Evidence map›Paper›PMID 41754077›Full record

SynthesisNutrients2026

The Effects of Microbiome Modulating Therapies on Inflammatory Markers in Autoimmune Disease: A Systematic Review and Meta-Analysis.

Ghalya Ashkanani, Mlaak Rob, Mahmoud Yousef, Alia Ashkanani, Yousef A Al-Najjar, Sa'ad Laws, Ali Chaari

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ghalya AshkananiWeill Cornell Medical College Qatar, Qatar Foundation, Education City, Doha P.O. Box 24144, Qatar.
Mlaak RobWeill Cornell Medical College Qatar, Qatar Foundation, Education City, Doha P.O. Box 24144, Qatar.ORCID 0009-0004-8458-2382
Mahmoud YousefWeill Cornell Medical College Qatar, Qatar Foundation, Education City, Doha P.O. Box 24144, Qatar.ORCID 0009-0008-0944-9644
Alia AshkananiWeill Cornell Medical College Qatar, Qatar Foundation, Education City, Doha P.O. Box 24144, Qatar.
Yousef A Al-NajjarWeill Cornell Medical College Qatar, Qatar Foundation, Education City, Doha P.O. Box 24144, Qatar.ORCID 0000-0003-1639-7199
Sa'ad LawsWeill Cornell Medical College Qatar, Qatar Foundation, Education City, Doha P.O. Box 24144, Qatar.ORCID 0000-0001-9566-5459
Ali ChaariWeill Cornell Medical College Qatar, Qatar Foundation, Education City, Doha P.O. Box 24144, Qatar.ORCID 0000-0003-0171-143X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutoimmune diseases (ADs) are a growing global health burden, driven by chronic inflammation and immune dysregulation. The gut-immune axis plays a central role in their pathogenesis, with dysbiosis linked to several conditions. This has prompted investigation into nutraceuticals such as probiotics, prebiotics, synbiotics, and fecal microbiota transplantation as adjunctive therapies.

methodsWe conducted a systematic review and meta-analysis following PRISMA guidelines, searching PubMed, Embase, and Web of Science for randomized controlled trials evaluating these interventions in autoimmune diseases.

resultsTwenty-eight randomized control trials (RCTs) involving 2002 patients across 11 countries met inclusion criteria. Across the included RCTs, pooled analyses demonstrated significant reductions in c-reactive protein (CRP) (SMD -0.67, 95% CI -1.00 to -0.33; I

conclusionsOverall, microbiome-targeted nutraceuticals appear promising for attenuating systemic inflammation in select autoimmune conditions, but results remain mixed. Larger, rigorously designed RCTs with standardized endpoints are needed to clarify efficacy, identify optimal formulations, and define patient populations most likely to benefit.

Indexed as

Autoimmune DiseasesFecal Microbiota TransplantationGastrointestinal MicrobiomeInflammationProbioticsBiomarkersDietary SupplementsHumansPrebioticsRandomized Controlled Trials as TopicSynbioticsBiomarkersPrebioticsautoimmune diseasesfecal microbiota transplantgut microbiotaprobioticssynbioticssystematic review

Identifiers

PMID41754077
PMCPMC12943447

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.