Evidence map›Paper›PMID 41605669›Full record

Observational studyJournal of digestive diseases

Relationship Between Fecal Bile Acid Profile and Intestinal Microbiota in Patients With Chronic Radiation Enteritis.

Xin Shen, Song Bo Li, Meng Jie Gao, Jiao Jiao Cao, Hua Yang, Wei Wei Li, Li Chun Wei, Min Chen, Jun Ye Liu, Yong Quan Shi

Registry-linked trialAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of digestive diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05728060 (Associations of Fecal Bile Acid Profile and Intestinal Flora With Chronic Radiation Enteritis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05728060 completednot on this map

Associations of Fecal Bile Acid Profile and Intestinal Flora With Chronic Radiation Enteritis

TypeobservationalSponsorXijing Hospital of Digestive DiseasesRan2022 to 2024Enrolled60ConditionsRadiation Enteritis
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Xin ShenState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers and National Clinical Research Center for Digestive Diseases, Department of Gastroenterology & Hepatology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China.
Song Bo LiState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers and National Clinical Research Center for Digestive Diseases, Department of Gastroenterology & Hepatology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China.
Meng Jie GaoState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers and National Clinical Research Center for Digestive Diseases, Department of Gastroenterology & Hepatology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China.
Jiao Jiao CaoState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers and National Clinical Research Center for Digestive Diseases, Department of Gastroenterology & Hepatology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China.
Hua YangDepartment of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China.
Wei Wei LiDepartment of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China.
Li Chun WeiDepartment of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China.ORCID https://orcid.org/0000-0003-3146-2278
Min ChenState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers and National Clinical Research Center for Digestive Diseases, Department of Gastroenterology & Hepatology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China.ORCID https://orcid.org/0000-0003-3004-2634
Jun Ye LiuDepartment of Radiation Protective Medicine, School of Military Preventive Medicine, Fourth Military Medical University, Xi'an, Shaanxi Province, China.ORCID https://orcid.org/0000-0003-3616-7817
Yong Quan ShiState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers and National Clinical Research Center for Digestive Diseases, Department of Gastroenterology & Hepatology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China.ORCID https://orcid.org/0000-0001-9515-7577

Funding

Booster Plans of Xijing Hospital JSYXM04Healthcare lnnovation Capability Enhancement Plan in Shaanxi Province 2024TD-06National Natural Science Foundation of China 82200567National Natural Science Foundation of China 82330100
6 · The paper itself

Abstract

objectiveWe aimed to investigate the relationship between fecal bile acid (BA) profile and intestinal microbiota in patients with chronic radiation enteritis (CRE).

methodsAltogether 60 patients with cervical cancer (CC) who visited Xijing Hospital between December 2022 and September 2023 were enrolled, including 20 patients who did not undergo any treatment (the CC group), 20 patients who developed CRE after radical radiotherapy (the CRE group), and 20 patients who did not experience CRE after radical radiotherapy (the non-CRE [NRE] group). Patients' characteristics and fecal samples were collected. Fecal BA profiles were quantified, and intestinal microbiota were analyzed by using the 16S rRNA gene sequencing. Differentially expressed BAs and microorganisms were identified across groups, and their correlations were assessed using Spearman's correlation analysis.

resultsIn patients with CRE, BA metabolism was characterized by increased proportions of primary BAs and decreased proportions of secondary BAs, particularly lithocholic acid and its isomers. In addition, the abundance of beneficial bacterial genera, such as Bifidobacterium and Megasphaera, was reduced, whereas that of potentially pathogenic genera, including Megamonas and Dorea, was increased. Furthermore, a bidirectional relationship between BA metabolism and intestinal microbiota was observed.

conclusionsPatients with CRE present notable alterations in BA metabolism and intestinal microbiota. CRE may trigger a harmful feedback mechanism driven by the interaction between these two factors. Targeted regulation of BA metabolism and intestinal microbiota may be a promising therapeutic approach for the management of CRE.

trial registrationClinicalTrials.gov identifier: NCT05728060.

Indexed as

Bile Acids and SaltsEnteritisFecesGastrointestinal MicrobiomeRadiation InjuriesUterine Cervical NeoplasmsAdultAgedChronic DiseaseFemaleHumansMiddle AgedBile Acids and Saltsbile acid profilechronic radiation enteritisgastrointestinal microbiomelithocholic aciduterine cervical neoplasms

Identifiers

PMID41605669
PMCPMC13097966

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Registered trials

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.