Evidence map›Paper›PMID 39482844›Full record

ReviewGut microbes

A pathophysiologic framework for the overlap of disorders of gut-brain interaction and the role of the gut microbiome.

Ayesha Shah, Yeong Yeh Lee, Hidekazu Suzuki, Joash Tan-Loh, Kewin Tien Ho Siah, Kok-Ann Gwee, Thomas Fairlie, Nicholas J Talley, Uday C Ghoshal, Yen-Po Wang and 2 more

Abstract readReview
In one paragraph

Review in Gut microbes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Comment on "Overlap of 'disorders of gut-brain interaction' and their impact on quality of life and somatization in a tertiary care center".Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Overlapping disorders of gut-brain interaction -More may not be so merry!Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Article
  13. Article
  14. Review
  15. Review
  16. 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

12 authors.

Ayesha ShahFaculty of Medicine, The University of Queensland, Brisbane, Australia.
Yeong Yeh LeeSchool of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia.
Hidekazu SuzukiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine, Isehara, Japan.ORCID 0000-0002-8994-6163
Joash Tan-LohDivision of Gastroenterology Hepatology, Department of Internal Medicine, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Kewin Tien Ho SiahDivision of Gastroenterology and Hepatology, University Medicine Cluster, National University Hospital, Singapore.
Kok-Ann GweeDivision of Gastroenterology and Hepatology, University Medicine Cluster, National University Hospital, Singapore.
Thomas FairlieFaculty of Medicine, The University of Queensland, Brisbane, Australia.
Nicholas J TalleySchool of Medicine and Public Health, and Hunter Medical Research Institute, the University of Newcastle, Newcastle, Australia.
Uday C GhoshalInstitute of Gastrosciences & Liver Transplantation, Apollo Multispeciality Hospitals, Kolkata, India.
Yen-Po WangEndoscopy centre for Diagnosis of Treatment, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Yong Sung KimDigestive Disease Research Institute, Wonkwang University College of Medicine, Iksan, Korea.ORCID 0000-0001-8836-4818
Gerald HoltmannFaculty of Medicine, The University of Queensland, Brisbane, Australia.ORCID 0000-0002-0206-2358

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The International Rome Committee defines Disorders of Gut-Brain Interactions (DGBI) based upon distinct combinations of chronic and/or recurrent unexplained gastrointestinal symptoms. Yet patients often experience overlapping DGBI. Patients with DGBI frequently also suffer from extraintestinal symptoms, including fatigue, sleep disturbances, anxiety, and depression. Patients with overlapping DGBI typically experience more severe GI symptoms and increased psychosocial burden. Concerning the pathophysiology, DGBI are associated with disruptions in gut motility, function of the brain and enteric neurons, immune function, and genetic markers, with recent findings revealing gut microbiome alterations linked to these mechanisms of DGBI. Emerging evidence summarized in this review suggests that the microbiome influences various established disease mechanisms of different DGBI groups. Overall, changes in the gastrointestinal microbiome do not seem to be linked to a specific DGBI subgroup but may play a key role in the manifestation of different DGBI and, subsequently, overlap of DGBI. Understanding these shared mechanisms and the role of the gastrointestinal microbiome, particularly for overlapping DGBI, might aid in developing more precise diagnostic criteria and treatment strategies while developing personalized interventions that target specific mechanisms to improve patient outcomes.

Indexed as

Brain-Gut AxisGastrointestinal MicrobiomeAnimalsBrainGastrointestinal DiseasesGastrointestinal MotilityHumansdisorders of gut-brain interactionsgastrointestinal motilitygenesgut-brain axisimmune functionMicrobiomemindneurofunction

Identifiers

PMID39482844
PMCPMC11540069

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.