Inflammatory bowel diseases (IBD) and the microbiome-searching the crime scene for clues
Open accessAbstract
Inflammatory bowel diseases (IBD) develop via convergence of environmental, microbial, immunological, and genetic factors. Alterations in the gut microbiota have been associated with development and progression of IBD, but it is not clear which populations of microbes are involved or how they might contribute to IBD. We review the genetic and environmental factors affecting the gut microbiota, the roles of gut microbes and their bioproducts in the development and clinical course of IBD, and strategies by which microbiome-based therapies can be used to prevent, manage, and eventually cure IBD. We discuss research findings that help bridge the gap between the basic sciences and clinical application.
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The probiotic effect is likely strain-specific, dose-dependent, and influenced by engraftment ability, which may depend on host factors and the stability and resilience of the pre-existing microbiota.
“Besides differences among patient populations, the probiotic effect is likely strain‐specific, dose‐dependent, and influenced by engraftment ability, which in turn may depend on host factors and the stability and resilience of the pre‐existing microbiota. 1”
From Efficacy and safety of probiotics in IBD: An overview of systematic reviews and updated meta-analysis of randomized controlled trials. (2024) · cites this paper as [1]
The section on microbiome-based interventions (page unavailable) says probiotic effectiveness may depend on engraftment, which is hindered by the stability and resilience of pre-existing microbiota; it also describes active disease as a hostile environment for commensal microbes. It says probiotics may need frequent large doses without engraftment, but does not establish that their effects are dose-dependent or strain-specific. (LLM, conf=0.86)
Experimental — accuracy not yet measuredLack of a "healthy" microbiota is associated with many forms of disease, including metabolic diseases, gastrointestinal cancer, inflammatory bowel disease, renal disease, and neurodegenerative diseases associated with aging.
“Lack of a “healthy” microbiota is associated with many forms of disease (19–24), such as metabolic diseases (obesity, type 2 diabetes), gastrointestinal cancer, inflammatory bowel disease, and renal disease, as well as neurodegenerative diseases (NDs) associated with aging, in which the activity and composition of the gut microbiota change during the life cycle.”
From Modulation of the gut–brain axis via the gut microbiota: a new era in treatment of amyotrophic lateral sclerosis (2023) · cites this paper as [20]
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McKay, R., Ghodasra, M., Schardt, J. S., Quan, D. N., Pottash, A. E., Shang, W., Jay, S. M., Payne, G. F., Chang, M. W., March, J. C., et al. (2018) · Bioengineering & Translational Medicine · doi:10.1002/btm2.10113 · Cited by 63 · see citing works
IBD and Bile Acid Absorption: Focus on Pre-clinical and Clinical Observations
Fitzpatrick, L. R., & Jenabzadeh, P. (2020) · Frontiers in Physiology · doi:10.3389/fphys.2020.00564 · Cited by 62 · see citing works
Patient-Specific Bacteroides Genome Variants in Pouchitis
Vineis, J. H., Ringus, D. L., Morrison, H. G., Delmont, T. O., Dalal, S. R., Raffals, L. H., Antonopoulos, D. A., Rubin, D. T., Eren, A. M., Chang, E. B., et al. (2016) · mBio · doi:10.1128/mbio.01713-16 · Cited by 57 · see citing works
Self-citationCompositional Changes in the Gut Mucus Microbiota Precede the Onset of Colitis-Induced Inflammation
Glymenaki, M., Singh, G., Brass, A., Warhurst, G., McBain, A. J., Else, K. J., & Cruickshank, S. M. (2017) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000001118 · Cited by 53 · see citing works
Miyoshi, J., Miyoshi, S., Delmont, T. O., Cham, C. M., Lee, S. T. M., Sakatani, A., Yang, K., Shan, Y., Kennedy, M. S., Kiefl, E., et al. (2021) · Gastroenterology · doi:10.1053/j.gastro.2021.05.054 · Cited by 42 · see citing works
Self-citationThe historical basis of the idiopathic inflammatory bowel diseases
Kirsner, J. B. (1995) · Inflammatory Bowel Diseases · doi:10.1002/ibd.3780010103 · Cited by 32 · see citing works
Huang, Y., Dalal, S. R., Antonopoulos, D. A., et al. (2017) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000001027 · Cited by 31 · see citing works
An Address ON THE NATURAL HISTORY OF ULCERATIVE COLITIS AND ITS BEARING ON TREATMENT
Hawkins, H. P. (1909) · BMJ · doi:10.1136/bmj.1.2517.765 · Cited by 29 · see citing works
The Historical Basis of the Idiopathic Inflammatory Bowel Diseases
Kirsner, J. B. (1995) · Inflammatory Bowel Diseases · doi:10.1097/00054725-199503000-00002 · Cited by 28 · see citing works
Meyer, F., Trimble, W. L., Chang, E. B., & Handley, K. M. (2012) · Genome biology · doi:10.1186/gb-2012-13-9-169 · Cited by 17 · see citing works
Self-citationMeyer, F., Trimble, W. L., Chang, E. B., et al. (2012) · Genome biology · doi:10.1186/gb4042 · Cited by 13 · see citing works
Self-citationEarly-life microbial intervention reduces colitis risk promoted by antibiotic-induced gut dysbiosisPreprint
Miyoshi, J., Miyoshi, S., Delmont, T. O., et al. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.03.11.987412 · Cited by 2 · see citing works
Martín, R., Chain, F., Lü, J., et al. (2013) · Gastroenterology · doi:10.1016/s0016-5085(13)63344-2 · Cited by 1 · see citing works
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Research works printed but not linked: 1
- [84]Smith PM, Howitt MR, Panikov N, The microbial metabolites, short-chain fatty acids, regulate colonic T reg cell homeostasis. Science 2013; 341: 569– 573. 23828891 PMC3807819
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Microbiota in inflammatory bowel disease: mechanisms of disease and therapeutic opportunities
Iliev, I. D., Ananthakrishnan, A. N., & Guo, C.-J. (2025) · Nature Reviews Microbiology · doi:10.1038/s41579-025-01163-0 · Cited by 249 · see citing works
The Gut-Brain Axis in Inflammatory Bowel Disease—Current and Future Perspectives
Günther, C., Rothhammer, V., Karow, M., Neurath, M., & Winner, B. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22168870 · Cited by 123 · see citing works
Estevinho, M. M., Yuan, Y., Rodríguez‐Lago, I., Sousa‐Pimenta, M., Dias, C. C., Barreiro‐de Acosta, M., Jairath, V., & Magro, F. (2024) · United European gastroenterology journal · doi:10.1002/ueg2.12636 · Cited by 74 · see citing works
“1 Additionally, the effects of single ‐ strain and multi ‐ strain probiotics may differ due to higher coverage or synergy.”
Hong, D., Zhang, C., Wu, W., Lu, X., & Zhang, L. (2023) · Frontiers in Neurology · doi:10.3389/fneur.2023.1133546 · Cited by 38 · see citing works
Flegiel, E., Piotrowska, M., Ptasznik, M., Baran, A., Lenart, J., Podrażka, M., Mazurek, J., Stachowicz, H., Bartos, W., & Adamczyk, M. (2024) · Prospects in Pharmaceutical Sciences · doi:10.56782/pps.229 · Cited by 8 · see citing works
- Authors
- Lee, M., & Chang, E. B.
- Affiliations
- University of Chicago (US)
- Corresponding author
- Chang, Eugene B.
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 2021-01
- Volume
- 160
- Issue
- 2
- Pages
- 524-537
- ISSN
- 0016-5085 (ISSN-L)
- PMC
- PMC8098834
- OpenAlex
- W3108788068
- Cited by
- 645
- References
- 189
- Citations by year
- 2026: 73 · 2025: 121 · 2024: 178 · 2023: 136 · 2022: 104 · 2021: 30 · 2020: 1
- FWCI
- 6.49
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Keywords
- inflammatory bowel disease, gut microbiota, microbiome, genetic factors, environmental factors, microbial metabolites, microbiota-based therapy, IBD pathogenesis
- MeSH terms
- Gastrointestinal Microbiome, Fecal Microbiota Transplantation, Animals, Diet, Disease Models, Animal, Humans, Inflammatory Bowel Diseases, Probiotics, Mice, Prebiotics, Dysbiosis
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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