Evidence map›Paper›PMID 40881123›Full record

ArticleFrontiers in endocrinology2025

Fasting elicits gut microbiome signature changes that extend to type 1 diabetes patients.

Franziska A Graef, Bettina Berger, Lina S Bahr, Rainer Stange, Andreas Michalsen, Friedemann Paul, Bruce A Vallance, Kevan Jacobson

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Remodelling of the gut virome after long-term fasting.NPJ biofilms and microbiomes · 2026
    Article
  3. Review
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

8 authors.

Franziska A GraefDepartment of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.
Bettina BergerChair of Medical Theory, Integrative and Anthroposophic Medicine, Faculty of Health, Witten/Herdecke University, Witten, Germany.
Lina S BahrNeuroCure Clinical Research Center and Department of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt Universität Berlin, Berlin, Germany.
Rainer StangeInstitute of Social Medicine, Epidemiology & Health Economics, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Andreas MichalsenInstitute of Social Medicine, Epidemiology & Health Economics, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Friedemann PaulNeuroCure Clinical Research Center and Department of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt Universität Berlin, Berlin, Germany.
Bruce A VallanceDepartment of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.
Kevan JacobsonDepartment of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The gut microbiome has been linked to the pathogenesis of type 1 diabetes (T1D), identifying it as a promising therapeutic target. Nutritional interventions, which are an effective way to modulate the gut microbiome, thus show potential to be applied as complementary therapies for T1D. One particular dietary intervention, prolonged therapeutic fasting, has been shown to ameliorate symptoms of several autoimmune diseases, while also modifying the gut microbiota composition of healthy populations. It is unclear, however, how the gut microbiota of patients suffering from diseases of autoimmunity will respond to fasting. In this pilot study, we investigate the effects of prolonged fasting on the gut microbiome of T1D patients: Fasting substantially changed the composition and structure of the T1D gut microbiome so that it converged with that of non-diabetic controls immediately post fasting. Moreover, a comparison with a population of patients suffering from Multiple Sclerosis revealed substantial overlap in post-fasted microbiome changes and a remarkable consistency with published data of non-autoimmune populations, indicating that fasting leads to signature microbiome changes that are independent of host health status and disease type. A correlation analysis between fasting-mediated microbiota modifications and changes in clinical parameters revealed several significant associations between the

Indexed as

Diabetes Mellitus, Type 1FastingGastrointestinal MicrobiomeAdultFemaleHumansMaleMiddle AgedPilot ProjectsYoung Adultautoimmunityfastinggut bacteriagut microbiomemultiple sclerosisnutrient availabilitytherapeutic fastingtype 1 diabetes

Identifiers

PMID40881123
PMCPMC12380539

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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.