Evidence map›Paper›PMID 40990048›Full record

SynthesisInflammatory bowel diseases2025

Gut Mycobiome in Inflammatory Bowel Disease: A Systematic Review of Case-Control Studies.

Johannes D Füchtbauer, Olga Brovkina, Kostas Sivickis, Claus Aalykke, Marte L Høivik, Vibeke Andersen, Jonas Halfvarson, Corinna Bang, Andre Franke, Jens Kjeldsen

Abstract readSystematic Review
In one paragraph

Synthesis in Inflammatory bowel diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. The Gut Mycobiome in Inflammatory Bowel Disease: ReframingJournal of fungi (Basel, Switzerland) · 2026
    Review
  3. Expansion resistance against genotoxicFrontiers in microbiology · 2026
    Article
  4. 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

10 authors.

Johannes D FüchtbauerDepartment of Medical Gastrointestinal Diseases S, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-9591-2963
Olga BrovkinaInstitute of Clinical Molecular Biology, Christian-Albrechts-University of Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany.ORCID 0000-0002-0946-7331
Kostas SivickisInstitute of Clinical Molecular Biology, Christian-Albrechts-University of Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany.
Claus AalykkeDepartment of Internal Medicine and Emergency, Section of Gastroenterology, Svendborg, Odense University Hospital and Svendborg Hospital, Denmark.ORCID 0000-0002-5366-5618
Marte L HøivikDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-0104-465X
Vibeke AndersenInstitute of Regional Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-0127-2863
Jonas HalfvarsonDepartment of Gastroenterology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID 0000-0003-0122-7234
Corinna BangInstitute of Clinical Molecular Biology, Christian-Albrechts-University of Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany.ORCID 0000-0001-6814-6151
Andre FrankeInstitute of Clinical Molecular Biology, Christian-Albrechts-University of Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany.ORCID 0000-0003-1530-5811
Jens KjeldsenDepartment of Medical Gastrointestinal Diseases S, Odense University Hospital, Odense, Denmark.ORCID 0000-0001-8148-6572

Funding

Cluster of Excellence "Precision Medicine in Chronic Inflammation" EXC 2167Deutsche ForschungsgemeinschaftDeutsche Forschungsgemeinschaft Cluster of Excellence 2167Deutsche Forschungsgemeinschaft ResearchDeutsche Forschungsgemeinschaft Research UnitInnovation Fund Denmark 8114-00026BNordForsk 90569Odense University Hospital A5031Odense University Hospital PhD Fund A5031Region of Southern Denmark's Pulje for Fri og Strategisk Forskning A1381Research Council of Norway 2988039Vinnova 2019-01185Vinnova NORDTREAT
6 · The paper itself

Abstract

backgroundThe bacterial composition of the microbiome in inflammatory bowel disease (IBD) has been the focus of substantial interest. In contrast, the fungal part of the microbiome, the mycobiome, has only rarely been investigated-although anti-Saccharomyces cerevisiae antibodies, an antibody against fungal mannan, have been known for years as a biomarker for Crohn's disease (CD), but not for ulcerative colitis (UC).

methodsA systematic review of case-control studies on the human gut mycobiome in IBD was conducted using searches in EMBASE and MEDLINE.

resultsTwenty-seven studies, with a total of 1406 IBD patients and 1060 controls were identified. The differences in alpha diversity varied across studies and were related to geography, whereas differences in beta diversity between cases and controls were found in a large majority of the studies. Overall, the results were inconsistent at different taxonomic levels, and the studied populations were heterogeneous, as were the methodological approaches. The most consistent finding was an increase of Candida for both CD and UC and of Malassezia in CD, where it was often linked to a decrease of Saccharomyces.

conclusionsThe mycobiome is altered in IBD, as differences in beta diversity were found between cases and controls consistently. Future studies should carefully standardize every step from sample collection through analysis and data processing, allowing external validation of findings. Inclusion of treatment naïve patients and symptomatic controls could further advance this field.

Indexed as

Crohn DiseaseGastrointestinal MicrobiomeInflammatory Bowel DiseasesMycobiomeCase-Control StudiesHumanscase-control studiesCrohn’s diseasemycobiomesystematic reviewulcerative colitis

Identifiers

PMID40990048
PMCPMC12638052

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.