Evidence map›Paper›PMID 40419513›Full record

ArticleNPJ biofilms and microbiomes2025

Distal gut colonization by oral bacteria during intensive chemotherapy: direct evidence from strain-level analysis of paired samples.

Suravi Raychaudhuri, Hakan Gem, Kevin Chung, Jeffrey S McLean, Kristopher A Kerns, Meredith A J Hullar, Elissa Elmorr, Jacob B Appelbaum, Mary-Elizabeth M Percival, Roland B Walter and 5 more

Abstract read
In one paragraph

Article in NPJ biofilms and microbiomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. [The Impact of Oral Microecology on the Development of Inflammatory Bowel Disease].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Review
  3. Review
  4. Article
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

15 authors.

Suravi Raychaudhuri *Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Hakan Gem *Department of Oral Medicine, University of Washington, Seattle, WA, USA.
Kevin ChungDepartment of Oral Medicine, University of Washington, Seattle, WA, USA.
Jeffrey S McLeanSchool of Dentistry, University of Washington, Seattle, WA, USA.
Kristopher A KernsSchool of Dentistry, University of Washington, Seattle, WA, USA.
Meredith A J HullarPublic Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Elissa ElmorrSchool of Dentistry, University of Washington, Seattle, WA, USA.
Jacob B AppelbaumClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Mary-Elizabeth M PercivalClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Roland B WalterDivision of Hematology and Medical Oncology, Department of Medicine, University of Washington, Seattle, WA, USA.
Anna B HalpernClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Samuel S MinotData Core, Shared Resources, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Katie KimGenomics and Bioinformatics Shared Resource, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Alexander S ZevinGenomics and Bioinformatics Shared Resource, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Armin RashidiClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA, USA. arashidi@fredhutch.org.

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
RESEARCH TRAINING IN HEMATOLOGYT32HL007093 · NHLBI · UNIVERSITY OF WASHINGTON · PI Janis L Abkowitz · 1985 to 2026
$13.9M
American Academy of Oral Medicine Research Advancement Committee n/aKuni Foundation n/aNCI NIH HHS P30 CA015704NHLBI NIH HHS T32 HL007093NHLBI NIH HHS T32HL007093
6 · The paper itself

Abstract

Oral bacteria have been found in the colon in pathologies such as inflammatory bowel disease. To ascertain niche coalescence, 2 elements are essential: (i) paired oral/fecal samples and (ii) strain-level resolution. We profiled the microbiota in 283 samples from 39 patients undergoing intensive chemotherapy at baseline (saliva: 49, plaque: 51, stool: 43), week 2 (saliva: 18, plaque: 17, stool: 17), week 3 (saliva: 18, plaque: 21, stool: 21), and week 4 (saliva: 8, plaque: 10, stool: 10) of chemotherapy. Through strain-level analysis of paired samples, we demonstrate strong evidence for a breakdown of niche separation in most patients. The extent of overlap increased with time, particularly in patients with intestinal mucositis. Our findings provide definitive evidence for ectopic colonization of the distal gut by oral bacteria in a disease state, likely facilitated by intestinal mucositis. Microbiota contribution by the mouth to the colon may have consequences for the host.

Indexed as

Antineoplastic AgentsBacteriaGastrointestinal MicrobiomeMouthAdultAgedFecesFemaleHumansMaleMiddle AgedSalivaAntineoplastic Agents

Identifiers

PMID40419513
PMCPMC12106833

What OpenQuestion holds

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LicenceCC BY
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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.