Evidence map›Paper›PMID 38336892›Full record

ArticleScientific reports2024

Gut microbiota composition is altered in postural orthostatic tachycardia syndrome and post-acute COVID-19 syndrome.

Viktor Hamrefors, Fredrik Kahn, Madlene Holmqvist, Katherine Carlson, Roosa Varjus, Alexander Gudjonsson, Artur Fedorowski, Bodil Ohlsson

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Neuroimmune pathophysiology of long COVID.Psychiatry and clinical neurosciences · 2025
    Review
  8. Article
  9. 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

8 authors at 3 institutions in 2 countries.

Viktor HamreforsDepartment of Clinical Sciences, Lund University, Malmö, Sweden. viktor.hamrefors@med.lu.se.
Fredrik KahnDepartment of Infection Medicine, Skåne University Hospital, Malmö, Sweden.
Madlene HolmqvistDepartment of Infection Medicine, Skåne University Hospital, Malmö, Sweden.
Katherine CarlsonDepartment of Infection Medicine, Skåne University Hospital, Malmö, Sweden.
Roosa VarjusClinical Microbiomics, Symbion, Copenhagen, Denmark.
Alexander GudjonssonClinical Microbiomics, Symbion, Copenhagen, Denmark.
Artur FedorowskiDepartment of Cardiology, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-5352-6327
Bodil OhlssonDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Lund University · SEClinical Microbiomics (Denmark) · DKKarolinska University Hospital · SE

Funding

Crafoordska Stiftelsen (Crafoord Foundation) 501100003173
6 · The paper itself

Abstract

Postural Orthostatic Tachycardia Syndrome (POTS) reflects an autonomic dysfunction, which can occur as a complication to COVID-19. Our aim was to examine gastrointestinal symptoms and gut microbiota composition in patients with POTS and post-acute COVID-19 syndrome (PACS), compared with controls. POTS patients (n = 27), PACS patients (n = 32) and controls (n = 39) delivered fecal samples and completed a 4-day food diary, irritable bowel syndrome-severity scoring system (IBS-SSS), and visual analog scale for IBS (VAS-IBS). A total of 98 DNA aliquots were sequenced to an average depth of 28.3 million (M) read pairs (Illumina 2 × 150 PE) per sample. Diversity and taxonomic levels of the microbiome, as well as functional abundances were calculated for POTS and PACS groups, then compared with controls. There were several differences in taxonomic composition between POTS and controls, whereas only the abundance of Ascomycota and Firmicutes differed between PACS and controls. The clinical variables total IBS-SSS, fatigue, and bloating and flatulence significantly correlated with multiple individual taxa abundances, alpha diversity, and functional abundances. We conclude that POTS, and to a less extent PACS, are associated with differences in gut microbiota composition in diversity and at several taxonomic levels. Clinical symptoms are correlated with both alpha diversity and taxonomic and functional abundances.

Indexed as

COVID-19Gastrointestinal MicrobiomeIrritable Bowel SyndromePostural Orthostatic Tachycardia SyndromeHumansPost-Acute COVID-19 SyndromeFunctional profilingGut microbiotaLong COVIDPost-acute COVID-19 syndrome (PACS)Postural orthostatic tachycardia syndrome (POTS)Taxonomic profiling

Identifiers

PMID38336892
PMCPMC10858216
OpenAlexW4391677782

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.