Evidence map›Paper›PMID 36526906›Full record

ReviewNature reviews. Gastroenterology & hepatology2023

Environmental enteric dysfunction: gut and microbiota adaptation in pregnancy and infancy.

Carrie A Cowardin, Sana Syed, Najeeha Iqbal, Zehra Jamil, Kamran Sadiq, Junaid Iqbal, Syed Asad Ali, Sean R Moore

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 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.4field-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

35 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
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  6. The Gut in Early Life-Postnatal Challenges.Children (Basel, Switzerland) · 2026
    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

8 authors at 2 institutions in 2 countries.

Carrie A CowardinDivision of Paediatric Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, Child Health Research Center, University of Virginia, Charlottesville, VA, USA.ORCID 0000-0002-8225-8261
Sana SyedDivision of Paediatric Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, Child Health Research Center, University of Virginia, Charlottesville, VA, USA.
Najeeha IqbalDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Zehra JamilDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Kamran SadiqDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.ORCID 0000-0001-5103-4575
Junaid IqbalDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.ORCID 0000-0002-5014-2176
Syed Asad AliDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.ORCID 0000-0001-5274-7665
Sean R MooreDivision of Paediatric Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, Child Health Research Center, University of Virginia, Charlottesville, VA, USA. sean.moore@virginia.edu.ORCID 0000-0003-1150-6632
Aga Khan University · PKUniversity of Virginia · US

Funding

Organoids as a Model System for Studying Gastrointestinal DiseaseU19AI116491 · NIAID · UNIVERSITY OF CINCINNATI · PI WEISS, ALISON A., WELLS, JAMES M · 2015 to 2019
$4.6M
Pediatric Infectious Diseases, Enteric Health and Malnutrition in Pakistan (PIDEMP) Research Training ProgramD43TW007585 · FIC · AGA KHAN UNIVERSITY (PAKISTAN) · PI ALI, SYED ASAD, MOORE, SEAN RYAN · 2006 to 2024
$3.7M
The maternal microbiome in childhood growth and immunity during undernutritionR01HD105729 · NICHD · UNIVERSITY OF VIRGINIA · PI COWARDIN, CARRIE A · 2021 to 2025
$1.9M
Computational Characterization of Environmental EnteropathyK23DK117061 · NIDDK · UNIVERSITY OF VIRGINIA · PI SYED, SANA · 2019 to 2023
$964k
Microbiota, Inflammation and Environmental Enteric Dysfunction (MiEED)K43TW010697 · FIC · AGA KHAN UNIVERSITY (PAKISTAN) · PI IQBAL, NAJEEHA TALAT · 2017 to 2019
$185k
FIC NIH HHS D43 TW007585FIC NIH HHS K43 TW010697NIAID NIH HHS U19 AI116491NICHD NIH HHS R01 HD105729NIDDK NIH HHS K23 DK117061
6 · The paper itself

Abstract

Environmental enteric dysfunction (EED) is a subclinical syndrome of intestinal inflammation, malabsorption and barrier disruption that is highly prevalent in low- and middle-income countries in which poverty, food insecurity and frequent exposure to enteric pathogens impair growth, immunity and neurodevelopment in children. In this Review, we discuss advances in our understanding of EED, intestinal adaptation and the gut microbiome over the 'first 1,000 days' of life, spanning pregnancy and early childhood. Data on maternal EED are emerging, and they mirror earlier findings of increased risks for preterm birth and fetal growth restriction in mothers with either active inflammatory bowel disease or coeliac disease. The intense metabolic demands of pregnancy and lactation drive gut adaptation, including dramatic changes in the composition, function and mother-to-child transmission of the gut microbiota. We urgently need to elucidate the mechanisms by which EED undermines these critical processes so that we can improve global strategies to prevent and reverse intergenerational cycles of undernutrition.

Indexed as

Malabsorption SyndromesMicrobiotaPremature BirthChild, PreschoolFemaleHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalIntestine, SmallPregnancy

Identifiers

PMID36526906
PMCPMC10065936
OpenAlexW4312211667

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.