Evidence map›Paper›PMID 34963452›Full record

ArticleMicrobial cell factories2021

The multiple effects of fecal microbiota transplantation on diarrhea-predominant irritable bowel syndrome (IBS-D) patients with anxiety and depression behaviors.

Hao Lin, Qingqing Guo, Zhiyong Wen, Songlin Tan, Jie Chen, Lijian Lin, Pengcheng Chen, Jianquan He, Jianbo Wen, Ye Chen

Open access · goldAbstract read
In one paragraph

Article in Microbial cell factories, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 7 pooled it
4.5field-weighted citation impact, top 4% 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

56 citing papers in PubMed, 7 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Review
  11. Review
  12. Brief Report: Can Fecal Microbiota Transplantation Treat Depression?JGH open : an open access journal of gastroenterology and hepatology · 2026
    Article
  13. Gut Microbiota-Driven Pathways Linking Chronic Stress to Tumor Progression.International journal of biological sciences · 2026
    Review
  14. Assessment of the beneficial effects ofFrontiers in neuroscience · 2026
    Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Gut: The gate and key to brain.Chinese medical journal · 2025
    Review
  20. 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 at 6 institutions in 1 country.

Hao Lin *Department of Gastroenterology, Fujian Provincial Hospital South Branch, No. 516, South, Jinrong Road, Cangshan District, Fuzhou, 350000, Fujian, China.
Qingqing Guo *Department of Intensive Medicine, The First Affiliated Hospital of Fujian Medical University, No.20, Chazhong Road, Taijiang District, Fuzhou, 350005, Fujian, China.
Zhiyong Wen *Department of Gastroenterology, Affiliated Pingxiang Hospital, Southern Medical University, No. 8, Wugong Mountain Avenue, Development Zone, Pingxiang, 337055, Jiangxi, China.
Songlin TanDepartment of Gastroenterology, Affiliated Pingxiang Hospital, Southern Medical University, No. 8, Wugong Mountain Avenue, Development Zone, Pingxiang, 337055, Jiangxi, China.
Jie ChenDepartment of Gastroenterology, Affiliated Pingxiang Hospital, Southern Medical University, No. 8, Wugong Mountain Avenue, Development Zone, Pingxiang, 337055, Jiangxi, China.
Lijian LinDepartment of Emergency, Fujian Provincial Hospital, Fujian Medical University, No.134, East Street,Gulou District, Fuzhou, 350000, Fujian, China.
Pengcheng ChenDepartment of Health Management, Fujian Provincial Hospital South Branch, No. 516, South Jinrong Road, Cangshan District, Fuzhou, 350000, Fujian, China.
Jianquan HeSchool of medicine, Xiamen University, Xiamen, China.
Jianbo WenDepartment of Gastroenterology, Affiliated Pingxiang Hospital, Southern Medical University, No. 8, Wugong Mountain Avenue, Development Zone, Pingxiang, 337055, Jiangxi, China. wenjbpx@126.com.
Ye ChenDepartment of Gastroenterology, Integrative Microecology Center, Shenzhen Hospital, Southern Medical University, 1333 New Lake Road, Shenzhen, 518100, China. yechen@smu.edu.cn.ORCID http://orcid.org/0000-0002-7964-7899
Fujian Medical University · CNSouthern Medical University · CNFujian Provincial Hospital · CNJiangxi Pingxiang People's Hospital · CNNanfang Hospital · CNXiamen University · CN

Funding

National Natural Science Foundation of China No. 81770529National Natural Science Foundation of China No. 82070543
6 · The paper itself

Abstract

backgroundAnxiety and depression are complications in Irritable bowel syndrome (IBS) patients. In this study, we recruited 18 IBS patients with mild-modest anxiety and depression behaviors, and after the screening, we defined the FMT treatment group (n = 9) and the control group (n = 9). The IBS symptom severity scale (IBS-SSS), Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Rating Scale (HAM-D), Irritable Bowel Syndrome Quality of Life (IBS-QOL) and Bristol stool scale (BSS) were evaluated one week before FMT (baseline), one-week-, one-month-, two-month-, and three-month-following FMT. Meanwhile, we determined the SCFAs in the patient's feces and serum and continued the metagenomic analysis of the microorganisms in the patient's feces.

resultsThe results showed that the patient's anxiety and depression behavior gradually improved with FMT treatment. Moreover, the illness and quality of life had also been relieved significantly. The content of isovaleric acid and valeric acid was significantly reduced in the FMT group compared to the Col group. Metagenomic analysis showed that FMT treatment decreased the abundance of Faecalibacterium, Eubacterium and Escherichia. From KEGG functional analysis, we confirmed that the top five abundant pathways were "bacterial chemotaxis, "flagellar assembly", "glycine, serine and threonine metabolism", "apoptosis", and "bacterial invasion of epithelial cells".

conclusionsFMT treatment can effectively alleviate the anxiety and depression behaviors of IBS-D patients and reduce the IBS-SSS score, indicating that FMT can improve patients' symptoms. The high throughput sequencing results show that Bifidobacterium and Escherichia play the most critical role in the formation and recovery of IBS-D patients. The GC/MS data indicated that faeces isovaleric acid and valeric acid might be more suitable as a metabolic indicator of IBS-D remission. Trial registration ChiCTR, ChiCTR1900024924, Registered 3 August 2019, https://www.chictr.org.cn/showproj.aspx?proj=41676 .

Indexed as

Fecal Microbiota TransplantationMetagenomeAdultAgedAnxietyDepressionDiarrheaEscherichiaEubacteriumFaecalibacteriumFecesFemaleGastrointestinal MicrobiomeHemiterpenesHigh-Throughput Nucleotide SequencingHumansHemiterpenesisovaleric acidn-pentanoic acidPentanoic AcidsAnxiety and depressionFecal microbiota transplantationIrritable bowel syndromeMetagenomeShort-chain fatty acids

Identifiers

PMID34963452
PMCPMC8715582
OpenAlexW4200484806

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.