Evidence map›Paper›PMID 36803658›Full record

Trial reportGut microbes

Randomized controlled trial demonstrates response to a probiotic intervention for metabolic syndrome that may correspond to diet.

Hannah C Wastyk, Dalia Perelman, Madeline Topf, Gabriela K Fragiadakis, Jennifer L Robinson, Justin L Sonnenburg, Christopher D Gardner, Erica D Sonnenburg

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Gut microbes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03201068 (Impact of a Probiotic Supplement on the Microbiome, Immune System, and Metabolic Syndrome), which is not on this map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
10.3field-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.

NCT03201068 nacompletednot on this map

Impact of a Probiotic Supplement on the Microbiome, Immune System, and Metabolic Syndrome

TypeinterventionalSponsorStanford UniversityRan2017 to 2018Enrolled42ConditionsMetabolic Syndrome, Microbiome, Immune Function, InflammationArmsProbiotic supplement, Placebo
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  20. The gut microbiome connects nutrition and human health.Nature reviews. Gastroenterology & hepatology · 2025
    Review
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 1 institution in 1 country.

Hannah C WastykDepartment of Bioengineering, Stanford School of Medicine, Stanford, CA, USA.
Dalia PerelmanStanford Prevention Research Center, Department of Medicine, Stanford School of 4Medicine, Stanford, CA, USA.
Madeline TopfMicrobiology & Immunology, Stanford School of Medicine, Stanford, CA, USA.
Gabriela K FragiadakisMicrobiology & Immunology, Stanford School of Medicine, Stanford, CA, USA.
Jennifer L RobinsonStanford Prevention Research Center, Department of Medicine, Stanford School of 4Medicine, Stanford, CA, USA.
Justin L SonnenburgMicrobiology & Immunology, Stanford School of Medicine, Stanford, CA, USA.
Christopher D GardnerStanford Prevention Research Center, Department of Medicine, Stanford School of 4Medicine, Stanford, CA, USA.
Erica D SonnenburgMicrobiology & Immunology, Stanford School of Medicine, Stanford, CA, USA.
Stanford Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An individual's immune and metabolic status is coupled to their microbiome. Probiotics offer a promising, safe route to influence host health, possibly via the microbiome. Here, we report an 18-week, randomized prospective study that explores the effects of a probiotic vs. placebo supplement on 39 adults with elevated parameters of metabolic syndrome. We performed longitudinal sampling of stool and blood to profile the human microbiome and immune system. While we did not see changes in metabolic syndrome markers in response to the probiotic across the entire cohort, there were significant improvements in triglycerides and diastolic blood pressure in a subset of probiotic arm participants. Conversely, the non-responders had increased blood glucose and insulin levels over time. The responders had a distinct microbiome profile at the end of the intervention relative to the non-responders and placebo arm. Importantly, diet was a key differentiating factor between responders and non-responders. Our results show participant-specific effects of a probiotic supplement on improving parameters of metabolic syndrome and suggest that dietary factors may enhance stability and efficacy of the supplement.

Indexed as

Gastrointestinal MicrobiomeMetabolic SyndromeProbioticsAdultDietDouble-Blind MethodHumansProspective Studiesdietimmune profilingmetabolic syndromemetabolomicsMicrobiomemicrobiotaprobiotic

Identifiers

PMID36803658
PMCPMC9980610
OpenAlexW4321376963

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.