Evidence map›Paper›PMID 42464572›Full record

ArticleGut microbes2026

Eukaryotic and bacterial gut communities vary along a lifestyle-associated urbanization gradient: comparative analysis of Germany and Madagascar.

Johanna Saalfrank, Malte Christoph Rühlemann, Philipp Rausch, Jana Christina Hey, Rivo Andry Rakotoarivelo, Tahinamandranto Rasamoelina, Raphael Rakotozandrindrainy, Njari Randriamampionona, Norbert Georg Schwarz, Ravo Razafindrakoto and 3 more

Abstract readComparative Study
In one paragraph

Article in Gut microbes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Johanna SaalfrankInstitute of Clinical Molecular Biology, Kiel University & University Hospital Schleswig-Holstein, Kiel, Germany.ORCID 0009-0008-3479-4837
Malte Christoph RühlemannInstitute of Clinical Molecular Biology, Kiel University & University Hospital Schleswig-Holstein, Kiel, Germany.ORCID 0000-0002-0685-0052
Philipp RauschInstitute of Clinical Molecular Biology, Kiel University & University Hospital Schleswig-Holstein, Kiel, Germany.ORCID 0000-0003-3133-5674
Jana Christina HeyResearch Group: Implementation Research, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.ORCID 0009-0008-1848-0096
Rivo Andry RakotoariveloDepartment of Infectious Diseases, University of Fianarantsoa, Fianarantsoa, Madagascar.ORCID 0000-0003-3438-8624
Tahinamandranto RasamoelinaCentre d'Infectiologie Charles Mérieux, University of Antananarivo, Antananarivo, Madagascar.
Raphael RakotozandrindrainyDepartment of Microbiology and Parasitology, University of Antananarivo, Antananarivo, Madagascar.
Njari RandriamampiononaDepartment of Microbiology and Parasitology, University of Antananarivo, Antananarivo, Madagascar.
Norbert Georg SchwarzGerman Centre for Infection Research (DZIF), Hamburg, Germany.
Ravo RazafindrakotoCentre d'Infectiologie Charles Mérieux, University of Antananarivo, Antananarivo, Madagascar.
Daniela FuscoResearch Group: Implementation Research, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.ORCID 0000-0001-8833-239X
Andre FrankeInstitute of Clinical Molecular Biology, Kiel University & University Hospital Schleswig-Holstein, Kiel, Germany.ORCID 0000-0003-1530-5811
Corinna BangInstitute of Clinical Molecular Biology, Kiel University & University Hospital Schleswig-Holstein, Kiel, Germany.ORCID 0000-0001-6814-6151

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intestinal eukaryotes, often neglected in gut microbiome studies, play crucial roles in human health and cause life-threatening diseases affecting millions worldwide. This neglect has also been driven by the underrepresentation of samples from regions with a high prevalence of (parasitic) intestinal eukaryotes. As a result, the overall understanding of how intestinal eukaryotes vary among broad lifestyle and socioeconomic differences, remains limited. Addressing this gap is increasingly urgent given the global rise of urbanization and industrialization and their profound effects on lifestyle, pathogen exposure, and environmental factors. We characterized the diversity and composition of eukaryotic and bacterial microbiota in 1387 fecal samples from Madagascar (Andina, Ankazomborona, Tsiroanomandidy) and Germany (Kiel), spanning a composite gradient of urbanization-associated lifestyles. Using a parallel approach of 18S V4-V5 rRNA and 16S V3-V4 rRNA amplicon gene sequencing, we identified distinct regional patterns in eukaryotic and bacterial community composition. Malagasy cohorts showed higher prevalence of helminths (e.g.

Indexed as

BacteriaEukaryotaGastrointestinal MicrobiomeUrbanizationAdolescentAdultAnimalsChildFecesFemaleFungiGermanyHumansLife StyleMadagascarMaleRNA, Ribosomal, 16S16S rRNA18S rRNAgut microbiomehelminthsIntestinal eukaryotesintestinal funginon-industrialized populationurbanization

Identifiers

PMID42464572
PMCPMC13387111

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.