Evidence map›Paper›PMID 33475461›Full record

ArticleGut microbes

Compensatory intestinal immunoglobulin response after vancomycin treatment in humans.

Torsten P M Scheithauer, Guido J Bakker, Maaike Winkelmeijer, Mark Davids, Max Nieuwdorp, Daniël H van Raalte, Hilde Herrema

Open access · goldAbstract read
In one paragraph

Article in Gut microbes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
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

11 citing papers in PubMed, 13 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Torsten P M ScheithauerDepartment of Experimental Vascular Medicine, Amsterdam UMC, Location AMC at University of Amsterdam , Amsterdam, The Netherlands.ORCID 0000-0003-1446-3180
Guido J BakkerDepartment of Experimental Vascular Medicine, Amsterdam UMC, Location AMC at University of Amsterdam , Amsterdam, The Netherlands.
Maaike WinkelmeijerDepartment of Experimental Vascular Medicine, Amsterdam UMC, Location AMC at University of Amsterdam , Amsterdam, The Netherlands.
Mark DavidsDepartment of Experimental Vascular Medicine, Amsterdam UMC, Location AMC at University of Amsterdam , Amsterdam, The Netherlands.
Max NieuwdorpDepartment of Experimental Vascular Medicine, Amsterdam UMC, Location AMC at University of Amsterdam , Amsterdam, The Netherlands.ORCID 0000-0002-1926-7659
Daniël H van RaalteDepartment of Experimental Vascular Medicine, Amsterdam UMC, Location AMC at University of Amsterdam , Amsterdam, The Netherlands.
Hilde HerremaDepartment of Experimental Vascular Medicine, Amsterdam UMC, Location AMC at University of Amsterdam , Amsterdam, The Netherlands.
Amsterdam Neuroscience · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intestinal immunoglobulins (Ig) are abundantly secreted antibodies that bind bacteria and bacterial components in the gut. This binding is considered to accelerate bacterial transit time and prevent the interaction of potentially immunogenic compounds with intestinal immune cells. Ig secretion is regulated by alterations in gut microbiome composition, an event rarely mapped in an intervention setting in humans. Here, we determined the intestinal and systemic Ig response to a major intervention in gut microbiome composition. Healthy humans and humans with metabolic syndrome received oral vancomycin 500 mg four times per day for 7 days. Coinciding with a vancomycin-induced increase in Gram-negative bacteria, fecal levels of the immunogenic bacterial components lipopolysaccharide (LPS) and flagellin drastically increased. Intestinal antibodies (IgA and IgM) significantly increased, whereas peripheral antibodies (IgG, IgA, and IgM) were mostly unaffected by vancomycin treatment. Bacterial cell sorting followed by 16S rRNA sequencing revealed that the majority of Gram-negative bacteria, including opportunistic pathogens, were IgA-coated after the intervention. We suggest that the intestinal Ig response after vancomycin treatment prevents the intrusion of pathogens and bacterial components into systemic sites.

Indexed as

AdolescentAdultAgedFecesFlagellinGastrointestinal MicrobiomeGram-Negative BacteriaHealthy VolunteersHumansImmunoglobulinsIntestinesLipopolysaccharidesMaleMetabolic SyndromeMiddle AgedVancomycinFlagellinImmunoglobulinsLipopolysaccharidesVancomycinflagellingut microbiotaImmunoglobulinLPSvancomycin

Identifiers

PMID33475461
PMCPMC7833805
OpenAlexW3125169812

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.