Evidence map›Paper›PMID 41639095›Full record

ArticleNature communications2026

The gut microbiome and metabolome associate with Schistosoma mansoni infection and cardiovascular disease risk in Uganda.

Bridgious Walusimbi, Melissa Ae Lawson, Allison J Bancroft, Jacent Nassuuna, Drupad K Trivedi, George Taylor, Richard E Sanya, Emily L Webb, David P Kateete, Richard K Grencis and 1 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

11 authors.

Bridgious WalusimbiImmunomodulation and Vaccines Group, Vaccine Research Theme, Medical Research Council /Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine (MRC/UVRI & LSHTM) Uganda Research Unit, Entebbe, Uganda. bridgious.walusimbi@mrcuganda.org.ORCID 0000-0002-2878-4623
Melissa Ae LawsonThe Lydia Becker Institute of Immunology and Inflammation and the Manchester Cell-Matrix Centre, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
Allison J BancroftThe Lydia Becker Institute of Immunology and Inflammation and the Manchester Cell-Matrix Centre, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
Jacent NassuunaImmunomodulation and Vaccines Group, Vaccine Research Theme, Medical Research Council /Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine (MRC/UVRI & LSHTM) Uganda Research Unit, Entebbe, Uganda.
Drupad K TrivediManchester Institute of Biotechnology, Department of Chemistry, University of Manchester, Manchester, United Kingdom.ORCID 0000-0001-7969-0195
George TaylorBiological Mass Spectrometry Core Facility, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Richard E SanyaEmerging and Re-emerging Infectious Diseases Unit, African Population and Health Research Centre, Nairobi, Kenya.
Emily L WebbMRC International Statistics and Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0002-4019-7456
David P Kateete *Department of Immunology & Molecular Biology, School of Biomedical Science, College of Health Sciences, Makerere University, Kampala, Uganda.
Richard K Grencis *The Lydia Becker Institute of Immunology and Inflammation and the Manchester Cell-Matrix Centre, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.ORCID 0000-0002-7592-0085
Alison M Elliott *Immunomodulation and Vaccines Group, Vaccine Research Theme, Medical Research Council /Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine (MRC/UVRI & LSHTM) Uganda Research Unit, Entebbe, Uganda.ORCID 0000-0003-2818-9549

Funding

DH | National Institute for Health Research (NIHR) NIHR134531Royal Society R120442Wellcome Trust 095778Wellcome Trust (Wellcome) 088785/Z/09/ZWellcome Trust (Wellcome) Z10661/Z/18/Z
6 · The paper itself

Abstract

Helminth infections are consistently associated with reduced cardiovascular disease (CVD) risk, yet the biological mechanisms underlying this relationship remain unclear. The gut microbiome and metabolome are key regulators of cardiometabolic health and may mediate infection-associated effects on host physiology. Here we show that Schistosoma mansoni infection associates with distinct gut microbial and metabolic profiles linked to CVD risk in people living in Uganda. In a cross-sectional study of 209 individuals living in communities with contrasting S. mansoni endemicity, we profile the gut microbiome using 16S rRNA gene sequencing and the faecal metabolome using liquid chromatography-mass spectrometry. S. mansoni infection associates with increased gut microbial diversity and distinct taxonomic signatures, including enrichment of taxa such as Treponema and depletion of Prevotella and Streptococcus. Several infection-associated microbial taxa statistically mediate the relationships between S. mansoni infection and cardiovascular disease risk. Faecal metabolomic profiling identifies infection-associated metabolites, and integrative analyses showed linked microbe-metabolite networks associated with cardiovascular risk.These findings identify gut microbiome and metabolome signatures associated with S. mansoni infection and cardiovascular disease risk in Uganda. Although causality cannot be inferred, this work provides insight into host-parasite-microbiome interactions and highlights microbial and metabolic pathways relevant to cardiometabolic health.

Indexed as

Cardiovascular DiseasesGastrointestinal MicrobiomeMetabolomeSchistosoma mansoniSchistosomiasis mansoniAdultAnimalsCross-Sectional StudiesFecesFemaleHumansMaleMiddle AgedRisk FactorsRNA, Ribosomal, 16SUgandaRNA, Ribosomal, 16S

Identifiers

PMID41639095
PMCPMC12979582

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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.