Evidence map›Paper›PMID 38922802›Full record

ArticleUnited European gastroenterology journal2024

Faecal volatile organic compounds differ according to inflammatory bowel disease sub-type, severity, and response to treatment in paediatric patients.

Salma Belnour, Rachael Slater, Kukatharmini Tharmaratnam, Marcus Karl-Heinz Auth, Rafeeq Muhammed, Christine Spray, Duolao Wang, Umer Zeeshan Ijaz, Chris Probert, Stephen Allen

Abstract readMulticenter Study
In one paragraph

Article in United European gastroenterology journal, 2024. 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
–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

5 citing papers in PubMed.

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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

10 authors.

Salma BelnourFaculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.
Rachael SlaterDepartment of Molecular & Clinical Cancer Medicine, Institute of Systems, Molecular and Integrative Biology, Liverpool, UK.
Kukatharmini TharmaratnamDepartment of Health Data Science, Institute of Systems, Molecular and Integrative Biology, Liverpool, UK.
Marcus Karl-Heinz AuthPaediatric Gastroenterology, Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
Rafeeq MuhammedGastroenterology and Nutrition, Birmingham Children's Hospital, Birmingham, UK.
Christine SprayPaediatric Gastroenterology, Bristol Royal Hospital for Children, Bristol, UK.
Duolao WangDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Umer Zeeshan IjazJames Watt South Building, University of Glasgow, Glasgow, UK.
Chris ProbertDepartment of Molecular & Clinical Cancer Medicine, Institute of Systems, Molecular and Integrative Biology, Liverpool, UK.
Stephen AllenPaediatric Gastroenterology, Alder Hey Children's NHS Foundation Trust, Liverpool, UK.

Funding

National Institute for Health and Care Research under its Research for Patient Benefit Programme PB-PG-1215-20050
6 · The paper itself

Abstract

backgroundFaecal volatile organic compounds (VOCs) differ with disease sub-type and activity in adults with established inflammatory bowel disease (IBD) taking therapy.

objectiveTo describe patterns of faecal VOCs in children newly presented with IBD according to disease sub-type, severity, and response to treatment.

methodsChildren presenting with suspected IBD were recruited from three UK hospitals. Children in whom IBD was diagnosed were matched with a non-IBD child for age, sex, and recruitment site. Faecal VOCs were characterised by gas chromatography-mass spectrometry at presentation and 3 months later in children with IBD.

resultsIn 132 case/control pairs, median (inter-quartile range) age in IBD was 13.3 years (10.2-14.7) and 38.6% were female. Compared with controls, the mean abundance of 27/62 (43.6%) faecal VOCs was statistically significantly decreased in Crohn's disease (CD), ulcerative colitis (UC) or both especially amongst ketones/diketones, fatty acids, and alcohols (p < 0.05). Short-chain, medium chain, and branched chain fatty acids were markedly reduced in severe colitis (p < 0.05). Despite clinical improvement in many children with IBD, the number and abundance of almost all VOCs did not increase following treatment, suggesting persistent dysbiosis. Oct-1-en-3-ol was increased in CD (p = 0.001) and UC (p = 0.012) compared with controls and decreased following treatment in UC (p = 0.01). In CD, propan-1-ol was significantly greater than controls (p < 0.001) and extensive colitis (p = 0.001) and fell with treatment (p = 0.05). Phenol was significantly greater in CD (p < 0.001) and fell with treatment in both CD (p = 0.02) and UC (p = 0.01).

conclusionCharacterisation of faecal VOCs in an inception cohort of children with IBD reveals patterns associated with diagnosis, disease activity, and extent. Further work should investigate the relationship between VOCs and the microbiome in IBD and their role in diagnosis and disease monitoring.

Indexed as

Colitis, UlcerativeCrohn DiseaseFecesSeverity of Illness IndexVolatile Organic CompoundsAdolescentCase-Control StudiesChildFemaleGas Chromatography-Mass SpectrometryHumansInflammatory Bowel DiseasesMaleTreatment OutcomeUnited KingdomVolatile Organic CompoundschildrenCrohn's diseasefaecal volatile organic compoundsgas chromatography–mass spectrometryGC/MSIBDulcerative colitisVOCs

Identifiers

PMID38922802
PMCPMC11249809

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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.