Evidence map›Paper›PMID 40851072›Full record

ArticleNPJ biofilms and microbiomes2025

The resident gut microbiome modulates the effect of synbiotics on the immunogenicity after SARS-COV-2 vaccination in elderly and diabetes patients.

Lin Zhang, Shilan Wang, Martin C S Wong, Chris K P Mok, Jessica Y L Ching, Joyce W Y Mak, Chunke Chen, Bing Huo, Shuai Yan, Chun Pan Cheung 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 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

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

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

15 authors.

Lin Zhang *Microbiota I-Center (MagIC), The Chinese University of Hong Kong, Hong Kong SAR, China.
Shilan Wang *Microbiota I-Center (MagIC), The Chinese University of Hong Kong, Hong Kong SAR, China.
Martin C S WongJockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Chris K P MokJockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Jessica Y L ChingMicrobiota I-Center (MagIC), The Chinese University of Hong Kong, Hong Kong SAR, China.
Joyce W Y MakDepartment of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Chunke ChenSH Ho Research Centre for Infectious Diseases, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Bing HuoMicrobiota I-Center (MagIC), The Chinese University of Hong Kong, Hong Kong SAR, China.
Shuai YanMicrobiota I-Center (MagIC), The Chinese University of Hong Kong, Hong Kong SAR, China.
Chun Pan CheungMicrobiota I-Center (MagIC), The Chinese University of Hong Kong, Hong Kong SAR, China.
Emily O L ChiuMicrobiota I-Center (MagIC), The Chinese University of Hong Kong, Hong Kong SAR, China.
Emily Y T FungMicrobiota I-Center (MagIC), The Chinese University of Hong Kong, Hong Kong SAR, China.
Pui Kuan CheongMicrobiota I-Center (MagIC), The Chinese University of Hong Kong, Hong Kong SAR, China.
Francis K L ChanMicrobiota I-Center (MagIC), The Chinese University of Hong Kong, Hong Kong SAR, China. fklchan@cuhk.edu.hk.
Siew C NgMicrobiota I-Center (MagIC), The Chinese University of Hong Kong, Hong Kong SAR, China. siewchienng@cuhk.edu.hk.

Funding

Health Bureau, The Government of the Hong Kong Special Administrative Region COVID19F07New Cornerstone Science Foundation NCI202346
6 · The paper itself

Abstract

The study aims to tackle the seed and soil microbiome and mechanisms that contribute to the effect of synbiotics in enhancing immunogenicity after SARS-CoV-2 vaccination in elderly and diabetic patients. Among 369 subjects who received 3 months of SIM01, a gut microbiota-derived synbiotic formula of three Bifidobacterium strains (B. adolescentis, B. bididum, and B. longum) or a placebo after the SARS-CoV-2 vaccines (mRNA vaccine BNT162b2 (Pfizer-BioNTech) or the inactivated vaccine Sinovac-CoronaVac), we performed metagenomic sequencing in stool samples of 280 vaccinees collected at baseline and 3-month postvaccination and metabonomic sequencing in 276 vaccinees collected at baseline and 1-month postvaccination. The open niche of autochthonous gut microbiota (lower levels of Bifidobacterium and decreased functional potential for carbohydrate metabolism) was associated with enhancing SIM01-contained species. The enrichment of three bifidobacterial species after 3 months of SIM01 intervention (BABBBL_fc) was positively correlated with the level of neutralizing antibodies to the BNT162b2 vaccine at 6-month postvaccination. The fold change of benzoic acid was positively correlated with BABBBL_fc in the BNT162b2 vaccinees, which was also implicated with SARS-CoV-2 surrogate virus neutralization test (sVNT)% levels at 1-month postvaccination. Importantly, SIM01 strain engraftment assessed by StrainPhlAn (A metagenomic strain-level population genomics tool) was associated with a higher fold change of three bifidobacterial species and could be predicted based on the baseline gut microbiome. Therefore, the resident gut microbiome affected the SIM01 engraftment, which was associated with the immunogenicity of SARS-CoV-2 BNT162b2 vaccines.

Indexed as

COVID-19COVID-19 VaccinesDiabetes MellitusGastrointestinal MicrobiomeImmunogenicity, VaccineSynbioticsAgedAntibodies, ViralBifidobacteriumBNT162 VaccineFecesFemaleHumansMaleMiddle AgedSARS-CoV-2Antibodies, ViralBNT162 VaccineCOVID-19 Vaccines

Identifiers

PMID40851072
PMCPMC12375777

What OpenQuestion holds

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LicenceCC BY
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.