Evidence map›Paper›PMID 41752000›Full record

ReviewInternational journal of molecular sciences2026

Possible Crosstalk Between Small Intestinal Bacterial Overgrowth (SIBO) and Atopic Manifestations-A Short Overview.

Michał Terlecki, Wiktoria Brzeczek, Martyna Kowalczyk, Emilia Kiełczyńska, Klaudia Kukla, Gabriela Osmulska, Krzysztof Gomułka

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

7 authors.

Michał TerleckiStudent Research Group of Allergology and Internal Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.ORCID 0009-0006-8510-167X
Wiktoria BrzeczekStudent Research Group of Allergology and Internal Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Martyna KowalczykStudent Research Group of Allergology and Internal Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.ORCID 0009-0009-5505-2776
Emilia KiełczyńskaStudent Research Group of Allergology and Internal Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Klaudia KuklaStudent Research Group of Allergology and Internal Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Gabriela OsmulskaStudent Research Group of Allergology and Internal Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Krzysztof GomułkaClinical Department of Allergology and Internal Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.ORCID 0000-0002-7218-2961

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Small intestinal bacterial overgrowth (SIBO) is an increasingly recognized condition that influences immune responses. It may be linked to atopic disorders such as bronchial asthma (BA), food allergies (FA), chronic spontaneous urticaria (CSU), and mast cell activation syndrome (MCAS). The aim of our study was to perform a structured literature search to assess the possible correlation between SIBO and the presentation of atopic disorders. The prevalence of SIBO was highest in patients with BA (60-100%) and FA (50-87.5%), followed by MCAS (30.9%) and CSU (27.9%). The diagnosis of SIBO was based on lactulose or glucose breath tests. SIBO exacerbated symptoms of atopic diseases, and treating it within BA and MCAS improved the symptoms, in contrast to CSU. The present evidence suggests a possible crosslink between SIBO and atopic manifestations. Bacterial overgrowth appears to trigger the Th2 immune response via the mucosal pathway and low-grade endotoxemia. These result in the increased synthesis of interleukins involved in allergic reactions (IL-4, IL-5, IL-13). Further studies are essential to confirm the clinical significance of this association. The "gut-allergy axis" may offer new therapeutic options and possibly improve quality of life in patients with atopy.

Indexed as

Blind Loop SyndromeHypersensitivity, ImmediateIntestine, SmallAnimalsFood HypersensitivityHumansallergyasthmaatopymicrobiotaSIBOurticaria

Identifiers

PMID41752000
PMCPMC12940673

What OpenQuestion holds

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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.