Evidence mapPaperPMID 40824609Full record

ArticleAMB Express2025

Mediators linking gut microbiota and sporadic Creutzfeldt-Jakob disease: a Mendelian randomization study.

Jie Shao, Tengfei Su, Jinyan Wang, Xiang Yin, Yue Lang, Yuxin Fu, Li Cui

Abstract read
In one paragraph

Article in AMB Express, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

7 authors.

Jie ShaoDepartment of Neurology, The First Hospital of Jilin University, Changchun, China. shaojie1994@jlu.edu.cn.
Tengfei SuDepartment of Neurology, The First Hospital of Jilin University, Changchun, China.
Jinyan WangDepartment of Pulmonary Disease, The Zhongwei Hospital of Traditional Chinese Medicine, Zhongwei, China.
Xiang YinDepartment of Neurology, The First Hospital of Jilin University, Changchun, China.
Yue LangDepartment of Neurology, The First Hospital of Jilin University, Changchun, China.
Yuxin FuDepartment of Neurology, The First Hospital of Jilin University, Changchun, China.
Li CuiDepartment of Neurology, The First Hospital of Jilin University, Changchun, China. lcui@jlu.edu.cn.ORCID http://orcid.org/0000-0002-4254-6736

Funding

the Doctor of Excellence Program (DEP), The First Hospital of Jilin University JDYY-DEP-2024039the National Natural Science Foundation of China 82371371
6 · The paper itself

Abstract

While gut microbiome associations with sporadic Creutzfeldt-Jakob disease (sCJD) are recognized, causal mechanisms and mediation via cerebrospinal fluid (CSF) metabolites remain unestablished. Using bidirectional Mendelian randomization (MR) with mediation analysis and integrating genome-wide association study (GWAS) summary statistics from gut microbiota (​​composition in the FINRISK 2002 prospective cohort, n = 5,959​​), CSF metabolites (from the Wisconsin Alzheimer's Disease Research Center ​​Registry and Wisconsin Registry for Alzheimer's Prevention​​, n = 291), and sCJD case-control data (5,208 cases vs. 511,675 controls), we identified five microbial taxa influencing sCJD risk. Protective effects were observed for the family Atopobiaceae [odds ratio (OR) = 0.527, 95% confidence interval (CI) = 0.321-0.864, P = 0.011], the species Enterococcus faecalis (OR = 0.647, 95% CI = 0.427-0.980, P = 0.040), and the genus Lactobacillus (group B) (OR = 0.768, 95% CI = 0.602-0.981, P = 0.035). Conversely, the species Bacteroides eggerthii (OR = 1.228, 95% CI = 1.027-1.468, P = 0.025) and the order Chloroflexales (OR = 3.455, 95% CI = 1.214-9.835, P = 0.020) were pathogenic. Mediation analysis revealed that S-methylcysteine mediates 8.8% of ​​the effect of order Chloroflexales on sCJD risk​​, establishing it as a significant biological mediator in this pathogenic pathway. These findings provide novel biomarkers for early sCJD risk stratification, identify ​​the family Atopobiaceae, the species Enterococcus faecalis, and the genus Lactobacillus (group B)​​ as probiotic candidates for primary prevention, reveal S-methylcysteine pathway modulation as therapeutic entry points, and establish mechanistic foundations for disrupting gut-CSF transmission​​ in prion diseases.

Indexed as

Gut microbiomeMendelian randomizationSporadic Creutzfeldt–Jakob disease

Identifiers

PMID40824609
PMCPMC12360999

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.