Evidence map›Paper›PMID 39541036›Full record

ArticleInfection2025

Infants < 90 days of age with late-onset sepsis display disturbances of the microbiome-immunity interplay.

Simon Graspeuntner, Mariia Lupatsii, Vera van Zandbergen, Marie-Theres Dammann, Julia Pagel, Duc Ninh Nguyen, Alexander Humberg, Wolfgang Göpel, Egbert Herting, Jan Rupp and 2 more

Abstract read
In one paragraph

Article in Infection, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
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  5. Article
  6. Review
  7. Persistent reduction ofFrontiers in immunology · 2025
    Article
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.

Simon Graspeuntner *Department of Infectious Diseases and Microbiology, University of Lübeck, Lübeck, Germany.
Mariia Lupatsii *Department of Infectious Diseases and Microbiology, University of Lübeck, Lübeck, Germany.
Vera van ZandbergenDepartment of Pediatrics, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Marie-Theres DammannDepartment of Pediatrics, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Julia PagelGerman Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems, Lübeck, Germany.
Duc Ninh NguyenSection for Comparative Pediatrics and Nutrition, Department of Veterinary and Animal Sciences, University of Copenhagen, Copenhagen, Denmark.
Alexander HumbergDepartment of Pediatrics, University of Münster, Münster, Germany.
Wolfgang GöpelDepartment of Pediatrics, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Egbert HertingDepartment of Pediatrics, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Jan RuppDepartment of Infectious Diseases and Microbiology, University of Lübeck, Lübeck, Germany.
Christoph Härtel *Department of Pediatrics, University Hospital of Würzburg, Würzburg, Germany.
Ingmar Fortmann *German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems, Lübeck, Germany. Matsingmar.Fortmann@uksh.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe hypothesized that previously healthy infants < 90 days of age with late-onset sepsis (LOS) have disturbances of the gut microbiome with yet undefined specific immunological patterns.

methodsWe performed a prospective single-center convenience sample study between January 2019 and July 2021 in a case-control design. Routine diagnostics included conventional cultures (blood, cerebrospinal fluid, urine), PCRs and inflammatory markers in infants aged < 90 days with clinical LOS. We additionally analyzed blood lymphocyte subsets including CD4 + CD25 + forkhead box protein (FoxP3)

results51 infants with fever and clinical LOS were enrolled. Bacterial sepsis was diagnosed in n = 24 (47.1%) and viral infection in n = 13 (25.5%) infants, whereas in 14 (27.3%) infants the cause of fever remained undetermined. When compared to healthy controls, the gut microbiome of LOS infants at disease onset was characterized by a shift in community composition, specifically, decreased abundance of B. longum and an increase of Bacteroidia spp. Intriguingly, the abundance of B. longum negatively correlated with the frequency of blood CD4-positive cells in healthy controls but not in infants with LOS. At one year of age, we observed microbiome differences in infants with history of LOS when compared to healthy controls, such as an increased gut microbial diversity.

conclusionOur data suggest potential signatures of the microbiome-immunity interplay in infants with LOS, which should be investigated further as possible targets for prevention.

Indexed as

Gastrointestinal MicrobiomeSepsisCase-Control StudiesFecesFemaleHumansInfantInfant, NewbornMaleProspective StudiesRNA, Ribosomal, 16ST-Lymphocytes, RegulatoryRNA, Ribosomal, 16SBifidobacteriaInfants < 90 daysMicrobiomeNeonatal immunitySepsis

Identifiers

PMID39541036
PMCPMC12137456

What Socratic holds

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Registered trials

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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.