Evidence map›Paper›PMID 40269143›Full record

ArticleScientific reports2025

Association of gut microbiota and immunometabolic profiles with ischemic stroke severity.

Claudio Roberto Scolari Pilon, Dioze Guadagnini, Heloisa B Assalin, Daniela O Magro, Emília Sousa Oliveira, Marcos R Alborghetti, Maurício L Sforça, Silvana A Rocco, Adilson Sartoratto, Andrey Santos and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. 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

11 authors.

Claudio Roberto Scolari PilonDepartment of Internal Medicine, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil.
Dioze GuadagniniDepartment of Internal Medicine, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil.
Heloisa B AssalinDepartment of Internal Medicine, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil.
Daniela O MagroDepartment of Internal Medicine, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil.
Emília Sousa OliveiraDepartment of Internal Medicine, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil.
Marcos R AlborghettiBrazilian Biosciences National Laboratory and Brazilian Center for Research in Energy and Materials, Campinas, 13083-100, Brazil.
Maurício L SforçaBrazilian Biosciences National Laboratory and Brazilian Center for Research in Energy and Materials, Campinas, 13083-100, Brazil.
Silvana A RoccoBrazilian Biosciences National Laboratory and Brazilian Center for Research in Energy and Materials, Campinas, 13083-100, Brazil.
Adilson SartorattoMultidisciplinary Center for Chemical, Biological and Agricultural Research, Campinas, Brazil.
Andrey SantosDepartment of Internal Medicine, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil.
Mario J A SaadDepartment of Internal Medicine, School of Medical Sciences, University of Campinas, Campinas, 13083-887, Brazil. msaad@unicamp.br.

Funding

FAPESP 2014/50907-5INCT Obesidade e Diabetes CNPq 465693/2014-8
6 · The paper itself

Abstract

This study investigates the influence of three regulators of human homeostasis-intestinal microbiota, immune profile, and circulating metabolites-on stroke severity. We conducted a study involving 33 patients with mild/moderate stroke (MS) and 32 with severe stroke (SS), all assessed during the acute phase (first 24 h). The analysis focused on microbiota composition (45 patients), serum metabolomics and inflammatory markers (20 patients). The patients with SS exhibited more pronounced insulin resistance associated with increased levels of branched-chain amino acids and their metabolites. SS patients showed an increase in inflammatory cytokines IL-6 and TNF-α, and surprisingly an increase in IL-10 and butyrate which are anti-inflammatory. SS patients also displayed a distinct microbiota profile, with statistically significant differences in β-diversity compared to the MS group, notably a higher prevalence of Pseudomonadota (formerly Proteobacteria). In summary, our data indicate that patients with SS, compared to those with MS, are characterized by a more inflammatory and insulin-resistant state, associated with three key regulators: microbiota, metabolites, and interleukins. These findings provide new insights into the regulatory components of the gut-brain axis, which could be developed into cost-effective and widely accessible therapies for SS.

Indexed as

Gastrointestinal MicrobiomeIschemic StrokeAgedBiomarkersCytokinesFemaleHumansInsulin ResistanceMaleMetabolomeMetabolomicsMiddle AgedSeverity of Illness IndexBiomarkersCytokinesInflammationMetabolomicMicrobiotaStroke and insulin resistance

Identifiers

PMID40269143
PMCPMC12019335

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LicenceCC BY-NC-ND
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Registered trials

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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.