Evidence map›Paper›PMID 41482646›Full record

ArticlePhysiological reports2026

Microbial signature of pediatric Crohn's disease: Differentiation from functional gastrointestinal disorders and relationship with increased disease activity.

Jeremiah Levine, Scott C Thomas, Fangxi Xu, Adam Isbiroglu, Ryan Zanganeh, Lauren Barazani, Mridula Vardhan, Samantha Hwang, Julia Kishanie Persaud, Nirali Thakor and 3 more

Abstract read
In one paragraph

Article in Physiological reports, 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. 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

13 authors.

Jeremiah LevineDivision of Pediatric Gastroenterology, NYU Grossman School of Medicine, New York, New York, USA.
Scott C ThomasDepartment of Molecular Pathobiology, NYU Dentistry, New York, New York, USA.ORCID https://orcid.org/0000-0001-5140-6033
Fangxi XuDepartment of Molecular Pathobiology, NYU Dentistry, New York, New York, USA.
Adam IsbirogluDepartment of Pediatrics, NYU Grossman School of Medicine, New York, New York, USA.
Ryan ZanganehDepartment of Molecular Pathobiology, NYU Dentistry, New York, New York, USA.
Lauren BarazaniDepartment of Pediatrics, NYU Grossman School of Medicine, New York, New York, USA.
Mridula VardhanDepartment of Molecular Pathobiology, NYU Dentistry, New York, New York, USA.
Samantha HwangDepartment of Molecular Pathobiology, NYU Dentistry, New York, New York, USA.
Julia Kishanie PersaudDepartment of Molecular Pathobiology, NYU Dentistry, New York, New York, USA.
Nirali ThakorDepartment of Molecular Pathobiology, NYU Dentistry, New York, New York, USA.
Shelly JosephDivision of Pediatric Gastroenterology, NYU Grossman School of Medicine, New York, New York, USA.
Leonardo TrasandeDepartment of Pediatrics, NYU Grossman School of Medicine, New York, New York, USA.
Deepak SaxenaDepartment of Molecular Pathobiology, NYU Dentistry, New York, New York, USA.ORCID https://orcid.org/0000-0002-5506-5827

Funding

Leona M. and Harry B. Helmsley Charitable Trust (Helmsley) 1911-03329
6 · The paper itself

Abstract

The prevalence and incidence of Crohn's disease (CD) in pediatric populations have been steadily increasing. Growing evidence suggests that gut microbiomal community differences play a critical role in the pathogenesis of CD. Additionally, the clinical course of patients with CD is unpredictable, making treatment decisions challenging. We investigated the fecal microbiome of newly diagnosed, treatment-naïve pediatric CD patients (n = 43) compared to age- and sex-matched controls with other functional gastrointestinal disorders (n = 139). We also correlated microbial changes with CD disease activity, measured by the Pediatric Crohn's Disease Activity Index (PCDAI). Our results showed that microbial richness and diversity were significantly lower in CD patients. Furthermore, taxonomic analysis revealed an enrichment in pro-inflammatory bacteria (Fusobacteria and Proteobacteria) and depletion in favorable bacteria (Firmicutes and Verrucomicrobia). Higher PCDAI scores were linked to the enrichment of genera harboring pro-inflammatory taxa (Hungatella and Veillonella) and decreased abundance of genera harboring protective taxa (Lachnospiraceae). Our study underscores the potential of fecal microbiome profiling as an effective tool for understanding CD pathogenesis, identifying microbial biomarkers, and predicting disease activity for treatment response. This, in turn, can help to improve personalized treatment and management strategies in pediatric CD.

Indexed as

Crohn DiseaseGastrointestinal DiseasesGastrointestinal MicrobiomeAdolescentBacteriaChildFecesFemaleHumansMaleCrohn's diseasemicrobiomePediatric Crohn's Disease Activity Index

Identifiers

PMID41482646
PMCPMC12759043

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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.