Evidence map›Paper›PMID 40877707›Full record

ArticlePediatric research2026

Biofilm state Limosilactobacillus reuteri modulates aryl hydrocarbon receptor activity and suppresses experimental necrotizing enterocolitis.

Nitin Sajankila, Zachary Dumbauld, Yijie Wang, Samantha J Wala, Mecklin V Ragan, Ameer Al-Hadidi, Samuel G Volpe, Joseph Wickham, Lauren Mashburn-Warren, Colton Wayne and 6 more

Abstract read
In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Living Hydrogels: Harnessing Microorganism-Material Synergy for Next-Generation Therapeutics.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  2. 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

16 authors.

Nitin SajankilaCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA.
Zachary DumbauldCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA.
Yijie WangCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA.
Samantha J WalaCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA.
Mecklin V RaganCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA.
Ameer Al-HadidiCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA.
Samuel G VolpeCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA.
Joseph WickhamCenter for Microbial Pathogenesis, Nationwide Children's Hospital, Columbus, OH, USA.
Lauren Mashburn-WarrenInstitute for Genomic Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
Colton WayneCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA.
Taylor JacobsCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA.
Siddharth NarayananCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA.
Michael T BaileyCenter for Microbial Pathogenesis, Nationwide Children's Hospital, Columbus, OH, USA.
Steven D GoodmanCenter for Microbial Pathogenesis, Nationwide Children's Hospital, Columbus, OH, USA.
Gail E BesnerCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA. Gail.Besner@nationwidechildrens.org.
Belgacem MihiCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA. Belgacem.Mihi@nationwidechildrens.org.

Funding

Advanced Research Training in Immunology for Surgery Trainees (ARTIST)T32AI106704 · NIAID · OHIO STATE UNIVERSITY · PI GINNY L BUMGARDNER, Jon R Wisler · 2014 to 2026
$3.5M
Integrative Research Training Program in Pediatric Cardiopulmonary DiseaseT32HL166149 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI Carl Backes, Vidu Garg · 2023 to 2026
$1.4M
Advanced Research Training in Immunology for Surgery Trainees NIH T32 AI106704NHLBI NIH HHS T32 HL166149NIAID NIH HHS T32 AI106704Trainee Research Fellowship Award for Basic Science/Translational Research Association for Academic Surgery (AAS)/Association
6 · The paper itself

Abstract

backgroundDecreased Aryl Hydrocarbon Receptor (AHR) signaling pathway activation is implicated in necrotizing enterocolitis (NEC) pathogenesis. Limosilactobacillus reuteri (Lr) is a probiotic that catabolizes tryptophan into AHR ligands. We have previously shown that Lr in its biofilm state has improved efficacy against NEC. However, the importance of the physiologic state of Lr (planktonic vs. biofilm) on AHR activation remains unknown.

methodsIn vitro experiments using intestinal epithelial cells (IEC) and in vivo experiments in premature rodents were carried out to assess the impact of planktonic- vs. biofilm-state Lr on AHR ligand production, AHR activation, and protection against NEC.

resultsBiofilm-state Lr was found to have increased persistence in the intestine of premature rodent pups compared to planktonic-state Lr. IECs exposed to conditioned media from Lr grown with tryptophan demonstrated increased AHR activation compared to IECs exposed to tryptophan alone. Finally, biofilm-state Lr was associated with increased intestinal AHR ligand production, AHR activation, and protection against NEC in rodent pups.

conclusionBiofilm-state Lr has increased persistence in the gut and protects against NEC. This protection is associated with increased AHR activation in the intestine. Through improved understanding of the interactions of Lr and AHR signaling, we may be able to further enhance Lr efficacy against NEC. IMPACT: Limosilactobacillus reuteri in its biofilm state increases AHR activation and reduces intestinal injury during NEC. This is the first study to look at the role of the AHR signaling pathway in Limosilactobacillus reuteri-mediated protection against NEC. Development of an effective therapy to prevent NEC would reduce the morbidity and mortality of this lethal disease.

Indexed as

BiofilmsEnterocolitis, NecrotizingLimosilactobacillus reuteriReceptors, Aryl HydrocarbonAnimalsAnimals, NewbornDisease Models, AnimalEpithelial CellsHumansIntestinal MucosaMiceProbioticsRatsRats, Sprague-DawleySignal TransductionTryptophanReceptors, Aryl HydrocarbonTryptophan

Identifiers

PMID40877707
PMCPMC13021507

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Registered trials

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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.