Evidence map›Paper›PMID 41531645›Full record

ArticleSmart medicine2026

Gut Microbiome Dysbiosis is Associated With Human T-Lymphotropic Virus Type 1 (HTLV-1) Infection and Disease Progression to HTLV-1-Associated Myelopathy/Tropical Spastic Paraparesis: A Cross-Sectional Study.

Lorena Abreu Fernandes, Ana Olivia de Souza, Youko Nukui, Rosa Maria Marcusso, Augusto César Penalva de Oliveira, Jorge Casseb, Patricia Bianca Clissa, Silas G Villas-Boas, Sabri Saeed Sanabani

Abstract read
In one paragraph

Article in Smart medicine, 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. Article
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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

9 authors.

Lorena Abreu FernandesPostgraduate Program in Translational Medicine, Department of Medicine Federal University of São Paulo (UNIFESP) São Paulo Brazil.
Ana Olivia de SouzaDevelopment and Innovation Laboratory Butantan Institute São Paulo Brazil.
Youko NukuiDepartment of Hematology, Faculty of Medicine University of São Paulo São Paulo Brazil.
Rosa Maria MarcussoDepartment of Neurology Emilio Ribas Institute of Infectious Diseases São Paulo Brazil.
Augusto César Penalva de OliveiraDepartment of Neurology Emilio Ribas Institute of Infectious Diseases São Paulo Brazil.
Jorge CassebLaboratory of Medical Investigation LIM-56, Division of Dermatology Faculty of Medicine, University of São Paulo São Paulo Brazil.
Patricia Bianca ClissaImmunopathology Laboratory Butantan Institute São Paulo Brazil.
Silas G Villas-BoasLuxembourg Institute of Science and Technology Esch-sur-Alzette Luxembourg.
Sabri Saeed SanabaniLaboratory of Medical Investigation LIM-56, Division of Dermatology Faculty of Medicine, University of São Paulo São Paulo Brazil.ORCID https://orcid.org/0000-0002-8876-8262

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human T-lymphotropic virus type 1 (HTLV-1)-associated myelopathy/tropical spastic paraparesis (HAM/TSP) is a chronic neuroinflammatory disease. Given the established role of the gut-brain axis in other neurological diseases such as multiple sclerosis, the role of the gut microbiome in the pathogenesis of HAM/TSP remains a critical unexplored area. The aim of this study was to characterize alterations in the gut microbiome associated with HTLV-1 infection and its clinical stages. We performed a cross-sectional analysis of the gut microbiome from 112 Brazilian individuals, including 24 healthy controls and 88 HTLV-1-infected individuals at different disease stages: 38 HAM patients, 17 patients with intermediate syndromes, and 33 asymptomatic carriers. Fecal samples were collected and analyzed using Illumina MiSeq sequencing to assess bacterial composition and diversity. Functional analysis was performed to identify differentially enriched gene categories and Kyoto Encyclopedia of Genes and Genomes (KEGG) modules. Significant dysbiosis was observed in HTLV-1-infected individuals, characterized by reduced bacterial diversity, an inverted Firmicutes/Bacteroidetes ratio, and specific changes in bacterial genera. Notably, HAM patients exhibited decreased

Identifiers

PMID41531645
PMCPMC12794673

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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.