Evidence map›Paper›PMID 38130033›Full record

ArticleAnnals of clinical and translational neurology2024

A cross-sectional study of MRI features and the gut microbiome in pediatric-onset multiple sclerosis.

Feng Zhu, Yinshan Zhao, Douglas L Arnold, Amit Bar-Or, Charles N Bernstein, Christine Bonner, Morag Graham, Janace Hart, Natalie Knox, Ruth Ann Marrie and 8 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

18 authors at 6 institutions in 2 countries.

Feng ZhuDepartment of Medicine (Neurology), The University of British Columbia, Vancouver, British Columbia, Canada.
Yinshan ZhaoDepartment of Medicine (Neurology), The University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0003-1924-9378
Douglas L ArnoldDepartment of Neurology and Neurosurgery, McGill University Faculty of Medicine, Montreal, Quebec, Canada.ORCID 0000-0003-4266-0106
Amit Bar-OrDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Charles N BernsteinDepartment of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Christine BonnerNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada.
Morag GrahamNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada.
Janace HartDepartment of Neurology, University of California San Francisco, San Francisco, California, USA.
Natalie KnoxNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada.
Ruth Ann MarrieDepartment of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Ali I MirzaDepartment of Medicine (Neurology), The University of British Columbia, Vancouver, British Columbia, Canada.
Julia O'MahonyDepartment of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Gary Van DomselaarNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada.
E Ann YehDepartment of Neurology and Neurosurgery, McGill University Faculty of Medicine, Montreal, Quebec, Canada.
Brenda BanwellDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Emmanuelle WaubantDepartment of Neurology, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0001-5188-0157
Helen TremlettDepartment of Medicine (Neurology), The University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0001-5804-2535
US Network of Pediatric MS Centers, the Canadian Pediatric Demyelinating Disease Network
Public Health Agency of Canada · CAUniversity of British Columbia · CAUniversity of Manitoba · CAChildren's Hospital of Philadelphia · USMcGill University · CAUniversity of California, San Francisco · US

Funding

Multiple Sclerosis Scientific and Research Foundation #EGID: 2636
6 · The paper itself

Abstract

objectiveTo identify gut microbiome features associated with MRI lesion burden in persons with pediatric-onset multiple sclerosis (symptom onset <18 years).

methodsA cross-sectional study involving the Canadian Paediatric Demyelinating Disease Network study participants. Gut microbiome features (alpha diversity, phylum- and genus-level taxa) were derived using 16S rRNA sequencing from stool samples. T1- and T2-weighted lesion volumes were measured on brain MRI obtained within 6 months of stool sample procurement. Associations between the gut microbiota and MRI metrics (cube-root-transformed) were assessed using standard and Lasso regression models.

resultsThirty-four participants were included; mean ages at symptom onset and MRI were 15.1 and 19.0 years, respectively, and 79% were female. The T1- and T2-weighted lesion volumes were not significantly associated with alpha diversity (age and sex-adjusted p > 0.08). At the phylum level, high Tenericutes (relative abundance) was associated with higher T1 and T2 volumes (β coefficient = 0.25, 0.37) and high Firmicutes, Patescibacteria or Actinobacteria with lower lesion volumes (β coefficient = -0.30 to -0.07). At the genus level, high Ruminiclostridium, whereas low Coprococcus 3 and low Erysipelatoclostridium were associated with higher lesion volumes.

interpretationOur study characterized the gut microbiota features associated with MRI lesion burden in pediatric-onset MS, shedding light onto possible pathophysiological mechanisms.

Indexed as

Gastrointestinal MicrobiomeMultiple SclerosisBacteriaCanadaChildCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleRNA, Ribosomal, 16SRNA, Ribosomal, 16S

Identifiers

PMID38130033
PMCPMC10863907
OpenAlexW4390110267

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.