Evidence map›Paper›PMID 37210594›Full record

SynthesisSchizophrenia bulletin2023

Compositional and Functional Alterations in Intestinal Microbiota in Patients with Psychosis or Schizophrenia: A Systematic Review and Meta-analysis.

Nuala Murray, Sukainah Al Khalaf, Thomaz F S Bastiaanssen, David Kaulmann, Edgar Lonergan, John F Cryan, Gerard Clarke, Ali S Khashan, Karen O'Connor

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Schizophrenia bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  12. Premature aging in serious mental illness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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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

9 authors at 3 institutions in 1 country.

Nuala MurrayDepartment of Psychiatry and Neurobehavioural Science, University College Cork, Cork, Ireland.
Sukainah Al KhalafSchool of Public Health, University College Cork, Cork, Ireland.
Thomaz F S BastiaanssenDepartment of Anatomy and Neuroscience, University College Cork, Cork, Ireland.
David KaulmannSchool of Public Health, University College Cork, Cork, Ireland.
Edgar LonerganRISE, Early Intervention in Psychosis Service, South Lee Mental Health Services, Cork, Ireland.
John F CryanDepartment of Anatomy and Neuroscience, University College Cork, Cork, Ireland.
Gerard ClarkeDepartment of Psychiatry and Neurobehavioural Science, University College Cork, Cork, Ireland.
Ali S KhashanSchool of Public Health, University College Cork, Cork, Ireland.
Karen O'ConnorDepartment of Psychiatry and Neurobehavioural Science, University College Cork, Cork, Ireland.
University College Cork · IEAPC Microbiome Institute · IEInfant · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and hypothesisIntestinal microbiota is intrinsically linked to human health. Evidence suggests that the composition and function of the microbiome differs in those with schizophrenia compared with controls. It is not clear how these alterations functionally impact people with schizophrenia. We performed a systematic review and meta-analysis to combine and evaluate data on compositional and functional alterations in microbiota in patients with psychosis or schizophrenia. STUDY

designOriginal studies involving humans and animals were included. The electronic databases PsycINFO, EMBASE, Web of Science, PubMed/MEDLINE, and Cochrane were systematically searched and quantitative analysis performed. STUDY

resultsSixteen original studies met inclusion criteria (1376 participants: 748 cases and 628 controls). Ten were included in the meta-analysis. Although observed species and Chao 1 show a decrease in diversity in people with schizophrenia compared with controls (SMD = -0.14 and -0.66 respectively), that did not reach statistical significance. We did not find evidence for variations in richness or evenness of microbiota between patients and controls overall. Differences in beta diversity and consistent patterns in microbial taxa were noted across studies. We found increases in Bifidobacterium, Lactobacillus, and Megasphaera in schizophrenia groups. Variations in brain structure, metabolic pathways, and symptom severity may be associated with compositional alterations in the microbiome. The heterogeneous design of studies complicates a similar evaluation of functional readouts.

conclusionsThe microbiome may play a role in the etiology and symptomatology of schizophrenia. Understanding how the implications of alterations in microbial genes for symptomatic expression and clinical outcomes may contribute to the development of microbiome targeted interventions for psychosis.

Indexed as

Gastrointestinal MicrobiomePsychotic DisordersSchizophreniaHumansmicrobiomemicrobiotapsychosisschizophrenia

Identifiers

PMID37210594
PMCPMC10483467
OpenAlexW4377193417

What Socratic holds

Textmetadata
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.