Evidence map›Paper›PMID 39461337›Full record

ArticleCell host & microbe2024

Exclusive enteral nutrition initiates individual protective microbiome changes to induce remission in pediatric Crohn's disease.

Deborah Häcker, Kolja Siebert, Byron J Smith, Nikolai Köhler, Alessandra Riva, Aritra Mahapatra, Helena Heimes, Jiatong Nie, Amira Metwaly, Hannes Hölz and 13 more

Abstract read
In one paragraph

Article in Cell host & microbe, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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

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  19. [The intestinal microbiota in inflammatory bowel diseases].Innere Medizin (Heidelberg, Germany) · 2025
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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

23 authors.

Deborah HäckerChair of Nutrition and Immunology, TUM School of Life Sciences, Technische Universität München, 85354 Freising, Germany; TUMCREATE, 1 CREATE way, #10-02 CREATE Tower, Singapore 138602, Singapore.
Kolja SiebertDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital LMU, 80337 Munich, Germany.
Byron J SmithGladstone Institutes, San Francisco, CA 94158, USA. Electronic address: byron.smith@gladstone.ucsf.edu.
Nikolai KöhlerLipiTUM, Chair of Experimental Bioinformatics, TUM School of Life Sciences, Technical University of Munich, 85354 Freising, Germany.
Alessandra RivaChair of Nutrition and Immunology, TUM School of Life Sciences, Technische Universität München, 85354 Freising, Germany.
Aritra MahapatraZIEL Institute for Food & Health, Technische Universität München, 85354 Freising, Germany.
Helena HeimesChair of Nutrition and Immunology, TUM School of Life Sciences, Technische Universität München, 85354 Freising, Germany.
Jiatong NieChair of Nutrition and Immunology, TUM School of Life Sciences, Technische Universität München, 85354 Freising, Germany.
Amira MetwalyChair of Nutrition and Immunology, TUM School of Life Sciences, Technische Universität München, 85354 Freising, Germany.
Hannes HölzDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital LMU, 80337 Munich, Germany.
Quirin ManzData Science in Systems Biology, School of Life Sciences, Technische Universität München, 85354 Freising, Germany.
Federica De ZenDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital LMU, 80337 Munich, Germany.
Jeannine HeetmeyerDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital LMU, 80337 Munich, Germany.
Katharina SocasDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital LMU, 80337 Munich, Germany.
Giang Le ThiDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital LMU, 80337 Munich, Germany.
Chen MengBavarian Center for Biomolecular Mass Spectrometry (BayBioMS), TUM School of Life Sciences, Technische Universität München, 85354 Freising, Germany.
Karin KleigreweBavarian Center for Biomolecular Mass Spectrometry (BayBioMS), TUM School of Life Sciences, Technische Universität München, 85354 Freising, Germany.
Josch K PaulingLipiTUM, Chair of Experimental Bioinformatics, TUM School of Life Sciences, Technical University of Munich, 85354 Freising, Germany.
Klaus NeuhausZIEL Institute for Food & Health, Technische Universität München, 85354 Freising, Germany.
Markus ListData Science in Systems Biology, School of Life Sciences, Technische Universität München, 85354 Freising, Germany; Munich Data Science Institute (MDSI), Technical University of Munich, 85748 Garching, Germany.
Katherine S PollardGladstone Institutes, San Francisco, CA 94158, USA; University of California, San Francisco, San Francisco, CA 94143, USA; Chan Zuckerberg Biohub, San Francisco, CA 94158, USA.
Tobias SchwerdDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital LMU, 80337 Munich, Germany. Electronic address: tobias.schwerd@med.uni-muenchen.de.
Dirk HallerChair of Nutrition and Immunology, TUM School of Life Sciences, Technische Universität München, 85354 Freising, Germany; TUMCREATE, 1 CREATE way, #10-02 CREATE Tower, Singapore 138602, Singapore; ZIEL Institute for Food & Health, Technische Universität München, 85354 Freising, Germany. Electronic address: dirk.haller@tum.de.

Funding

Linking microbiome genetic variants with cardiovascular phenotypes in 50,000 individualsR01HL160862 · NHLBI · J. DAVID GLADSTONE INSTITUTES · PI POLLARD, KATHERINE S. · 2022 to 2025
$2.7M
NHLBI NIH HHS R01 HL160862
6 · The paper itself

Abstract

Exclusive enteral nutrition (EEN) is a first-line therapy for pediatric Crohn's disease (CD), but protective mechanisms remain unknown. We established a prospective pediatric cohort to characterize the function of fecal microbiota and metabolite changes of treatment-naive CD patients in response to EEN (German Clinical Trials DRKS00013306). Integrated multi-omics analysis identified network clusters from individually variable microbiome profiles, with Lachnospiraceae and medium-chain fatty acids as protective features. Bioorthogonal non-canonical amino acid tagging selectively identified bacterial species in response to medium-chain fatty acids. Metagenomic analysis identified high strain-level dynamics in response to EEN. Functional changes in diet-exposed fecal microbiota were further validated using gut chemostat cultures and microbiota transfer into germ-free Il10-deficient mice. Dietary model conditions induced individual patient-specific strain signatures to prevent or cause inflammatory bowel disease (IBD)-like inflammation in gnotobiotic mice. Hence, we provide evidence that EEN therapy operates through explicit functional changes of temporally and individually variable microbiome profiles.

Indexed as

Crohn DiseaseEnteral NutritionFecesGastrointestinal MicrobiomeAdolescentAnimalsBacteriaChildDisease Models, AnimalEubacterialesFatty AcidsFemaleGerm-Free LifeHumansInterleukin-10MaleFatty AcidsInterleukin-10bacterial strain dynamicsEENexclusive enteral nutritionex vivo gut chemostat modelfiberFMTmedium-chain fatty acidsmetagenomicsmicrobiomemulti-omics data integrationpediatric Crohn’s disease

Identifiers

PMID39461337
PMCPMC12017801

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.