Evidence map›Paper›PMID 40738103›Full record

Trial reportCell reports. Medicine2025

A human milk oligosaccharide alters the microbiome, circulating hormones, and metabolites in a randomized controlled trial of older adults.

Matthew M Carter, Diane Demis, Dalia Perelman, Michelle St Onge, Christina Petlura, Kristen Cunanan, Kavita Mathi, Holden T Maecker, Jo May Chow, Jennifer L Robinson and 5 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cell reports. Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03690999 (Impact of a Prebiotic Supplement on Microbiome, Immune System, and Metabolic Status of Older Adults), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

NCT03690999 nacompletednot on this map

Impact of a Prebiotic Supplement on Microbiome, Immune System, and Metabolic Status of Older Adults

TypeinterventionalSponsorStanford UniversityRan2019 to 2020Enrolled98ConditionsMicrobiome, Immune Function, InflammationArmsPlacebo, Prebiotic supplement
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. 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.

Matthew M CarterDepartment of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA.
Diane DemisStanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA.
Dalia PerelmanStanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA.
Michelle St OngeDepartment of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA.
Christina PetluraStanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA.
Kristen CunananQuantitative Sciences Unit, Stanford University School of Medicine, Stanford, CA, USA.
Kavita MathiHuman Immune Monitoring Center, Stanford University, School of Medicine, Stanford, CA 94304, USA.
Holden T MaeckerHuman Immune Monitoring Center, Stanford University, School of Medicine, Stanford, CA 94304, USA.
Jo May ChowAbbott Nutrition, 3300 Stelzer Road, Columbus, OH 43219, USA.
Jennifer L RobinsonStanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA.
Anice Sabag-DaigleAbbott Nutrition, 3300 Stelzer Road, Columbus, OH 43219, USA.
Erica D SonnenburgDepartment of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA; Center for Human Microbiome Studies, Stanford University School of Medicine, Stanford, CA, USA.
Rachael H BuckAbbott Nutrition, 3300 Stelzer Road, Columbus, OH 43219, USA.
Christopher D GardnerStanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: cgardner@stanford.edu.
Justin L SonnenburgDepartment of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA; Chan Zuckerberg Biohub, San Francisco, CA, USA; Center for Human Microbiome Studies, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: jsonnenburg@stanford.edu.

Funding

Impact of Diet on Intestinal Microbiota-Host DynamicsR01DK085025 · NIDDK · STANFORD UNIVERSITY · PI JUSTIN L SONNENBURG · 2010 to 2026
$6.4M
NIDDK NIH HHS R01 DK085025
6 · The paper itself

Abstract

Aging-related immune dysfunction is linked to cancer, atherosclerosis, and neurodegenerative diseases. This 6-week randomized controlled trial evaluated whether 2'-fucosyllactose (2'-FL), a human breast milk oligosaccharide with established benefits in infants and animal models, could improve gut microbiota and immune function in 89 healthy older adults (mean age 67.3 years). While the primary endpoint of cytokine response change was not met, 2'-FL supplementation increased gut Bifidobacterium levels and elevated serum insulin, high-density lipoprotein (HDL) cholesterol, and FGF21 hormone. Bifidobacterium "responders" experienced additional metabolic and proteomic changes and also performed better on a cognitive test of visual memory. Nonresponders were more likely to lack Bifidobacterium in their gut microbiota at the start of the intervention. Multi-omics analysis indicated a systemic response to 2'-FL, which could be detected in blood and urine, showcasing the potential of this prebiotic to provide diverse benefits for healthy aging. This trial was registered at ClinicalTrials.gov (NCT03690999).

Indexed as

Gastrointestinal MicrobiomeHormonesMilk, HumanOligosaccharidesTrisaccharidesAgedFemaleHumansMaleMiddle AgedPrebiotics2'-fucosyllactoseHormonesOligosaccharidesPrebioticsTrisaccharides2'-fucosyllactoseagingBifidobacteriumHuman milk oligosaccharidemetabolomicsprebiotics

Identifiers

PMID40738103
PMCPMC12432366

What OpenQuestion holds

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Registered trials

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.