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Cited by 284

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Alterations in the gut microbiome of children with severe ulcerative colitis

Open access
Michail, Sonia, Durbin, Matthew, Turner, Dan, Griffiths, Anne M., Mack, David R., Hyams, Jeffrey, Leleiko, Neal, Kenche, Harshavardhan, Stolfi, Adrienne, Wine, Eytan·2012·Inflammatory Bowel Diseases

Abstract

BACKGROUND: Although the role of microbes in disease pathogenesis is well established, data describing the variability of the vast microbiome in children diagnosed with ulcerative colitis (UC) are lacking. This study characterizes the gut microbiome in hospitalized children with severe UC and determines the relationship between microbiota and response to steroid therapy. METHODS: Fecal samples were collected from 26 healthy controls and 27 children hospitalized with severe UC as part of a prospective multicenter study. DNA extraction, polymerase chain reaction (PCR) amplification of bacterial 16S rRNA, and microarray hybridization were performed. Results were analyzed in GeneSpring GX 11.0 comparing healthy controls with children with UC, and steroid responsive (n = 17) with nonresponsive patients (n = 10). RESULTS: Bacterial signal strength and distribution showed differences between UC and healthy controls (adjusted P < 0.05) for Phylum, Class, Order, Family, Genus, and Phylospecies levels with reduction in Clostridia and an increase in Gamma-proteobacteria. The number of microbial phylospecies was reduced in UC (266 ± 69) vs. controls (758 ± 3, P < 0.001), as was the Shannon Diversity Index (6.1 ± 0.23 vs. 6.49 ± 0.04, respectively; P < 0.0001). Steroid nonresponders harbored fewer phylospecies than responders (142 ± 49 vs. 338 ± 62, P = 0.013). CONCLUSIONS: Richness, evenness, and biodiversity of the gut microbiome were remarkably reduced in children with UC compared with healthy controls. Children who did not respond to steroids harbored a microbiome that was even less rich than steroid responders. This study is the first to characterize the gut microbiome in a large cohort of pediatric patients with severe UC and describes changes in the gut microbiome as a potential prognostic feature.

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Metadata

Authors
Michail, S., Durbin, M., Turner, D., Griffiths, A. M., Mack, D. R., Hyams, J., Leleiko, N., Kenche, H., Stolfi, A., & Wine, E.
Venue
Inflammatory Bowel Diseases
Published
2012-10
Volume
18
Issue
10
Pages
1799-1808
ISSN
1078-0998 (ISSN-L)
OpenAlex
W2124793489
Cited by
284
References
10
FWCI
5.05
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Alterations in the gut microbiome of children with severe ulcerative colitis. https://app.cochat.ai/papers/10.1002/ibd.22860
The paper
Michail, S., Durbin, M., Turner, D., Griffiths, A. M., Mack, D. R., Hyams, J., Leleiko, N., Kenche, H., Stolfi, A., & Wine, E. (2012). Alterations in the gut microbiome of children with severe ulcerative colitis. Inflammatory Bowel Diseases. https://doi.org/10.1002/ibd.22860

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