Cited by 1,385Gut microbiota and healthNutritional Studies and DietProbiotics and Fermented Foods

The DOI matches its Crossref record; 87 of the 89 references it cites were found in a registry or an index; none of the 45 sources its claims cite is checked for support yet.

Gut-microbiota-targeted diets modulate human immune status

Open access

Published version of a preprint

Abstract

Diet modulates the gut microbiome, which in turn can impact the immune system. Here, we determined how two microbiota-targeted dietary interventions, plant-based fiber and fermented foods, influence the human microbiome and immune system in healthy adults. Using a 17-week randomized, prospective study (n = 18/arm) combined with -omics measurements of microbiome and host, including extensive immune profiling, we found diet-specific effects. The high-fiber diet increased microbiome-encoded glycan-degrading carbohydrate active enzymes (CAZymes) despite stable microbial community diversity. Although cytokine response score (primary outcome) was unchanged, three distinct immunological trajectories in high-fiber consumers corresponded to baseline microbiota diversity. Alternatively, the high-fermented-food diet steadily increased microbiota diversity and decreased inflammatory markers. The data highlight how coupling dietary interventions to deep and longitudinal immune and microbiome profiling can provide individualized and population-wide insight. Fermented foods may be valuable in countering the decreased microbiome diversity and increased inflammation pervasive in industrialized society.

Overview

Integrity signals

Registry

Crossref · 10.1016/j.cell.2021.06.019

Cites

87 of 87 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 45 cited sources checked · 0 supported · 0 flagged

Show all 68 claims

  • It may state two separate claims as one. 65
  • Probably not a substantial claim. 60
107 of 107
  • The paper relies on this without support.

    Non-communicable chronic diseases are largely driven by chronic inflammation and their rates are increasing with industrialization.

    “Non-communicable chronic diseases (NCCDs) are largely driven by chronic inflammation and rates are increasing rapidly with industrialization.”
  • The paper relies on this without support.

    The human microbiome influences inflammatory status.

    “Given that the human microbiome is known to influence inflammatory status, a key question is whether diets that target the gut microbiome can attenuate systemic inflammation in healthy individuals.”
  • The paper relies on this without support.

    Findings in the studied healthy adult cohort can be generalized to industrialized society for the purpose of countering decreased microbiome diversity and increased inflammation.

    “Fermented foods may be valuable in countering the decreased microbiome diversity and increased inflammation pervasive in industrialized society.”
  • The paper relies on this without support.

    The gut microbiota modulates chronic inflammation or immune status.

    “many NCCDs are driven by chronic inflammation, an immunological state that is modulated by the gut microbiota.”
  • The paper relies on this without support.

    Diet is a major driver of the species and functions in the gut microbiome.

    “Extensive data across the field of gut microbiome science has established diet as a major driver of the species and functions that reside within an individual’s gut.”
  • The paper relies on this without support.

    Fiber-rich foods contain microbiota-accessible carbohydrates that serve as a fermentable carbon source for the microbiota.

    “Fiber-rich foods contain an abundance of microbiota accessible carbohydrates (MACs), which provide a fermentable carbon source for the microbiota.”
  • The paper relies on this without support.

    Serum cytokine levels and signaling markers reflect host inflammation status.

    “Elevated cytokine levels at steady state have been linked to chronic, low-grade inflammation.”
7 of 7

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Serum baseline is dated to a week without a blood collection

    Minor

    The metabolomics results place a serum sample at week −2, but the specimen schedule lists the pre-intervention blood collection at week −3 and no collection at week −2.

  • Inflammation-panel analyte counts disagree

    Minor

    The results describe a panel of 93 measured proteins, while the serum-cytokine methods specify 92 analytes.

  • Stool carbohydrate measurement method changes between sections

    Minor

    The results say stool monosaccharides were measured by HPLC, but the corresponding methods describe GC-MS measurement.

  • Food-log frequency during ramp-up is inconsistent

    Minor

    One methods section says food logs were kept every other week throughout the study; another says they were kept every week during the ramp phase.

4 of 4

Citations

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Metadata

Authors
Wastyk, H. C., Fragiadakis, G. K., Perelman, D., Dahan, D., Merrill, B. D., Yu, F. B., Topf, M., Gonzalez, C. G., Van Treuren, W., Han, S., Robinson, J. L., Elias, J. E., Sonnenburg, E. D., Gardner, C. D., & Sonnenburg, J. L.
Affiliations
  • Stanford Medicine (US)
  • Chan Zuckerberg Biohub San Francisco (US)
Corresponding author
  • Sonnenburg, Erica D.
  • Gardner, Christopher D.
  • Sonnenburg, Justin L.
Venue
Cell
Publisher
Elsevier BV
Published
2021-08
Volume
184
Issue
16
Pages
4137-4153.e14
ISSN
0092-8674 (ISSN-L)
OpenAlex
W3179557623
Cited by
1,385
References
89
Citations by year
2026: 300 · 2025: 349 · 2024: 280 · 2023: 249 · 2022: 175 · 2021: 32
FWCI
58.71
Type
journal article
Language
en
Open access
Locations
  • Cell (publishedVersion)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • Sean N. Parker Center for Allergy and Asthma Research, Stanford University
  • National Institutes of Health (T32 AI 7328-29)
  • National Science Foundation
  • Israel National Road Safety Authority (F32AG062119)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
Keywords
gut microbiota, diet, plant fibers, high-fiber diet, fermented foods, immune system, microbiome diversity, carbohydrate-active enzymes, glycan degradation, cytokine response, inflammation, immune profiling, microbiota-immune interactions
MeSH terms
Gastrointestinal Microbiome, Fermented Foods, Diet, Dietary Fiber, Feeding Behavior, Female, Humans, Immunity, Inflammation, Male, Middle Aged, Signal Transduction, Biodiversity

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