Evidence map›Paper›PMID 38816750›Full record

ArticleJournal of translational medicine2024

Hyperbaric oxygen therapy ameliorates intestinal and systematic inflammation by modulating dysbiosis of the gut microbiota in Crohn's disease.

Yong Li, Ruizheng Sun, Chen Lai, Kezhen Liu, Huixiang Yang, Ziheng Peng, Duo Xu, Fangling Huang, Keke Tang, Yu Peng and 1 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

11 authors.

Yong Li *Department of Gastroenterology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Ruizheng Sun *Department of General Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Chen Lai *Department of General Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Kezhen LiuDepartment of Microbiology and Molecular Genetics, Michigan State University, East Lansing, USA.
Huixiang YangDepartment of Gastroenterology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Ziheng PengDepartment of Gastroenterology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Duo XuDepartment of Gastroenterology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Fangling HuangDepartment of Hyperbaric oxygen, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Keke TangDepartment of Gastroenterology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Yu PengDepartment of Gastroenterology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China. pengyu918@csu.edu.cn.
Xiaowei LiuDepartment of Gastroenterology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China. liuxw@csu.edu.cn.

Funding

National Natural Science Foundation of China 82070651National Natural Science Foundation of China 82170599National Natural Science Foundation of China 82230019
6 · The paper itself

Abstract

backgroundDysbiosis of the gut microbiota is pivotal in Crohn's disease (CD) and modulated by host physiological conditions. Hyperbaric oxygen therapy (HBOT) is a promising treatment for CD that can regulate gut microbiota. The relationship between HBOT and the gut microbiota in CD remains unknown.

methodsCD patients were divided into an HBOT group (n = 10) and a control group (n = 10) in this open-label prospective interventional study. The fecal samples before and after HBOT were used for 16 S rRNA gene sequencing and fecal microbiota transplantation (FMT). A colitis mouse model was constructed using dextran sulfate sodium, and intestinal and systematic inflammation was evaluated. The safety and long-term effect of HBOT were observed.

resultsHBOT significantly reduced the level of C-reactive protein (CRP) (80.79 ± 42.05 mg/L vs. 33.32 ± 18.31 mg/L, P = 0.004) and the Crohn's Disease Activity Index (CDAI) (274.87 ± 65.54 vs. 221.54 ± 41.89, P = 0.044). HBOT elevated the declined microbial diversity and ameliorated the altered composition of gut microbiota in patients with CD. The relative abundance of Escherichia decreased, and that of Bifidobacterium and Clostridium XIVa increased after HBOT. Mice receiving FMT from donors after HBOT had significantly less intestinal inflammation and serum CRP than the group before HBOT. HBOT was safe and well-tolerated by patients with CD. Combined with ustekinumab, more patients treated with HBOT achieved clinical response (30%vs.70%, P = 0.089) and remission (20%vs.50%, P = 0.160) at week 4.

conclusionsHBOT modulates the dysbiosis of gut microbiota in CD and ameliorates intestinal and systematic inflammation. HBOT is a safe option for CD and exhibits a promising auxiliary effect to ustekinumab.

trial registrationChinese Clinical Trial Registry, ChiCTR2200061193. Registered 15 June 2022, https://www.chictr.org.cn/showproj.html?proj=171605 .

Indexed as

Crohn DiseaseDysbiosisGastrointestinal MicrobiomeHyperbaric OxygenationInflammationAdultAnimalsFecal Microbiota TransplantationFemaleHumansIntestinesMaleMiceMice, Inbred C57BLMiddle AgedYoung AdultCrohn’s diseaseFecal microbiota transplantationGut microbiotaHyperbaric oxygen therapyInflammation

Identifiers

PMID38816750
PMCPMC11137967

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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.