Evidence map›Paper›PMID 39512354›Full record

ArticleFrontiers in immunology2024

Predicting acute lung injury in infants with congenital heart disease after cardiopulmonary bypass by gut microbiota.

Lan Jiang, Yueshuang Cun, Qiang Wang, Kede Wu, Menglong Hu, Zhen Wu, Tianyi Zhu, Zhaocong Yang, Nishant Patel, Xinyu Cai and 2 more

Abstract read
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Article in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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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

7 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

12 authors.

Lan Jiang *Department of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Yueshuang Cun *Department of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Qiang WangDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Kede WuDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Menglong HuDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Zhen WuDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Tianyi ZhuDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Zhaocong YangDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Nishant PatelDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Xinyu CaiDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Jirong QiDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Xuming MoDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute lung injury (ALI) is a serious and common complication that occurs in children with congenital heart disease after cardiopulmonary bypass (CPB) surgery, leading to higher mortality rates and poorer prognosis. Currently, there is no reliable predictive strategy for CPB-associated lung injury (CPB-ALI) in infants. Certain characteristics of the gut microbiota could potentially serve as biomarkers for predicting the development of CPB-ALI. Methods: We conducted 16S rRNA sequencing to analyze the characteristics of the intestinal microbiota in healthy controls and infants with CHD admitted to the hospital. The CHD infants were divided into CPB-ALI and non-ALI (CPB-NALI) groups based on postoperative outcomes. Bacterial functional pathway prediction analysis was performed using PIRCUSt2, and the gut microbiota composition associated with immune status was determined with heatmap. Random forest regression models and ROC curves were utilized to predict the occurrence of CPB-ALI. Results: Our study revealed significantly different microbiota compositions among three groups (CON, CPB-ALI, and CPB-NALI). The microbiota diversity was low in the CPB-ALI group with high pathogen abundance and significant decrease in Bacteroides, while the opposite was observed in the CPB-NALI group. The microbiota dysbiosis index was high in the CPB-ALI group, with its dominant microbiota significantly associated with multiple metabolic pathways. Additionally, CPB-ALI patients showed high levels of inflammatory cytokines IL-8 and HMGB1 in their serum, with high expression of IL-8 being associated with Enterobacteriaceae. Further correlation analysis showed that the differences in gut bacterial taxonomy were related to the occurrence of ALI, length of stay in the cardiac care unit, and ventilation time. It is noteworthy that Conclusions: Our study suggests that postoperative ALI patients have distinct gut microbiota upon admission compared to non-ALI patients after surgery. Dysbiosis of the gut microbiota may potentially impact the progression of ALI through metabolic pathways, quorum sensing, and the levels of inflammatory factors expressed in the serum.

Indexed as

Acute Lung InjuryCardiopulmonary BypassGastrointestinal MicrobiomeHeart Defects, CongenitalBiomarkersDysbiosisFemaleHumansInfantInfant, NewbornMalePrognosisRNA, Ribosomal, 16SBiomarkersRNA, Ribosomal, 16Sacute lung injurybiomarkercardiopulmonary bypass surgerycongenital heart diseasegut microbiota

Identifiers

PMID39512354
PMCPMC11540645

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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.