Evidence map›Paper›PMID 37463118›Full record

ArticleInflammatory bowel diseases2024

Prediction of Response to Systemic Corticosteroids in Active UC by Microbial Composition-A Prospective Multicenter Study.

Andreas Blesl, Philipp Wurm, Silvio Waschina, Hans Peter Gröchenig, Gottfried Novacek, Christian Primas, Walter Reinisch, Maximilian Kutschera, Constanze Illiasch, Barbara Hennlich and 18 more

Abstract readMulticenter Study
In one paragraph

Article in Inflammatory bowel diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. 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

28 authors.

Andreas BleslDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-9338-4140
Philipp WurmDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Silvio WaschinaChristian-Albrechts-University Kiel, Institute for Human Nutrition and Food Science, Nutriinformatics, Kiel, Germany.ORCID 0000-0002-6290-3593
Hans Peter GröchenigBrothers of Saint John of God Hospital, St. Veit an der Glan, Austria.
Gottfried NovacekDepartment of Internal Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
Christian PrimasDepartment of Internal Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
Walter ReinischDepartment of Internal Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
Maximilian KutscheraDepartment of Internal Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
Constanze IlliaschHospital Landstraße, Vienna, Austria.
Barbara HennlichHospital Landstraße, Vienna, Austria.
Pius SteinerHospital Wels-Grieskirchen, Wels, Austria.
Robert KochMedical University of Innsbruck, Innsbruck, Austria.
Wolfgang TillingerFranziskus Hospital, Vienna, Austria.
Thomas HaasDarmpraxis, Salzburg, Austria.
Gerhard ReichtBrothers of Saint John of God Hospital, Graz, Austria.
Andreas MayerUniversity Hospital, St.Pölten, Austria.
Othmar LudwiczekHospital Hall, Hall, Austria.
Wolfgang MiehslerBrothers of Saint John of God Hospital, Salzburg, Austria.
Karin SteidlBrothers of Saint John of God Hospital, St. Veit an der Glan, Austria.
Lukas BinderDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Simon ReiderDepartment of Internal Medicine 2 (Gastroenterology and Hepatology), Faculty of Medicine, Kepler University Hospital, Johannes Kepler University, Linz, Austria.
Christina WatschingerDepartment of Internal Medicine 2 (Gastroenterology and Hepatology), Faculty of Medicine, Kepler University Hospital, Johannes Kepler University, Linz, Austria.
Stefan FürstDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Patrizia KumpDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Alexander MoschenDepartment of Internal Medicine 2 (Gastroenterology and Hepatology), Faculty of Medicine, Kepler University Hospital, Johannes Kepler University, Linz, Austria.
Konrad AdenInstitute of Clinical Molecular Biology, Christian-Albrechts-University and University Hospital Schleswig-Holstein, Kiel, Germany.
Gregor GorkiewiczInstitute of Pathology, Medical University of Graz, Graz, Austria.
Christoph HögenauerDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.

Funding

Austrian National Bank 17936Austrian Society of Gastroenterology and Hepatology 17936
6 · The paper itself

Abstract

backgroundCorticosteroids are used for induction of remission in patients with moderately to severely active ulcerative colitis. However, up to one-third of patients fail to this therapy. We investigated if fecal microbial composition or its metabolic capacity are associated with response to systemic corticosteroids.

methodsIn this prospective, multicenter study, patients with active ulcerative colitis (Lichtiger score ≥4) receiving systemic corticosteroids were eligible. Data were assessed and fecal samples collected before and after 4 weeks of treatment. Patients were divided into responders (decrease of Lichtiger Score ≥50%) and nonresponders. The fecal microbiome was assessed by the 16S rRNA gene marker and analyzed with QIIME 2. Microbial metabolic pathways were predicted using parsimonious flux balance analysis.

resultsAmong 93 included patients, 69 (74%) patients responded to corticosteroids after 4 weeks. At baseline, responders could not be distinguished from nonresponders by microbial diversity and composition, except for a subgroup of biologic-naïve patients. Within 4 weeks of treatment, responders experienced changes in beta diversity with enrichment of ascribed beneficial taxa, including Blautia, Anaerostipes, and Bifidobacterium, as well as an increase in predicted butyrate synthesis. Nonresponders had only minor longitudinal taxonomic changes with a significant increase of Streptococcus salivarius and a microbial composition shifting away from responders.

conclusionBaseline microbial diversity and composition seem to be of limited use to predict response to systemic corticosteroids in active ulcerative colitis. Response is longitudinally associated with restoration of microbial composition and its metabolic capacity.

Indexed as

Colitis, UlcerativeAdrenal Cortex HormonesFecesHumansProspective StudiesRNA, Ribosomal, 16STreatment OutcomeAdrenal Cortex HormonesRNA, Ribosomal, 16Sbutyratecorticosteroidsmicrobiomeulcerative colitis

Identifiers

PMID37463118
PMCPMC10769779

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.