Evidence map›Paper›PMID 40139167›Full record

ArticleCerebrovascular diseases (Basel, Switzerland)2026

Decreased <italic>Lactococcus lactis</italic> and Propionic Acid in Feces of Patients with Moyamoya Disease: Possible Implications of Immune Dysregulation.

Mayuko Otomo, Ryosuke Tashiro, Hidetaka Tokuno, Atsushi Kanoke, Keita Tominaga, Arata Nagai, Takashi Aikawa, Daisuke Ando, Hiroyuki Sakata, Takeya Sato and 4 more

Abstract read
In one paragraph

Article in Cerebrovascular diseases (Basel, Switzerland), 2026. 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

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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

3 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

14 authors.

Mayuko OtomoDepartment of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Ryosuke TashiroDepartment of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan, ryousuke.tashiro.q2@alumni.tohoku.ac.jp.
Hidetaka TokunoDepartment of Clinical Biology and Hormonal Regulation, Tohoku University Graduate School of Biomedical Engineering, Sendai, Japan.
Atsushi KanokeDepartment of Neurosurgery, Kohnan Hospital, Sendai, Japan.
Keita TominagaDepartment of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Arata NagaiDepartment of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Takashi AikawaDepartment of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Daisuke AndoDepartment of Neurosurgical Engineering and Translational Neuroscience, Tohoku University Graduate School of Medicine, Sendai, Japan.
Hiroyuki SakataDepartment of Neurosurgery, Kohnan Hospital, Sendai, Japan.
Takeya SatoDepartment of Clinical Biology and Hormonal Regulation, Tohoku University Graduate School of Biomedical Engineering, Sendai, Japan.
Takaaki AbeDepartment of Clinical Biology and Hormonal Regulation, Tohoku University Graduate School of Biomedical Engineering, Sendai, Japan.
Hidenori EndoDepartment of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Kuniyasu NiizumaDepartment of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan, kniizuma@tohoku.ac.jp.
Teiji TominagaDepartment of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Introduction: Moyamoya disease (MMD) is a cerebrovascular disease characterized by progressive steno-occlusive lesions in the terminal portion of the internal carotid artery. Despite its unknown etiology, immune dysregulation is regarded as a critical trigger for delineating the pathophysiology of MMD. The gut microbiota produces short-chain fatty (SCFA) and organic acids, influencing immune regulation and vascular remodeling. We aimed to characterize the gut microbiota in patients with MMD.

methodsSixteen patients with MMD and sixteen healthy controls (CON) were included in this study. We performed 16S rRNA sequencing of fecal samples, analyzed microbiome diversity and composition, and quantified SCFA and organic acid levels using liquid chromatography.

resultsThere were no significant differences in α- and β-diversities among feces from the MMD patients and CON. However, 16S rRNA sequencing identified defective Lactococcus lactis (0 ± 0 in the MMD patients vs. 0.026 ± 0.084 in healthy CON, p = 0.0181) and abundant Gordinobacter pamelaeae (0.030 ± 0.039 in the patients vs. 0.001 ± 0.005 in healthy CON, p = 0.003) are strongly linked to MMD. Propionic acid levels were significantly lower in feces of the MMD patients compared to healthy CON (0.83 ± 0.34 mg/g in the MMD patients vs. 1.20 ± 0.55 mg/g in healthy CON, p = 0.028).

conclusionDecreased L. lactis can result in reduced lactic acid and propionic acid levels in the feces of the patients. This imbalance in the gut microbiome and SCFA/organic acid levels could contribute to immune dysregulation underlying the vascular remodeling seen in MMD. </p>.

Indexed as

BacteriaFecesGastrointestinal MicrobiomeMoyamoya DiseasePropionatesAdultCase-Control StudiesFatty Acids, VolatileFemaleHumansMaleMiddle AgedRibotypingRNA, Ribosomal, 16SYoung AdultFatty Acids, VolatilePropionatespropionic acidRNA, Ribosomal, 16SGut dysbiosisLactococcus lactisMoyamoya diseasePropionic acids

Identifiers

PMID40139167
PMCPMC12060833

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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.