Evidence map›Paper›PMID 36258032›Full record

ReviewNature reviews. Gastroenterology & hepatology2023

Antibiotics in the pathogenesis of diabetes and inflammatory diseases of the gastrointestinal tract.

Aline C Fenneman, Melissa Weidner, Lea Ann Chen, Max Nieuwdorp, Martin J Blaser

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Gastroenterology & hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
18.5field-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

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Association of Antibiotic Use and New-Onset ICD Coding of Geographic Atrophy.Investigative ophthalmology & visual science · 2026
    Article
  4. Article
  5. Mechanistic Insights intoMetabolites · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Gut microbes · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Article
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  15. Review
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  18. Review
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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

5 authors at 2 institutions in 2 countries.

Aline C FennemanDepartment of Clinical and Experimental Vascular Medicine, Amsterdam Cardiovascular Sciences (ACS), Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.ORCID 0000-0003-4872-9493
Melissa WeidnerDepartment of Paediatrics, Rutgers University, New Brunswick, NJ, USA.ORCID 0000-0002-6966-1734
Lea Ann ChenDepartment of Medicine, Rutgers University, New Brunswick, NJ, USA.ORCID 0000-0003-4675-9453
Max NieuwdorpDepartment of Clinical and Experimental Vascular Medicine, Amsterdam Cardiovascular Sciences (ACS), Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Martin J BlaserDepartment of Medicine, Rutgers University, New Brunswick, NJ, USA. martin.blaser@cabm.rutgers.edu.ORCID 0000-0003-2447-2443
Rutgers, The State University of New Jersey · USAmsterdam University Medical Centers · NL

Funding

Microbial, immune, metabolic perturbations by antibiotics (MIME study)U01AI122285 · NIAID · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI MARTIN J BLASER, Steven M Holland · 2016 to 2026
$5.2M
The Study of Families with Heritable Crohn's Disease to Support Rational Design of Microbiota-based TherapiesK23DK119544 · NIDDK · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI CHEN, LEA A · 2020 to 2024
$1.1M
NIDDK NIH HHS K23 DK119544
6 · The paper itself

Abstract

Antibiotic use is increasing worldwide. However, the use of antibiotics is clearly associated with changes in gut microbiome composition and function, and perturbations have been identified as potential environmental risk factors for chronic inflammatory disorders of the gastrointestinal tract. In this Review, we examine the association between the use of antibiotics and the onset and development of both type 1 and type 2 diabetes, inflammatory bowel disease, including ulcerative colitis and Crohn's disease, as well as coeliac disease and eosinophilic oesophagitis. We discuss the key findings of epidemiological studies, provide mechanistic insights into the pathways by which the gut microbiota might contribute to these diseases, and assess clinical trials investigating the effects of antibiotics. Such studies indicate that antibiotic exposures, varying in type, timing and dosage, could explain differences in disease risk. There seems to be a critical window in early life in which perturbation of the microbiome has a substantial effect on disease development. Identifying the antibiotic-perturbed gut microbiota as a factor that contributes to the pathophysiology of these inflammatory disorders might stimulate new approaches to prevention, diagnosis and treatment.

Indexed as

Crohn DiseaseDiabetes Mellitus, Type 2Inflammatory Bowel DiseasesAnti-Bacterial AgentsHumansAnti-Bacterial Agents

Identifiers

PMID36258032
PMCPMC9898198
OpenAlexW4306754844

What OpenQuestion holds

Textmetadata
LicenceTDM
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.