Evidence map›Paper›PMID 37644001›Full record

ArticleNature communications2023

Delayed gut microbiota maturation in the first year of life is a hallmark of pediatric allergic disease.

Courtney Hoskinson, Darlene L Y Dai, Kate L Del Bel, Allan B Becker, Theo J Moraes, Piushkumar J Mandhane, B Brett Finlay, Elinor Simons, Anita L Kozyrskyj, Meghan B Azad and 3 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 123 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 5 pooled it
53.2field-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.

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

123 citing papers in PubMed, 5 syntheses or guidelines pooled it, 148 citations in OpenAlex.

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  15. MaternalBiomedicines · 2026
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63 more citing papers are in PubMed but not listed here.

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

13 authors at 6 institutions in 1 country.

Courtney HoskinsonDepartment of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0001-8637-6022
Darlene L Y DaiDepartment of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0009-0002-0997-0639
Kate L Del BelDepartment of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.
Allan B BeckerDepartment of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada.
Theo J MoraesDepartment of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Piushkumar J MandhaneDepartment of Pediatrics, University of Alberta, Edmonton, AB, Canada.
B Brett FinlayDepartment of Microbiology and Immunology, University of British Columbia, Vancouver, BC, Canada.
Elinor SimonsDepartment of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada.
Anita L KozyrskyjDepartment of Pediatrics, University of Alberta, Edmonton, AB, Canada.
Meghan B AzadDepartment of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada.
Padmaja SubbaraoDepartment of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.ORCID http://orcid.org/0000-0003-0394-1933
Charisse PetersenDepartment of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0003-4045-2610
Stuart E TurveyDepartment of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada. sturvey@cw.bc.ca.
University of British Columbia · CAUniversity of Alberta · CAUniversity of Manitoba · CAChildren's Hospital Research Institute of Manitoba · CAHospital for Sick Children · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allergic diseases affect millions of people worldwide. An increase in their prevalence has been associated with alterations in the gut microbiome, i.e., the microorganisms and their genes within the gastrointestinal tract. Maturation of the infant immune system and gut microbiota occur in parallel; thus, the conformation of the microbiome may determine if tolerant immune programming arises within the infant. Here we show, using deeply phenotyped participants in the CHILD birth cohort (n = 1115), that there are early-life influences and microbiome features which are uniformly associated with four distinct allergic diagnoses at 5 years: atopic dermatitis (AD, n = 367), asthma (As, n = 165), food allergy (FA, n = 136), and allergic rhinitis (AR, n = 187). In a subset with shotgun metagenomic and metabolomic profiling (n = 589), we discover that impaired 1-year microbiota maturation may be universal to pediatric allergies (AD p = 0.000014; As p = 0.0073; FA p = 0.00083; and AR p = 0.0021). Extending this, we find a core set of functional and metabolic imbalances characterized by compromised mucous integrity, elevated oxidative activity, decreased secondary fermentation, and elevated trace amines, to be a significant mediator between microbiota maturation at age 1 year and allergic diagnoses at age 5 years (β

Indexed as

AsthmaDermatitis, AtopicGastrointestinal MicrobiomeHypersensitivityMicrobiotaChildHumansInfant

Identifiers

PMID37644001
PMCPMC10465508
OpenAlexW4386251644

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.