Evidence map›Paper›PMID 38918717›Full record

ArticleBMC microbiology2024

Prebiotic fibre mixtures counteract the manifestation of gut microbial dysbiosis induced by the chemotherapeutic 5-Fluorouracil (5-FU) in a validated in vitro model of the colon.

Janine Ziemons, Lars E Hillege, Romy Aarnoutse, Judith de Vos-Geelen, Liselot Valkenburg-van Iersel, Jasper Mastenbroek, Robin van Geel, David J M Barnett, Sander S Rensen, Ardy van Helvoort and 5 more

Abstract read
In one paragraph

Article in BMC microbiology, 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
–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

3 citing papers in PubMed.

  1. Review
  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

15 authors.

Janine ZiemonsGROW - School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands. j.ziemons@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0002-4559-5488
Lars E HillegeGROW - School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0001-7010-7610
Romy AarnoutseGROW - School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-8713-9747
Judith de Vos-GeelenGROW - School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0003-2578-1766
Liselot Valkenburg-van IerselGROW - School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0003-2925-9908
Jasper MastenbroekDepartment of Surgery, Maastricht University Medical Center+, Maastricht, The Netherlands.
Robin van GeelCARIM School for Cardiovascular Disease, Maastricht University, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0003-1880-8131
David J M BarnettDepartment of Medical Microbiology, Infectious Diseases, and Infection Prevention, Maastricht University Medical Center+, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0003-1961-7206
Sander S RensenDepartment of Surgery, Maastricht University Medical Center+, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0001-5054-8400
Ardy van HelvoortNUTRIM - School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-3585-0676
Lotte H J DopheideDanone Nutricia Research, Utrecht, The Netherlands.ORCID http://orcid.org/0009-0001-5878-0877
Guus RoeselersDanone Nutricia Research, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-4725-6105
John PendersDepartment of Medical Microbiology, Infectious Diseases, and Infection Prevention, Maastricht University Medical Center+, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0001-9146-5919
Marjolein L Smidt *GROW - School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-8328-1869
Koen Venema *Euregional Microbiome Center, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0001-7046-5127

Funding

Danone Nutricia Research LWV20.345TKI Agri & Food LWV20.345
6 · The paper itself

Abstract

background5-Fluorouracil (5-FU) is used as an antineoplastic agent in distinct cancer types. Increasing evidence suggests that the gut microbiota might modulate 5-FU efficacy and toxicity, potentially affecting the patient's prognosis. The current experimental study investigated 5-FU-induced microbiota alterations, as well as the potential of prebiotic fibre mixtures (M1-M4) to counteract these shifts.

methodsA pooled microbial consortium was derived from ten healthy donors, inoculated in an in vitro model of the colon, and treated with 5-FU, with or without prebiotic fibre mixtures for 72 h. Four different prebiotic fibre mixtures were tested: M1 containing short-chain galacto-oligosaccharides (sc GOS), long-chain fructo-oligosaccharides (lcFOS), and low viscosity pectin (lvPect), M2 consisting of arabinoxylan, beta-glucan, pectin, and resistant starch, M3 which was a mixture of scGOS and lcFOS, and M4 containing arabinoxylan, beta-glucan, pectin, resistant starch, and inulin.

resultsWe identified 5-FU-induced changes in gut microbiota composition, but not in microbial diversity. Administration of prebiotic fibre mixtures during 5-FU influenced gut microbiota composition and taxa abundance. Amongst others, prebiotic fibre mixtures successfully stimulated potentially beneficial bacteria (Bifidobacterium, Lactobacillus, Anaerostipes, Weissella, Olsenella, Senegalimassilia) and suppressed the growth of potentially pathogenic bacteria (Klebsiella, Enterobacter) in the presence of 5-FU. The short-chain fatty acid (SCFA) acetate increased slightly during 5-FU, but even more during 5-FU with prebiotic fibre mixtures, while propionate was lower due to 5-FU with or without prebiotic fibre mixtures, compared to control. The SCFA butyrate and valerate did not show differences among all conditions. The branched-chain fatty acids (BCFA) iso-butyrate and iso-valerate were higher in 5-FU, but lower in 5-FU + prebiotics, compared to control.

conclusionsThese data suggest that prebiotic fibre mixtures represent a promising strategy to modulate 5-FU-induced microbial dysbiosis towards a more favourable microbiota, thereby possibly improving 5-FU efficacy and reducing toxicity, which should be evaluated further in clinical studies.

Indexed as

ColonDietary FiberDysbiosisFluorouracilGastrointestinal MicrobiomePrebioticsAdultBacteriaFatty Acids, VolatileFemaleHumansMalePectinsDietary FiberFatty Acids, VolatileFluorouracilPectinsPrebiotics5-FluorouracilBCFACancerChemotherapyGut microbiotaPharmacomicrobiomicsSCFA

Identifiers

PMID38918717
PMCPMC11200995

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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.