Evidence map›Paper›PMID 37833155›Full record

ArticleSurgery2023

Sex-specific intestinal dysbiosis persists after multicompartmental injury.

Jennifer A Munley, Lauren S Kelly, Gwoncheol Park, Gwendolyn S Gillies, Erick E Pons, Kolenkode B Kannan, Letitia E Bible, Philip A Efron, Ravinder Nagpal, Alicia M Mohr

Open access · greenAbstract read
In one paragraph

Article in Surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Gut mycobiome dysbiosis after sepsis and trauma.Critical care (London, England) · 2024
    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 3 institutions in 1 country.

Jennifer A MunleyDepartment of Surgery and Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, FL. Electronic address: https://twitter.com/jen_munley.
Lauren S KellyDepartment of Surgery and Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, FL. Electronic address: https://twitter.com/LaurenKelly_MD.
Gwoncheol ParkDepartment of Nutrition and Integrative Physiology, Florida State University College of Health and Human Sciences, Tallahassee, FL.
Gwendolyn S GilliesDepartment of Surgery and Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, FL. Electronic address: https://twitter.com/gee_gills.
Erick E PonsDepartment of Surgery and Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, FL.
Kolenkode B KannanDepartment of Surgery and Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, FL.
Letitia E BibleDepartment of Surgery and Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, FL. Electronic address: https://twitter.com/LBibleMD.
Philip A EfronDepartment of Surgery and Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, FL.
Ravinder NagpalDepartment of Nutrition and Integrative Physiology, Florida State University College of Health and Human Sciences, Tallahassee, FL.
Alicia M MohrDepartment of Surgery and Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, FL. Electronic address: alicia.mohr@surgery.ufl.edu.
Twitter (United States) · USUniversity of Florida · USFlorida State University · US

Funding

Molecular Biology in Burns and TraumaT32GM008721 · NIGMS · UNIVERSITY OF FLORIDA · PI Philip A Efron · 1999 to 2026
$5.0M
Chronic Stress and Anemia Recovery following Major TraumaR01GM105893 · NIGMS · UNIVERSITY OF FLORIDA · PI MOHR, ALICIA M · 2013 to 2021
$3.5M
Interdisciplinary Training for Vascular Surgeon ScientistsT32HL160491 · NHLBI · UNIVERSITY OF FLORIDA · PI Scott A Berceli, Gilbert Rivers Upchurch · 2022 to 2026
$1.6M
NHLBI NIH HHS T32 HL160491NIGMS NIH HHS R01 GM105893NIGMS NIH HHS T32 GM008721
6 · The paper itself

Abstract

backgroundPreclinical studies of the gut microbiome after severe traumatic injury have demonstrated severe dysbiosis in males, with sex-specific microbial differences up to 2 days after injury. However, the impact of host sex on injury-driven dysbiosis over time remains unknown. We hypothesized that sex-specific differences in intestinal microbiome diversity and composition after traumatic injury with and without stress would persist after 7 days.

methodsMale and proestrus female Sprague-Dawley rats (n = 8/group) were subjected to either polytrauma (lung contusion, hemorrhagic shock, cecectomy, bifemoral pseudofractures), polytrauma plus chronic restraint stress, or naïve controls. The fecal microbiome was measured on days 0, 3, and 7 using 16S rRNA sequencing and Quantitative Insights into Microbial Ecology bioinformatics analyses. Microbial alpha-diversity (Chao1 and Shannon indices) and beta-diversity were assessed. Analyses were performed in GraphPad and "R," with significance defined as P < .05.

resultsPolytrauma and polytrauma plus chronic restraint stress reduced alpha-diversity (Chao1, Shannon) within 3 days postinjury, which persisted up to day 7 in both sexes; polytrauma and polytrauma plus chronic restraint stress females had significantly decreased Chao1 compared to male counterparts at day 7 (P = .02). At day 7, the microbiome composition in polytrauma females had higher proportion of Mucispirillum, whereas polytrauma plus chronic restraint stress males demonstrated elevated abundance of Ruminococcus and Akkermansia.

conclusionMulticompartmental trauma induces intestinal dysbiosis that is sex-specific with persistence of decreased diversity and unique "pathobiome" signatures in females after 1 week. These findings underline sex as an important biological variable that may influence variable host-specific responses and outcomes after severe trauma and critical illness. This underscores the need to consider precision medicine strategies to ameliorate these outcomes.

Indexed as

DysbiosisMultiple TraumaAnimalsComputational BiologyFemaleMaleRatsRats, Sprague-DawleyRNA, Ribosomal, 16SRNA, Ribosomal, 16S

Identifiers

PMID37833155
PMCPMC12282146
OpenAlexW4387529101

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.