Evidence map›Paper›PMID 41840217›Full record

ArticleNature microbiology2026

Clostridia from preterm infants metabolize human milk oligosaccharides to suppress pathobionts and modulate intestinal function in organoids.

Jonathan A Chapman, Andrea C Masi, Lauren C Beck, Hannah Watson, Gregory R Young, Hilary P Browne, Yan Shao, Raymond Kiu, Andrew Nelson, Jennifer A Doyle and 11 more

Abstract read
In one paragraph

Article in Nature microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Fatal Acute Thyroiditis in a Giraffe (Animals : an open access journal from MDPI · 2026
    Article
  5. 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.

Jonathan A Chapman *Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0003-1068-8278
Andrea C Masi *Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Lauren C BeckTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Hannah WatsonTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Gregory R YoungTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Hilary P BrowneHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-1305-2470
Yan ShaoHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-8662-0504
Raymond KiuDepartment of Microbes, Infection and Microbiomes, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-4483-1215
Andrew NelsonFaculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Jennifer A DoyleTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Pawel PalmowskiBiosciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Márton Lengyeldsm-firmenich, Hørsholm, Denmark.
James P R ConnollyBiosciences Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0002-0394-3413
Christopher A LambTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0002-7271-4956
Andrew PorterBiosciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Trevor D LawleyHost-Microbiota Interactions Laboratory, Wellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-4805-621X
Lindsay J HallDepartment of Microbes, Infection and Microbiomes, School of Infection, Inflammation and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0001-8938-5709
Nicholas D EmbletonNewcastle Neonatal Service, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0003-3750-5566
John D PerryMicrobiology Department, Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0001-7225-7508
Janet E BerringtonTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0002-6185-2843
Christopher J StewartTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK. christopher.stewart@newcastle.ac.uk.ORCID http://orcid.org/0000-0002-6033-338X

Funding

Wellcome Trust (Wellcome) 220540/Z/20/AWellcome Trust (Wellcome) 221745/Z/20/Z
6 · The paper itself

Abstract

Infant gut microbiome development is strongly impacted by breastmilk and human milk oligosaccharides (HMOs), which can protect preterm infants against pathologies including necrotizing enterocolitis. HMO metabolism in bifidobacteria is well characterized and linked to health outcomes, but the scope of HMO-utilizing species remains unclear. Here, using a combination of genomics, proteomics and metabolomics, we show that Clostridium species isolated from preterm infants (born at <32 weeks gestation), in particular Clostridium perfringens lacking the toxin perfringolysin O (PfoA), metabolized HMOs. Clostridium species produced beneficial metabolites including short-chain fatty acids and tryptophan catabolites at higher quantities than Bifidobacterium species in vitro. Cell-free supernatant from C. perfringens was non-toxic to colonic cell lines, promoted the growth of commensal bifidobacteria and inhibited growth of pathobionts isolated from the preterm infant gut in vitro. It also suppressed inflammation in preterm-derived intestinal organoids. These findings expand our understanding of HMO-metabolizing microbes and suggest that pfoA

Indexed as

ClostridiumInfant, PrematureIntestinesMilk, HumanOligosaccharidesOrganoidsBifidobacteriumClostridium perfringensEnterocolitis, NecrotizingGastrointestinal MicrobiomeHumansInfant, NewbornOligosaccharides

Identifiers

PMID41840217
PMCPMC13056567

What Socratic holds

Textmetadata
LicenceCC BY
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.