Evidence map›Paper›PMID 36329015›Full record

ArticleNature communications2022

Immunomodulatory fecal metabolites are associated with mortality in COVID-19 patients with respiratory failure.

Matthew R Stutz, Nicholas P Dylla, Steven D Pearson, Paola Lecompte-Osorio, Ravi Nayak, Maryam Khalid, Emerald Adler, Jaye Boissiere, Huaiying Lin, William Leiter and 17 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
6.8field-weighted citation impact, top 2% 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

38 citing papers in PubMed, 70 citations in OpenAlex.

  1. The intestinal microbiota impacts nutritional immunity and resistance toProceedings of the National Academy of Sciences of the United States of America · 2026
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  18. Modulatory Roles ofViruses · 2024
    Article
  19. Bile acids and coronavirus disease 2019.Acta pharmaceutica Sinica. B · 2024
    Review
  20. Article
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

27 authors at 1 institution in 1 country.

Matthew R StutzDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, 5841 South Maryland Ave, Chicago, IL, 60637, USA.
Nicholas P DyllaDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.ORCID 0000-0002-8731-5640
Steven D PearsonDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, 5841 South Maryland Ave, Chicago, IL, 60637, USA.ORCID 0000-0003-4384-5874
Paola Lecompte-OsorioDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, 5841 South Maryland Ave, Chicago, IL, 60637, USA.
Ravi NayakDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.
Maryam KhalidDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.
Emerald AdlerDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.
Jaye BoissiereDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.
Huaiying LinDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.
William LeiterDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.ORCID 0000-0003-2365-8828
Jessica LittleDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.
Amber RoseDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.ORCID 0000-0002-1388-0305
David MoranDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.
Michael W MullowneyDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.ORCID 0000-0002-2884-4307
Krysta S WolfeDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, 5841 South Maryland Ave, Chicago, IL, 60637, USA.ORCID 0000-0001-5565-3496
Christopher LehmannDepartment of Medicine, Section of Infectious Diseases & Global Health, University of Chicago Medicine, 5841 South Maryland Ave, Chicago, IL, 60637, USA.ORCID 0000-0002-1111-2169
Matthew OdenwaldDepartment of Medicine, Section of Gastroenterology, Hepatology and Nutrition, University of Chicago Medicine, 5841 South Maryland Ave, Chicago, IL, 60637, USA.
Mark De La CruzDepartment of Medicine, Section of Cardiology, University of Chicago Medicine, 5841 South Maryland Ave, Chicago, IL, 60637, USA.
Mihai GiurcanuBiological Sciences Division, Biostatistics Laboratory & Research Computing Group, University of Chicago, 5841 South Maryland Ave, Chicago, IL, 60637, USA.
Anne S PohlmanDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, 5841 South Maryland Ave, Chicago, IL, 60637, USA.
Jesse B HallDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, 5841 South Maryland Ave, Chicago, IL, 60637, USA.
Jean-Luc ChaubardDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.
Anitha SundararajanDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.
Ashley SidebottomDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA.
John P KressDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, 5841 South Maryland Ave, Chicago, IL, 60637, USA.
Eric G PamerDuchossois Family Institute, University of Chicago, 900 E. 57th St, Chicago, IL, 60637, USA. egpamer@uchicago.edu.ORCID 0000-0002-6755-9904
Bhakti K PatelDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, 5841 South Maryland Ave, Chicago, IL, 60637, USA. bpatel@medicine.bsd.uchicago.edu.ORCID 0000-0002-6517-2175
University of Chicago · US

Funding

T LYMPHOCYTE SUBSET FUNCTION POST-TRANSPLANTATIONP01CA023766 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI PERALES, MIGUEL-ANGEL · 1985 to 2023
$59.0M
RESEARCH TRAINING IN RESPIRATORY BIOLOGYT32HL007605 · NHLBI · UNIVERSITY OF CHICAGO · PI Yun Fang, Gokhan M. Mutlu · 1985 to 2026
$18.1M
Early Mobilization: Operationalizing Big Data & Implementation Science to Lead Expansion to ICUs (E-MOBILE-ICU)K23HL148387 · NHLBI · UNIVERSITY OF CHICAGO · PI PATEL, BHAKTI KIRAN · 2020 to 2024
$812k
NCI NIH HHS P01 CA023766NHLBI NIH HHS K23 HL148387NHLBI NIH HHS T32 HL007605U.S. Department of Health & Human Services | National Institutes of Health (NIH) T32 HL-007605
6 · The paper itself

Abstract

Respiratory failure and mortality from COVID-19 result from virus- and inflammation-induced lung tissue damage. The intestinal microbiome and associated metabolites are implicated in immune responses to respiratory viral infections, however their impact on progression of severe COVID-19 remains unclear. We prospectively enrolled 71 patients with COVID-19 associated critical illness, collected fecal specimens within 3 days of medical intensive care unit admission, defined microbiome compositions by shotgun metagenomic sequencing, and quantified microbiota-derived metabolites (NCT #04552834). Of the 71 patients, 39 survived and 32 died. Mortality was associated with increased representation of Proteobacteria in the fecal microbiota and decreased concentrations of fecal secondary bile acids and desaminotyrosine (DAT). A microbiome metabolic profile (MMP) that accounts for fecal secondary bile acids and desaminotyrosine concentrations was independently associated with progression of respiratory failure leading to mechanical ventilation. Our findings demonstrate that fecal microbiota composition and microbiota-derived metabolite concentrations can predict the trajectory of respiratory function and death in patients with severe SARS-Cov-2 infection and suggest that the gut-lung axis plays an important role in the recovery from COVID-19.

Indexed as

COVID-19PneumoniaRespiratory InsufficiencyBile Acids and SaltsHumansImmunityPhenylpropionatesSARS-CoV-2Bile Acids and SaltsPhenylpropionatesphloretic acid

Identifiers

PMID36329015
PMCPMC9633022
OpenAlexW4308485504

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.