Evidence map›Paper›PMID 41768489›Full record

ArticleBMJ nutrition, prevention & health2025

Randomised trial of Aureobasidium pullulans-produced beta 1,3-1,6-glucans in patients with Duchenne muscular dystrophy: favourable changes in gut microbiota and clinical outcomes indicating their potential in epigenetic manipulation.

Kadalraja Raghavan, Vidyasagar Devaprasad Dedeepiya, Naoki Yamamoto, Nobunao Ikewaki, Masaru Iwasaki, Ashwamed Dinassing, Rajappa Senthilkumar, Senthilkumar Preethy, Samuel J K Abraham

Abstract read
In one paragraph

Article in BMJ nutrition, prevention & health, 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. Article
  3. Article
  4. Article
  5. I. IDC Key-note Lecture: Trained immunity: a memory for innate host defense.Journal of stem cells & regenerative medicine · 2023
    Article
  6. Efficacy of N-163 beta-glucan in beneficially improving biomarkers of relevance to muscle function in patients with muscular dystrophies in a pilot clinical study.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2023
    Article
  7. Re-examination of therapeutic management of muscular dystrophies using a vascular smooth muscle-centered approach.Journal of smooth muscle research = Nihon Heikatsukin Gakkai kikanshi · 2023
    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

9 authors.

Kadalraja RaghavanDepartment of Paediatric Neurology, Jesuit Antonyraj memorial Inter-disciplinary Centre for Advanced Recovery and Education (JAICARE), Madurai, Tamil Nadu, India.
Vidyasagar Devaprasad DedeepiyaNichi-In Centre for Regenerative Medicine, Chennai, Tamil Nadu, India.
Naoki YamamotoNational Center for Global Health and Medicine, Shinjuku-ku, Japan.
Nobunao IkewakiDepartment of Medical Life Science, Kyushu University of Health and Welfare, Nobeoka, Japan.
Masaru IwasakiUniversity of Yamanashi Faculty of Medicine Graduate School of Medicine, Chuo, Japan.
Ashwamed DinassingMinistry of Health and Wellness, Port Louis, Mauritius.
Rajappa SenthilkumarGN Corporation Co Ltd, Kofu, Japan.
Senthilkumar PreethyNichi-In Centre for Regenerative Medicine, Chennai, Tamil Nadu, India.
Samuel J K AbrahamUniversity of Yamanashi Faculty of Medicine Graduate School of Medicine, Chuo, Japan.ORCID https://orcid.org/0000-0003-2646-2687

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Duchenne muscular dystrophy (DMD) is an X-linked neuromuscular disorder that leads to increasing muscle weakening and early death. Steroids, the standard treatment of choice in slowing down disease progression, are plagued with adverse effects. Anti-inflammatory, antifibrotic effects and enhancement of muscle regeneration biomarkers after oral consumption of Design: Twenty-seven patients with DMD were included in the study (control (n=9), N-163 (n=18)). Whole-genome metagenomic sequencing was performed in pre-N-163 and post-N-163 intervention faecal samples of each of these participants. Results: After N-163 beta-glucan administration, the constitution of the gut microbiome in all the participants was modified to one with positive outcomes on health. There was an increase in butyrate-producing species such as Conclusion: Beneficial reconstitution of the gut microbiome after Neu REFIX beta-glucan administration and its safety have been confirmed. These outcomes correlating with the anti-inflammatory, anti-fibrotic effects along with increase in dystrophin in skeletal muscle and plasma, reported earlier make us recommend further in-depth exploration on its role in epigenetic manipulation which when found encouraging might help other genetic diseases as well. Trial registration number: CTRI/2021/05/033346.

Indexed as

Musculo-skeletal healthNutritional treatment

Identifiers

PMID41768489
PMCPMC12936530

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.