Evidence map›Paper›PMID 42544154›Full record

ArticleCureus2026

Causal Relationship Between Gut Microbiome and Infectious Mononucleosis: Bidirectional Mendelian Randomization Reveals Infectious Mononucleosis-Driven Gut Dysbiosis.

Yuanxiao Li, Jiayan Wang, Ni Zhang, Xiaonan Xu, Xingxing Dai, Yan Li, Li Cheng, Hui Liu, Pengcheng Ren, Hanwei Ma

Abstract read
In one paragraph

Article in Cureus, 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

10 authors.

Yuanxiao LiDepartment of Pediatric Gastroenterology, The Second Hospital of Lanzhou University, Lanzhou, CHN.
Jiayan WangDepartment of Pediatric Gastroenterology, The Second Hospital of Lanzhou University, Lanzhou, CHN.
Ni ZhangDepartment of Pediatric Gastroenterology, The Second Hospital of Lanzhou University, Lanzhou, CHN.
Xiaonan XuDepartment of Pediatric Gastroenterology, The Second Hospital of Lanzhou University, Lanzhou, CHN.
Xingxing DaiDepartment of Pediatric Gastroenterology, The Second Hospital of Lanzhou University, Lanzhou, CHN.
Yan LiDepartment of Pediatric Gastroenterology, The Second Hospital of Lanzhou University, Lanzhou, CHN.
Li ChengDepartment of Pediatric Gastroenterology, The Second Hospital of Lanzhou University, Lanzhou, CHN.
Hui LiuDepartment of Pediatric Gastroenterology, The Second Hospital of Lanzhou University, Lanzhou, CHN.
Pengcheng RenDepartment of Pediatric Gastroenterology, The Second Hospital of Lanzhou University, Lanzhou, CHN.
Hanwei MaDepartment of Pediatric Gastroenterology, The Second Hospital of Lanzhou University, Lanzhou, CHN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background To assess bidirectionality between gut microbiota and Epstein-Barr virus (EBV)-driven infectious mononucleosis (IM), we conducted two-sample Mendelian randomization (MR). Given IM's heterogeneous symptoms and evidence linking microbiota to viral infection, this may inform novel prevention or treatment strategies. Methods We employed a bidirectional two-sample MR framework using summary data from 207 gut microbial taxa and 205 metabolic pathways (Dutch Microbiome Project, n = 7,738) and the FinnGen consortium. Causality was assessed via inverse variance weighting (IVW), MR-Egger, weighted median, and mode-based estimation. Statistical significance was set at P <0.05 (Bonferroni-corrected), with instruments validated by F-statistics >10. Heterogeneity and pleiotropy were evaluated using Cochran's Q, MR-Egger intercepts, and leave-one-out analyses. Results Forward MR: Several bacterial pathways and taxa were positively associated with IM risk. These include the de novo purine nucleotide biosynthesis II superpathway (odds ratio (OR) = 1.246, 95% confidence interval (CI): 1.026-1.514, P = 0.027), anhydromuropeptide recycling (OR = 1.24, 95% CI: 1.014-1.517, P = 0.036), the superpathway of unsaturated fatty acid biosynthesis (

Indexed as

ebv infectiongut microbiomeinfectious mononucleosismendelian randomizationpediatrics

Identifiers

PMID42544154
PMCPMC13429025

What Socratic holds

Textmetadata
LicenceCC BY
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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.