Evidence map›Paper›PMID 40589493›Full record

ReviewFrontiers in allergy2025

Gut-lung axis in asthma and obesity: role of the gut microbiome.

Hiroki Tashiro, Yuki Kuwahara, Koichiro Takahashi

Abstract readReview
In one paragraph

Review in Frontiers in allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Review
  3. MaternalBiomedicines · 2026
    Article
  4. Metabolic Reprogramming and ILC2 Plasticity in Obesity-related Asthma.Clinical reviews in allergy & immunology · 2026
    Review
  5. Review
  6. [Pathological roles of lipid metabolism disorders in asthma and related intervention strategies].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Review
  7. Review
  8. Article
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  10. Review
  11. Article
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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

3 authors.

Hiroki TashiroDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Yuki KuwaharaDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Koichiro TakahashiDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Asthma is a heterogeneous disease whose severity is exacerbated by obesity. Despite its clinical importance, targeted therapies for asthma in obese patients remain limited. Recent evidence highlights the gut microbiome as a crucial factor linking metabolic and immune pathways involved in both asthma and obesity. This review explores the complex interplay between the gut microbiome, immune responses, and the gut-lung axis, emphasizing how microbial composition, diversity, and metabolites, such as short-chain fatty acids (SCFAs), influence airway hyperresponsiveness (AHR) and airway inflammation. Obesity alters the gut microbiome, contributing to systemic inflammation and metabolic dysfunction. Furthermore, asthma phenotypes related to obesity are associated with specific gut microbial profiles, suggesting a causal relationship. Animal studies have demonstrated that manipulation of the gut microbiome through diet, antibiotics, or microbial transplantation can alter asthma outcomes, particularly in obesity models. Given these findings, targeting the gut microbiome might be a promising therapeutic strategy for asthma in obese individuals. Potential interventions include probiotics, prebiotics and antibiotics, all of which have shown varying degrees of effectiveness in modulating airway inflammation and reducing asthma severity. This review provides a comprehensive overview of current knowledge and proposes future directions for microbiome-targeted therapies in managing severe asthma associated with obesity.

Indexed as

airway inflammationasthmagut microbiomeobesityshort-chain fatty acid (SCFA)

Identifiers

PMID40589493
PMCPMC12206879

What OpenQuestion holds

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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.