Evidence map›Paper›PMID 41408023›Full record

ArticleClinical rheumatology2026

Exploring the gut microbiome in systemic lupus erythematosus: metagenomic and metabolomic insights into a new pro-inflammatory bacteria Clostridium scindens.

Hongli Wang, Miaomiao Zhang, Bi Hua, Juan He, Yuting Yang, Wenqi Wu, Yiling Zhang, Fuqin Wei, Yueming Cai, Qingwen Wang

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Article in Clinical rheumatology, 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

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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. Article
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4 · The record

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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.

Hongli WangDepartment of Rheumatism and Immunology, Peking University Shenzhen Hospital, No. 1120, Lianhua Road, Futian District, Shenzhen, 518036, Guangdong, China.
Miaomiao ZhangDepartment of Rheumatism and Immunology, Peking University Shenzhen Hospital, No. 1120, Lianhua Road, Futian District, Shenzhen, 518036, Guangdong, China.
Bi HuaDepartment of Rheumatism and Immunology, Peking University Shenzhen Hospital, No. 1120, Lianhua Road, Futian District, Shenzhen, 518036, Guangdong, China.
Juan HeDepartment of Rheumatism and Immunology, Peking University Shenzhen Hospital, No. 1120, Lianhua Road, Futian District, Shenzhen, 518036, Guangdong, China.
Yuting YangDepartment of Rheumatism and Immunology, Peking University Shenzhen Hospital, No. 1120, Lianhua Road, Futian District, Shenzhen, 518036, Guangdong, China.
Wenqi WuDepartment of Rheumatism and Immunology, Peking University Shenzhen Hospital, No. 1120, Lianhua Road, Futian District, Shenzhen, 518036, Guangdong, China.
Yiling ZhangDepartment of Rheumatism and Immunology, Peking University Shenzhen Hospital, No. 1120, Lianhua Road, Futian District, Shenzhen, 518036, Guangdong, China.
Fuqin WeiDepartment of Rheumatism and Immunology, Peking University Shenzhen Hospital, No. 1120, Lianhua Road, Futian District, Shenzhen, 518036, Guangdong, China.
Yueming CaiDepartment of Rheumatism and Immunology, Peking University Shenzhen Hospital, No. 1120, Lianhua Road, Futian District, Shenzhen, 518036, Guangdong, China. cyueming@163.com.
Qingwen WangDepartment of Rheumatism and Immunology, Peking University Shenzhen Hospital, No. 1120, Lianhua Road, Futian District, Shenzhen, 518036, Guangdong, China. wqw_sw@163.com.ORCID http://orcid.org/0000-0003-4303-8271

Funding

Guangdong Basic and Applied Basic Research Foundation 2023A1515010294Guangdong Basic and Applied Basic Research Foundation 2023B1515230002Sanming Project of Medicine in Shenzhen SZSM202311030Shenzhen High-level Hospital Construction Fund and Peking University Shenzhen Hospital Scientific Research Fund KYQD2024355Shenzhen Medical Research Fund C2301008,C2404002The National Natural Science Foundation of China No. NSFC 82302037Treatment and Prevention Integration Project of Shenzhen Municipal Health Commission 0102018-2019-YBXM-1499-01-0414
6 · The paper itself

Abstract

objectivesSystemic lupus erythematosus (SLE) is a complex autoimmune disease with unclear pathogenesis. Emerging evidence indicates that the gut microbiome may play a critical role in immune regulation. This study aimed to investigate gut microbiome and metabolome alterations in SLE patients, with a focus on the pro-inflammatory bacterium Clostridium scindens (C. scindens), and explore its potential contribution to disease pathogenesis.

methodWe performed metagenomic sequencing to analyze gut microbial composition in SLE patients and healthy controls, alongside untargeted metabolomic profiling of peripheral blood to assess systemic metabolic changes. We examined species diversity, taxonomic differences at both phylum and species levels, and metabolic alterations. Statistical analyses identified significant associations and potential diagnostic markers.

resultsSLE patients did not show a consistent reduction in species diversity, but exhibited significant microbial compositional differences compared to healthy controls. These patterns suggest potential diagnostic utility. Metabolomic analysis revealed systemic metabolic disturbances linked to gut dysbiosis. Ruminococcus gnavus was associated with altered amino acid, lactose, and sphingolipid metabolism, potentially affecting host immunity. Notably, C. scindens appeared to contribute to immune dysregulation via bile acid metabolism.

conclusionsThis study reveals distinct microbial and metabolic profiles in SLE, identifying C. scindens as a potential driver of immune imbalance. The findings suggest that targeting the gut microbiome could offer novel strategies for diagnosis and therapeutic intervention in SLE. Key Points • Gut microbial composition is significantly altered in SLE patients compared to healthy controls. • Metabolomic profiling reveals systemic disturbances linked to gut dysbiosis. • Clostridium scindens is associated with bile acid metabolism and immune dysregulation in SLE. • The gut microbiome may serve as a potential target for diagnosis and treatment in SLE.

Indexed as

ClostridiumGastrointestinal MicrobiomeLupus Erythematosus, SystemicAdultCase-Control StudiesDysbiosisEubacterialesFemaleHumansMaleMetabolomeMetabolomicsMetagenomicsMiddle AgedClostridium scindensGut microbiomeSystemic lupus erythematosus

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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.