Evidence map›Paper›PMID 41030556›Full record

ArticleFrontiers in microbiology2025

Direct-acting antiviral treatment significantly shaped the gut microbiota in chronic hepatitis C patients: a pilot study.

Nahla M Elsherbiny, Omnia M Kamal El-Din, Elham Ahmed Hassan, Helal F Hetta, Roba Alatawy, Mostafa A Sayed Ali, Fawaz E Alanazi, Mohamed S Abdel-Maksoud, Hashim M Aljohani, Mohamed Saad Badary and 5 more

Abstract read
In one paragraph

Article in Frontiers in microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
  2. The Role ofInternational journal of molecular sciences · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Current oncology (Toronto, Ont.) · 2025
    Review
  8. Review
  9. 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.

Nahla M ElsherbinyMedical Microbiology and Immunology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Omnia M Kamal El-DinMicrobiology and Immunology Department, Faculty of Pharmacy, Assiut University, Assiut, Egypt.
Elham Ahmed HassanGastroenterology and Tropical Medicine Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Helal F HettaMedical Microbiology and Immunology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Roba AlatawyDepartment of Medical Microbiology, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia.
Mostafa A Sayed AliDepartment of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk, Saudi Arabia.
Fawaz E AlanaziDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, University of Tabuk, Tabuk, Saudi Arabia.
Mohamed S Abdel-MaksoudDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, University of Tabuk, Tabuk, Saudi Arabia.
Hashim M AljohaniDepartment of Clinical Laboratory Sciences, College of Applied Medical Sciences, Taibah University, Madina, Saudi Arabia.
Mohamed Saad BadaryMedical Microbiology and Immunology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Zienab Gaber MahranGastroenterology and Tropical Medicine Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Marwa Abo KreshaInternal Medicine Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Khaled Abo BakrGastroenterology and Tropical Medicine Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Hossam AbdelwahabInternal Medicine Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Mohammed RamadanMicrobiology and Immunology Department, Faculty of Pharmacy, Al-Azhar University, Assiut, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic hepatitis C (CHC) can be effectively cured with direct-acting antivirals (DAAs), yet the impact of CHC on the gut microbiota remains controversial, with limited research on changes in patients who achieve a sustained virological response (SVR) versus those who relapse. Aim: To investigate the impact of CHC on the gut microbiota and compare changes between patients who achieved SVR post-DAA treatment and those who relapsed. Methods: In this case-control study, 60 stool samples were collected from CHC patients (20 untreated, 20 post-DAAs SVR, and 20 relapsed patients) and 20 healthy individuals. The V3-V4 regions of the 16S rRNA gene were sequenced using MiSeq to analyze bacterial diversity and composition. Results: Compared with healthy participants, CHC patients presented significantly altered bacterial diversity. The microbial diversity of the SVR patients was similar to that of the controls ( Conclusion: DAAs have a significant impact on the gut microbiota in CHC patients, resulting in distinct microbial patterns, biomarkers, and interactions. Successful HCV eradication restores bacterial diversity and reestablishes microbial communities resembling those in healthy individuals.

Indexed as

chronic hepatitis Cdirect-acting antiviralsgut microbiotarelapsesustained virological response

Identifiers

PMID41030556
PMCPMC12477692

What OpenQuestion holds

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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.