Evidence map›Paper›PMID 41629500›Full record

ArticleScientific reports2026

Fecal metabolic signals are associated with changes in microbiota and systemic metabolic pathways in Crohn's disease.

Nina Levhar, Rotem Hadar, Tzipi Braun, Hila Shacham, Yadid Algavi, Raneen Naamneh, Gilat Efroni, Bella Agranovich, Ifat Abramovich, Adi Talan Asher and 11 more

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Disrupted terminal bilirubin catabolism linksFrontiers in microbiology · 2026
    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

21 authors.

Nina LevharSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Rotem HadarSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Tzipi BraunSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Hila ShachamSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Yadid AlgaviFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Raneen NaamnehSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Gilat EfroniSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Bella AgranovichLaura and Isaac Perlmutter Metabolomics Center, Technion-Israel Institute of Technology, Bat Galim, Haifa, Israel.
Ifat AbramovichLaura and Isaac Perlmutter Metabolomics Center, Technion-Israel Institute of Technology, Bat Galim, Haifa, Israel.
Adi Talan AsherSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Orit PicardSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Miri YavzoriSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Adi LahatSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Doron YablecovitchSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Uri KopylovSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Lee DensonDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Elhanan BorensteinFaculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Rami EliakimSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Shomron Ben-HorinSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Amnon AmirSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel.
Yael HabermanSheba Medical Center, Tel Aviv University, Tel-Hashomer, Tel Aviv, Israel. yael.haberman@cchmc.org.

Funding

ERC 758313I-CORE program 41/11Israel Science, Culture, and Sport 4361Israel Science Foundation 785/22LITWIN IBD PIONEERS AWARDS 1165359
6 · The paper itself

Abstract

Metabolites play a crucial role in the interactions between the host and its microbiome, influencing disease pathogenesis. To explore metabolic signals linked to Crohn’s Disease (CD), we analyzed paired fecal and serum metabolomics, combined with microbial characterization. Metabolites were identified using liquid chromatography-mass spectrometry, and microbial data were obtained through V4-16 S sequencing and shotgun metagenomics. 202 serum and 294 fecal samples from 80 CD patients and 43 healthy controls were included. Longitudinal analysis highlighted individual variations in metabolic signals and microbial composition. 6602 significant correlations were identified between fecal metabolites and microbes, implying their involvement in microbial-driven disease pathways. Notably, five CD-enriched fecal carbohydrates positively correlated with oral bacteria (e.g., Veillonella parvula, Veillonella dispar, Streptococcus). Additionally, arachidonic acid and three of its derivatives were associated with R. gnavus and Fusobacteria, often implicated in CD pathogenesis. Active CD, defined clinically or by elevated biomarkers (CRP, fecal-calprotectin), exhibited heterogeneous metabolic signatures, with consistent associations between fecal metabolites and established microbial-based indices (CD-related dysbiosis index and alpha diversity). This suggests that specific fecal metabolites potentially sustain microbial imbalances and that targeting metabolic and microbial shifts may offer novel strategies to promote healthier states in CD.

Indexed as

Crohn DiseaseFecesGastrointestinal MicrobiomeMetabolic Networks and PathwaysMicrobiotaAdultBiomarkersDysbiosisFemaleHumansMaleMetabolomeMetabolomicsMetagenomicsBiomarkersCrohn’s diseaseMetabolomicsMicrobiome

Identifiers

PMID41629500
PMCPMC12920629

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.