Evidence map›Paper›PMID 40490712›Full record

ArticleBMC neurology2025

Causal associations between gut microbiota, metabolites, and idiopathic normal pressure hydrocephalus: a two‑sample Mendelian randomization study.

Wencai Wang, Menghao Liu, Zun Wang, Luyao Ma, Yongqiang Zhao, Wei Ye, Xianfeng Li

Abstract read
In one paragraph

Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Wencai WangThe Second Affiliated Hospital of Harbin Medical University, Harbin, 150086, People's Republic of China.ORCID http://orcid.org/0009-0004-5673-1643
Menghao LiuThe Second Affiliated Hospital of Harbin Medical University, Harbin, 150086, People's Republic of China.
Zun WangThe Second Affiliated Hospital of Harbin Medical University, Harbin, 150086, People's Republic of China.
Luyao MaJuntendo University, Tokyo, Japan.
Yongqiang ZhaoFuyang Hospital of Anhui Medical University, Fuyang, People's Republic of China.
Wei YeThe Second Affiliated Hospital of Harbin Medical University, Harbin, 150086, People's Republic of China.
Xianfeng LiThe Second Affiliated Hospital of Harbin Medical University, Harbin, 150086, People's Republic of China. lixianfeng2000@163.com.ORCID http://orcid.org/0000-0001-8549-537X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImplying connections with gut microbiome and serum metabolites, idiopathic normal pressure hydrocephalus (INPH) emerges as a prevalent neuropsychiatric condition in the elderly. Our objective was to systematically evaluate the potential causality between gut microbiome, derived metabolites, and INPH through the implementation of Mendelian randomization (MR) methodology.

methodsWe utilized summary data from extensive genome-wide association studies, encompassing 196 gut microbiomes from the MiBioGen consortium (n = 18,340), 486 serum metabolites from the KORA and TwinsUK studies (n = 7,824), and individuals with INPH (case = 767, control = 375,610), for MR causal estimates. The leading analysis utilized the inverse-variance weighted (IVW) method, supplemented by weighted mode, MR-Egger, weighted median and simple mode approaches. Sensitivity analyses included MR-Egger intercept, Cochran's Q test, leave-one-out analysis and MR-PRESSO.

resultsOur study primarily relied on the IVW method, confirming a causality between 9 genetically predicted abundance of gut microbiomes and INPH. We found an adverse correlation with genetically predicted abundance of order Clostridiales, genus Eubacteriumeligensgroup, genus Gordonibacter, genus Ruminococcus1 concerning INPH. Conversely, class Melainabacteria, genus Eubacteriumruminantiumgroup, genus Adlercreutzia, genus Dialister, genus RikenellaceaeRC9gutgroup potentially correlated with increased INPH risk. As for derived metabolites, IVW estimates indicated a causal connection between 25 genetically predicted serum metabolites and INPH. Sensitivity analysis underscored the robustness of our findings.

conclusionOur MR analysis provides evidence supporting the causality of certain gut microbial taxa and their derived metabolites on INPH. This underscores the potential for interventions targeting specific gut microbiota and derived metabolites in the treatment and prevention of INPH.

Indexed as

Gastrointestinal MicrobiomeHydrocephalus, Normal PressureMendelian Randomization AnalysisAgedFemaleGenome-Wide Association StudyHumansMaleGut microbiotaGWASINPHMendelian randomizationSerum metabolites

Identifiers

PMID40490712
PMCPMC12147353

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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.