Evidence map›Paper›PMID 37469521›Full record

ArticleGastro hep advances2023

Noninvasive Fecal Cytokine and Microbiota Profiles Predict Commencement of Necrotizing Enterocolitis in a Proof-of-Concept Study.

Christian Zenner, Lisa Chalklen, Helena Adjei, Matthew J Dalby, Suparna Mitra, Emma Cornwell, Alexander G Shaw, Kathleen Sim, J Simon Kroll, Lindsay J Hall

Open access · goldAbstract read
In one paragraph

Article in Gastro hep advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 32% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Necrotizing Enterocolitis: What's New and What's Next?International journal of molecular sciences · 2025
    Review
  7. 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

10 authors at 5 institutions in 2 countries.

Christian ZennerIntestinal Microbiome, School of Life Sciences, ZIEL - Institute for Food & Health, Technical University of Munich, Freising, Germany.
Lisa ChalklenGut Microbes & Health, Quadram Institute Biosciences, Norwich, United Kingdom.
Helena AdjeiGut Microbes & Health, Quadram Institute Biosciences, Norwich, United Kingdom.
Matthew J DalbyGut Microbes & Health, Quadram Institute Biosciences, Norwich, United Kingdom.
Suparna MitraGut Microbes & Health, Quadram Institute Biosciences, Norwich, United Kingdom.
Emma CornwellDepartment of Medicine, Section of Paediatric Infectious Disease, Imperial College London, London, United Kingdom.
Alexander G ShawDepartment of Medicine, Section of Paediatric Infectious Disease, Imperial College London, London, United Kingdom.
Kathleen SimDepartment of Medicine, Section of Paediatric Infectious Disease, Imperial College London, London, United Kingdom.
J Simon KrollDepartment of Medicine, Section of Paediatric Infectious Disease, Imperial College London, London, United Kingdom.
Lindsay J HallIntestinal Microbiome, School of Life Sciences, ZIEL - Institute for Food & Health, Technical University of Munich, Freising, Germany.
Imperial College London · GBQuadram Institute · GBLeibniz-Institute for Food Systems Biology at the Technical University of Munich · DEUniversity of East Anglia · GBUniversity of Leeds · GB

Funding

Biotechnology and Biological Sciences Research Council BBS/E/F/00044409Biotechnology and Biological Sciences Research Council BBS/E/F/000PR10353Biotechnology and Biological Sciences Research Council BBS/E/F/000PR10356Wellcome Trust
6 · The paper itself

Abstract

Background and Aims: Necrotizing enterocolitis (NEC) is a life-threatening disease and the most common gastrointestinal emergency in premature infants. Accurate early diagnosis is challenging. Modified Bell's staging is routinely used to guide diagnosis, but early diagnostic signs are nonspecific, potentially leading to unobserved disease progression, which is problematic given the often rapid deterioration observed. We investigated fecal cytokine levels, coupled with gut microbiota profiles, as a noninvasive method to discover specific NEC-associated signatures that can be applied as potential diagnostic markers. Methods: Premature babies born below 32 weeks of gestation were admitted to the 2-site neonatal intensive care unit (NICU) of Imperial College hospitals (St. Mary's or Queen Charlotte's & Chelsea) between January 2011 and December 2012. During the NICU stay, expert neonatologists grouped individuals by modified Bell's staging (healthy, NEC1, NEC2/3) and fecal samples from diapers were collected consecutively. Microbiota profiles were assessed by 16S rRNA gene amplicon sequencing and cytokine concentrations were measured by V-Plex multiplex assays. Results: Early evaluation of microbiota profiles revealed only minor differences. However, at later time points, significant changes in microbiota composition were observed for Bacillota (adj. Conclusion: Differences in certain fecal cytokine profiles in patients with NEC indicate their potential use as diagnostic biomarkers to facilitate earlier diagnosis. Additionally, associations between microbial and cytokine profiles contribute to improving knowledge about NEC pathogenesis.

Indexed as

Cytokines.Gut MicrobiotaNecrotizing EnterocolitisNoninvasive BiomarkersPreterm Infants

Identifiers

PMID37469521
PMCPMC10352139
OpenAlexW4323304872

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.