPatient AcuitydysbiosisIBDOral microbiomepaediatric

Identifiers

PMID36239621
PMCPMC10115232
OpenAlexW4306247808

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.