Evidence map›Paper›PMID 38127131›Full record

ArticlePediatric surgery international2023

Diagnostic and prognostic value of the gut microbiota and its metabolite butyrate in children with biliary atresia.

Xiaodan Xu, Yilin Zhao, Xueting Wang, Ruifeng Zhang, Shaowen Liu, Rongjuan Sun, Zhiru Wang, Liang Ge, Yan Sun, Shujian Zhang and 2 more

Abstract read
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In one paragraph

Article in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. The bile acid-gut microbiota-vitamin D axis: new insights into biliary atresia.Frontiers in cellular and infection microbiology · 2026
    Review
  3. Article
  4. Article
  5. Biliary atresia: the role of gut microbiome, and microbial metabolites.Frontiers in cellular and infection microbiology · 2024
    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

12 authors at 2 institutions in 1 country.

Xiaodan Xu *Graduate College, Tianjin Medical University, Tianjin, 300070, People's Republic of China.
Yilin Zhao *Graduate College, Tianjin Medical University, Tianjin, 300070, People's Republic of China.
Xueting WangGraduate College, Tianjin Medical University, Tianjin, 300070, People's Republic of China.
Ruifeng ZhangGraduate College, Tianjin Medical University, Tianjin, 300070, People's Republic of China.
Shaowen LiuGraduate College, Tianjin Medical University, Tianjin, 300070, People's Republic of China.
Rongjuan SunGraduate College, Tianjin Medical University, Tianjin, 300070, People's Republic of China.
Zhiru WangGraduate College, Tianjin Medical University, Tianjin, 300070, People's Republic of China.
Liang GeDepartment of General Surgery, Tianjin Children's Hospital, LongYan Road 238, Beichen District, Tianjin, 300134, People's Republic of China.
Yan SunDepartment of General Surgery, Tianjin Children's Hospital, LongYan Road 238, Beichen District, Tianjin, 300134, People's Republic of China.
Shujian ZhangDepartment of General Surgery, Tianjin Children's Hospital, LongYan Road 238, Beichen District, Tianjin, 300134, People's Republic of China.
Hui MaDepartment of Clinical Laboratory, Tianjin Children's Hospital, Tianjin, 300134, People's Republic of China.
Jianghua ZhanDepartment of General Surgery, Tianjin Children's Hospital, LongYan Road 238, Beichen District, Tianjin, 300134, People's Republic of China. zhanjianghuatj@163.com.
Tianjin Children's Hospital · CNTianjin Medical University · CN

Funding

Tianjin Applied Basic Research Project 22JCZDJC00290Tianjin Municipal Science and Technology Bureau Major Projects 21ZXGWSY00070Xinjiang Uygur Autonomous Region Science Foundation Projects 2022D01A27
6 · The paper itself

Abstract

purposeTo determine the prevalent microbiological profile of biliary atresia (BA) patients at the time of its occurrence by studying their intestinal flora.

methodsA total of 118 gut microbiota samples from three groups of 43 BA patients, 33 disease controls (DC) with other cholestatic diseases and 42 healthy controls (HC), were analyzed by deep mining of public data. Subsequently, a total of 23 fecal samples from three groups of clinically collected patients (11 BA, 6 DC and 6 HC) were sequenced for 16S rRNA gene amplification and analyzed for serum butyrate (BU) level by liquid chromatography.

resultsTaxonomic analysis revealed significant differences in the composition of the intestinal microbiota between BA patients and controls, with a reduction in diversity and a higher abundance of Proteobacteria, Streptococcus and Lactobacillus in the BA group. Database and clinical data analyses concluded that Streptococcus/Bacteroides (AUC = 0.9035, 95% CI 0.8347-0.9722, P < 0.0001) or Streptococcus/Eggerthella (AUC = 0.8333, 95% CI 0.6340-1.000, P = 0.027) was the best microbiota to differentiate between BA and DC. Serum butyrate levels were low in the BA and DC groups and differed from the HC group (P = 0.01, P = 0.04). Butyrate levels in BA were negatively correlated with jaundice clearance and cholangitis, but not statistically significant.

conclusionsOur study reveals changes in the composition of the gut microbiota in BA, especially the butyrate-producing microbiota, and suggests the potential for using gut microbiota as a noninvasive diagnostic benefit for BA. Low levels of serum butyrate in BA may indicate a poor prognosis.

Indexed as

Biliary AtresiaGastrointestinal MicrobiomeButyratesChildHumansPrognosisRNA, Ribosomal, 16SButyratesRNA, Ribosomal, 16SBiliary atresiaButyrateGut microbiotaLiver fibrosisPrognosis

Identifiers

PMID38127131
OpenAlexW4390060758

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Registered trials

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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.