Evidence map›Paper›PMID 38980940›Full record

ArticleJournal of Crohn's & colitis2024

Inflammatory bowel disease associated with primary sclerosing cholangitis is associated with an altered gut microbiome and bile acid profile.

Haim Leibovitzh, Shadi Nayeri, Krzysztof Borowski, Cristian Hernandez-Rocha, Sun-Ho Lee, Williams Turpin, Joanne M Stempak, Iqbaljit Sandhu, Raquel Milgrom, Michelle I Smith and 4 more

Abstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
  2. Review
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  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Bile acids as therapeutic agents.Frontiers in pharmacology · 2025
    Review
  16. Article
  17. Microbial cell (Graz, Austria) · 2025
    Article
  18. Review
  19. 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

14 authors.

Haim LeibovitzhTemetry Faculty of Medicine, Department of Medicine, University of Toronto, Toronto, Canada.ORCID 0000-0002-4172-6903
Shadi NayeriZane Cohen Centre for Digestive Diseases - Mount Sinai Hospital, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Canada.
Krzysztof BorowskiZane Cohen Centre for Digestive Diseases - Mount Sinai Hospital, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Canada.
Cristian Hernandez-RochaTemetry Faculty of Medicine, Department of Medicine, University of Toronto, Toronto, Canada.
Sun-Ho LeeTemetry Faculty of Medicine, Department of Medicine, University of Toronto, Toronto, Canada.ORCID 0000-0003-0344-0047
Williams TurpinTemetry Faculty of Medicine, Department of Medicine, University of Toronto, Toronto, Canada.
Joanne M StempakZane Cohen Centre for Digestive Diseases - Mount Sinai Hospital, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Canada.
Iqbaljit SandhuZane Cohen Centre for Digestive Diseases - Mount Sinai Hospital, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Canada.
Raquel MilgromZane Cohen Centre for Digestive Diseases - Mount Sinai Hospital, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Canada.
Michelle I SmithZane Cohen Centre for Digestive Diseases - Mount Sinai Hospital, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Canada.
Kenneth CroitoruTemetry Faculty of Medicine, Department of Medicine, University of Toronto, Toronto, Canada.ORCID 0000-0003-1231-0180
Gideon M HirschfieldUniversity of Toronto, Toronto Centre of Liver Disease - Division of Gastroenterology & Hepatology, Toronto, Canada.
Aliya GulamhuseinUniversity of Toronto, Toronto Centre of Liver Disease - Division of Gastroenterology & Hepatology, Toronto, Canada.
Mark S SilverbergTemetry Faculty of Medicine, Department of Medicine, University of Toronto, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary sclerosing cholangitis associated with inflammatory bowel disease (IBD-PSC) carries significant morbidity compared to IBD without PSC. Alterations in microbial composition and bile acid (BA) profiles have been shown to modulate chronic inflammation in IBD, but data in IBD-PSC is scarce. We aimed to assess the differences in gut microbiome composition as well as in the BA profile and BA-related microbial functions between IBD-PSC and IBD-only.

methods54 IBD-PSC and 62 IBD-only subjects were enrolled from 2012 to 2021. Baseline samples were collected for fecal DNA shotgun metagenomic sequencing, fecal and serum BA quantitation using mass spectrometry and fecal calprotectin. Liver fibrosis measured by transient elastography (TE) was assessed in the IBD-PSC group. Data was analyzed using general linear regression models and Spearman rank correlation tests.

resultsPatients with IBD-PSC had reduced microbial gene richness (p=0.004) and significant compositional shifts (PERMANOVA: R2=0.01, p=0.03) compared to IBD-only. IBD-PSC was associated with altered microbial composition and function, including decreased abundance of Blautia obeum, increased abundance of Veillonella atypica, Veillonella dispar and Clostridium scindens (q<0.05 for all), and increased abundance of microbial genes involved in secondary BA metabolism. Decreased serum sulfated and increased serum conjugated secondary BA were associated with IBD-PSC and increased liver fibrosis.

conclusionWe identified differences in microbial species, functional capacity and serum BA profiles in IBD-PSC compared with IBD-only. Our findings provide insight into the pathophysiology of IBD associated with PSC and suggest possible targets for modulating the risk and course of IBD in subjects with PSC.

Indexed as

Bile acidsGut microbiomeInflammatory Bowel DiseasePrimary Sclerosing Cholangitis

Identifiers

PMID38980940
PMCPMC11637524

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.