Evidence map›Paper›PMID 40482640›Full record

ArticleCell2025

Microbiome mismatches from microbiota transplants lead to persistent off-target metabolic and immunomodulatory effects.

Orlando DeLeon, Mora Mocanu, Alan Tan, Ashley M Sidebottom, Jason Koval, Hugo D Ceccato, Sarah Kralicek, John J Colgan, Marissa M St George, Joash M Lake and 13 more

Abstract read
In one paragraph

Article in Cell, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing 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

33 citing papers in PubMed.

  1. Review
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  14. Observational
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  20. Frontiers in microbiology · 2026
    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

23 authors.

Orlando DeLeonDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
Mora MocanuDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
Alan TanDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
Ashley M SidebottomDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Jason KovalDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
Hugo D CeccatoDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
Sarah KralicekDepartment of Biomedical Science, Midwestern University, Downers Grove, IL 60515, USA.
John J ColganDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
Marissa M St GeorgeDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
Joash M LakeDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
Michael CooperDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
Jingwen XuDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
Julia MooreDepartment of Biomedical Science, Midwestern University, Downers Grove, IL 60515, USA.
Qi SuDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China; Microbiota I-Center (MagIC), Hong Kong SAR, China; Li Ka Shing Institute of Health Sciences, State Key Laboratory of Digestive Disease, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong SAR, China.
Zhilu XuDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China; Microbiota I-Center (MagIC), Hong Kong SAR, China; Li Ka Shing Institute of Health Sciences, State Key Laboratory of Digestive Disease, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong SAR, China.
Siew C NgDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China; Microbiota I-Center (MagIC), Hong Kong SAR, China; Li Ka Shing Institute of Health Sciences, State Key Laboratory of Digestive Disease, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong SAR, China; New Cornerstone Science Laboratory, The Chinese University of Hong Kong, Hong Kong SAR, China.
Francis K L ChanDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China; Microbiota I-Center (MagIC), Hong Kong SAR, China; Li Ka Shing Institute of Health Sciences, State Key Laboratory of Digestive Disease, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong SAR, China.
Hein M TunDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China; Microbiota I-Center (MagIC), Hong Kong SAR, China; Li Ka Shing Institute of Health Sciences, State Key Laboratory of Digestive Disease, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong SAR, China.
Candace M ChamDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
Cambrian Y LiuDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
David T RubinDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA.
Kristina Martinez-GurynDepartment of Biomedical Science, Midwestern University, Downers Grove, IL 60515, USA. Electronic address: kmarti2@midwestern.edu.
Eugene B ChangDepartment of Medicine, University of Chicago, Chicago, IL 60637, USA. Electronic address: echang@bsd.uchicago.edu.

Funding

ULTRASTRUCTURE AND CYTOMORPHOLOGY COREP30DK042086 · NIDDK · UNIVERSITY OF CHICAGO · PI CHANG, EUGENE B · 1990 to 2025
$29.8M
Research Training in Digestive Health, Diseases, and NutritionT32DK007074 · NIDDK · UNIVERSITY OF CHICAGO · PI EUGENE B CHANG · 1986 to 2026
$11.3M
Colonic epithelial wound healing by anal transitional cellsR01DK135954 · NIDDK · UNIVERSITY OF CHICAGO · PI Cambrian Yangshao Liu · 2023 to 2026
$2.2M
Probing short and long term consequences of Small and Large Bowel Microbiota Transplants on Host Physiology: Implications for the development of future live biotherapeuticsR01DK138072 · NIDDK · UNIVERSITY OF CHICAGO · PI EUGENE B CHANG, Kristina Brooke Martinez-Guryn · 2024 to 2026
$2.1M
NIDDK NIH HHS P30 DK042086NIDDK NIH HHS R01 DK135954NIDDK NIH HHS R01 DK138072NIDDK NIH HHS T32 DK007074
6 · The paper itself

Abstract

Fecal microbiota transplant (FMT) is an increasingly used intervention, but its suitability to restore regional gut microbiota, particularly in the small bowel (SB), must be questioned because of its predominant anaerobic composition. In human subjects receiving FMT by upper endoscopy, duodenal engraftment of anaerobes was observed after 4 weeks. We hypothesized that peroral FMTs create host-microbe mismatches that impact SB homeostasis. To test this, antibiotic-treated specific-pathogen-free (SPF) mice were given jejunal, cecal, or fecal microbiota transplants (JMTs, CMTs, or FMTs, respectively) and studied 1 or 3 months later. JMT and FMT altered regional microbiota membership and function, energy balance, and intestinal and hepatic transcriptomes; JMT favored host metabolic pathways and FMT favored immune pathways. MTs drove regional intestinal identity (Gata4, Gata6, and Satb2) and downstream differentiation markers. RNA sequencing (RNA-seq) of metabolite-exposed human enteroids and duodenal biopsies post-FMT confirmed transcriptional changes in mice. Thus, regional microbial mismatches after FMTs can lead to unintended consequences and require rethinking of microbiome-based interventions.

Indexed as

Fecal Microbiota TransplantationGastrointestinal MicrobiomeAnimalsAnti-Bacterial AgentsDuodenumFemaleHumansMaleMiceMice, Inbred C57BLSpecific Pathogen-Free OrganismsTranscriptomeAnti-Bacterial AgentsengraftmentFMTintestinejejunummetabolismmicrobiomemucosaregional ecosystemregional mismatchsmall bowel microbiota

Identifiers

PMID40482640
PMCPMC12330209

What OpenQuestion holds

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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.