Evidence map›Paper›PMID 39871150›Full record

ArticleBMC gastroenterology2025

Effect of probiotics combined with immune checkpoint suppressors and chemotherapeutic agents on digestive system function, intestinal immunity and prognosis in patients with metastatic colorectal carcinoma: a quasi-experimental study.

Xiaolei Wang, Yuxia Huang, Zhen Yang, Yang Yang, Fenfen Wei, Min Yan, Fanfan Li, Chenghao Wang

Abstract read
In one paragraph

Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Microbiome-guided cancer immunotherapy: immune mechanisms, resistance pathways, and translational opportunities for precision oncology.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  3. Review
  4. Probiotics Cancer Interaction, Prevention, and Therapy.Immunity, inflammation and disease · 2026
    Review
  5. Microorganisms · 2026
    Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. 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

8 authors.

Xiaolei WangDepartment of Oncology, The Second Affiliated Hospital of Anhui Medical University, No.678, Furong Road, Jingkai District, Hefei, Anhui Province, 230601, China.
Yuxia HuangDepartment of Medical Oncology, Chizhou Second People 's Hospital, Chizhou, Anhui, 247100, China.
Zhen YangDepartment of Oncology, The Second Affiliated Hospital of Anhui Medical University, No.678, Furong Road, Jingkai District, Hefei, Anhui Province, 230601, China.
Yang YangDepartment of Oncology, The Second Affiliated Hospital of Anhui Medical University, No.678, Furong Road, Jingkai District, Hefei, Anhui Province, 230601, China.
Fenfen WeiDepartment of Oncology, The Second Affiliated Hospital of Anhui Medical University, No.678, Furong Road, Jingkai District, Hefei, Anhui Province, 230601, China.
Min YanDepartment of Oncology, The Second Affiliated Hospital of Anhui Medical University, No.678, Furong Road, Jingkai District, Hefei, Anhui Province, 230601, China.
Fanfan LiDepartment of Oncology, The Second Affiliated Hospital of Anhui Medical University, No.678, Furong Road, Jingkai District, Hefei, Anhui Province, 230601, China. zhongliukewxl@163.com.
Chenghao WangLaboratory Department, the Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAn exploration of the influence of probiotics combined with immune checkpoint suppressors and chemotherapeutic agents on digestive system function, intestinal immunity and prognosis in patients with metastatic colorectal carcinoma.

methodsThis was a quasi-experimental study. During March 2019 to March 2020, 96 patients with metastatic colorectal carcinoma were arbitrarily classified into control group (n = 48) and intervention group (n = 48). The control group received only immune checkpoint inhibitors or chemotherapy, while the intervention group received immune checkpoint inhibitors or chemotherapy, plus probiotic therapy. Survival and complication rates after 6 months, 12 months and 2 years of treatment were calculated. Intestinal barrier function, immune function and quality of life were analyzed before and after treatment.

resultsNinety-six patients were recorded at the follow-up demonstrating superior survival in the intervention group after 6 months, 12 months and 2 years of therapy. D-lactate and diamine oxidase (DAO) levels were elevated in the intervention group after treatment, with smaller elevations (P < 0.05). The levels of Bifidobacterium and Lactobacillus were remarkably higher in the intervention group after treatment compared to the control group prior to and following therapy (P < 0.05). The amount of Enterococcus and Escherichia coli in the intervention group after treatment was obviously lower compared to the pre-treatment and control groups (P < 0.05). CD3

conclusionImmune checkpoint suppressors combined with chemotherapeutic agents or probiotic regimens can obviously enhance the prognosis of patients with metastatic colorectal carcinoma. This combination therapeutic strategy can balance the imbalanced intestinal flora, improve intestinal function, and lessen the incidence of adverse events, so it is worthy of clinical application and can lessen the incidence of adverse reactions.

Indexed as

Antineoplastic AgentsColorectal NeoplasmsImmune Checkpoint InhibitorsProbioticsAdultAgedAmine Oxidase (Copper-Containing)FemaleGastrointestinal MicrobiomeHumansMaleMiddle AgedPrognosisQuality of LifeAmine Oxidase (Copper-Containing)Antineoplastic AgentsImmune Checkpoint InhibitorsCurative effect analysisDigestive functionImmune statusMetastatic colorectal carcinomaProbiotics

Identifiers

PMID39871150
PMCPMC11773699

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.