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        <title>Interaction between microbiota and immunity in health and disease</title>
        <author>Danping Zheng</author>
        <author>Timur Liwinski</author>
        <author>Eran Elinav</author>
      </titleStmt>
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        <bibl>
          <title>Interaction between microbiota and immunity in health and disease</title>
          <date>2020</date>
          <publisher>Cell Research</publisher>
          <idno type="DOI">10.1038/s41422-020-0332-7</idno>
          
          <idno type="record">zheng2020-interaction-between-microbiota-and</idno>
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          <note type="rights">cc-by</note>
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  <standOff>
    <spanGrp type="tags">
      <span xml:id="t0" type="object_of_study" ana="#object_of_study" resp="#paper">
        <label>the two-way traffic between the commensal microbiota and the mammalian immune system - how microbes train immunity and how immunity in turn shapes which microbes persist</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t1" type="research_question" ana="#research_question" resp="#paper">
        <label>which microbiome-immunity interactions are mechanistically established, and what still stands between association and a causal claim in human disease</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t2" type="contribution" ana="#contribution" resp="#paper">
        <label>a review that organises the mechanisms by compartment and by disease and then states plainly that a direct causal relationship has not been established in most medical conditions - the negative claim is the contribution</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t3" type="claim_type" ana="#claim_type" resp="#paper">
        <label>critique</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t4" type="phenomenon" ana="#phenomenon" resp="#paper">
        <label>host-microbe mutualism and its breakdown - a relationship in which each side regulates the other, so that neither perturbation nor dysregulation can be read as the cause of the other from observation alone</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t5" type="method" ana="#method" resp="#paper">
        <label>review</label>
        <term>review</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t6" type="mechanisms" ana="#mechanisms[0]" resp="#tagger" cert="0.95">
        <label>the causal claims of this field rest on germ-free animals - raised with no commensals at all. That is the cleanest possible contrast and it is also a state no animal is ever in outside a facility, so what it establishes is that commensals matter, not which ones do what at natural abundance</label>
        <term>an instrument that is an extreme, not a control</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t7" type="mechanisms" ana="#mechanisms[1]" resp="#tagger" cert="0.95">
        <label>microbiota drive immune activation and inflammation conversely reshapes the microbial community. When each side changes the other, an observed association in a diseased human carries no direction, which is exactly why the authors say the causal relationship before onset has not been established</label>
        <term>bidirectionality defeats observation</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t8" type="mechanisms" ana="#mechanisms[2]" resp="#tagger" cert="0.95">
        <label>16S rRNA sequencing reports genus and composition. Every strain-level and every functional difference in the reviewed literature was therefore not measured rather than not present - and the recommendation to move to shotgun metagenomics is a statement about what the existing corpus of findings could not have seen</label>
        <term>the resolution decides the finding</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t9" type="mechanisms" ana="#mechanisms[3]" resp="#tagger" cert="0.95">
        <label>NLRP6&#x27;s effect on microbiota structure appears only where the background microbiota contains particular pathobionts such as Helicobacter. A knockout phenotype that depends on the vivarium is a joint property of gene and facility, and two labs reporting different results may both be right</label>
        <term>the phenotype belongs partly to the building</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t10" type="mechanisms" ana="#mechanisms[4]" resp="#tagger" cert="0.95">
        <label>faecal microbiome transplantation aims to restore a healthy microbiome configuration, and the authors state there is no general consensus on which features constitute a healthy microbiome. The therapy is specified by its mechanism and not by its endpoint</label>
        <term>a target with no definition</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t11" type="limitations" ana="#limitations[0]" resp="#tagger" cert="0.95">
        <label>a direct causal relationship between the microbiome and immunity before onset or in early disease has not been established in most medical conditions</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t12" type="limitations" ana="#limitations[1]" resp="#tagger" cert="0.95">
        <label>the causal effect of the microbiome on immune dysregulation in most human disorders remains to be proven</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t13" type="limitations" ana="#limitations[2]" resp="#tagger" cert="0.95">
        <label>the field runs on laboratory mice whose microbiota is divergent from wild animals and humans, limiting translational potential and reproducibility</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t14" type="limitations" ana="#limitations[3]" resp="#tagger" cert="0.95">
        <label>most of the reviewed work used 16S rRNA sequencing, which resolves genus and composition only and cannot see strain-level or functional differences</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t15" type="limitations" ana="#limitations[4]" resp="#tagger" cert="0.95">
        <label>inter-individual variation typically explains more variance in both microbiome and immune response than disease state does</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t16" type="limitations" ana="#limitations[5]" resp="#tagger" cert="0.95">
        <label>there is no general consensus on which features constitute a healthy microbiome, so FMT efficacy in IBD remains under evaluation</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t17" type="limitations" ana="#limitations[6]" resp="#tagger" cert="0.95">
        <label>the prophylactic and therapeutic efficacy of traditional individual probiotics in promoting human health is limited</label>
        <note>about this quote: PAGE FURNITURE IS SPLICED INTO THE &#x27;evidence&#x27; QUOTE - the journal&#x27;s running head and a page number, &#x27;Review Article 501 Cell Research…&#x27;, between &#x27;potentially&#x27; and &#x27;may provide&#x27;. The words on either side of it were never continuous on the page; read the quote with it deleted.</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t18" type="limitations" ana="#limitations[7]" resp="#tagger" cert="0.95">
        <label>the review does not claim coverage - it states that the evidence cannot be summarised in one review and refers out to others</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t19" type="transfers" ana="#transfers[0]" resp="#tagger" cert="0.95">
        <label>machine learning, proposed for decoding individualised microbiome patterns - a response to inter-individual variance being larger than the disease signal</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t20" type="transfers" ana="#transfers[1]" resp="#tagger" cert="0.95">
        <label>shotgun metagenomic sequencing and the wider multi-omics stack, carried from genomics into immunology to replace a genus-level instrument</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t21" type="controls" ana="#controls[0]" resp="#tagger" cert="0.95">
        <label>germ-free animals, raised with no commensal microbes at all, used as the reference state for every claim that a commensal is required for an immune structure</label>
        <note>eliminates: the possibility that the lymphoid and immune defects are produced by something other than the absence of commensals - there are none to confound with · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t22" type="controls" ana="#controls[1]" resp="#tagger" cert="0.85">
        <label>Th17 cells scored in germ-free mice and again after defined colonisation, with SFB and with other commensals separately</label>
        <note>eliminates: the Th17 population being a fixed host trait - it is absent without microbes and returns on colonisation, so the microbe is doing the work · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t23" type="controls" ana="#controls[2]" resp="#tagger" cert="0.95">
        <label>laboratory mice given a wild microbiota, then challenged with influenza virus and with colitis-induced tumorigenesis</label>
        <note>eliminates: the host genotype explaining the difference - the same laboratory animal changes phenotype when only the microbiota is swapped · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t24" type="controls" ana="#controls[3]" resp="#tagger" cert="0.95">
        <label>microbiome depletion by broad-spectrum antibiotics in humans, followed by seasonal influenza vaccination and plasma metabolome profiling</label>
        <note>eliminates: reverse causation from immune state to microbiome - here the microbiome was depleted deliberately and the antibody response followed · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t25" type="controls" ana="#controls[4]" resp="#tagger" cert="0.95">
        <label>NLRP6-deficient mice compared across vivaria with different background microbiota, rather than in one facility</label>
        <note>eliminates: a gene effect that is really a facility effect - and the comparison shows the phenotype appears ONLY where particular pathobionts are present · outcome: partial</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t26" type="controls" ana="#controls[5]" resp="#tagger" cert="0.95">
        <label>integration of multi-omics data sets - metagenomics, single-cell transcriptomics, epigenomics, proteomics and metabolomics - proposed for disentangling the interaction under host genetics and environmental triggers</label>
        <note>eliminates: the direction of the microbiota-immune relationship, which the cited animal evidence shows to be bidirectional - the multi-omics integration that would separate cause from consequence is proposed, not done · outcome (stated by the tagger, no quotation): absent-declared-unreported</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t27" type="controls" ana="#controls[6]" resp="#tagger" cert="0.95">
        <label>faecal microbiome transplantation in IBD, named as under evaluation with fecal processing and patient safety unresolved</label>
        <note>eliminates: whether restoring the microbiome restores the immune phenotype - named as under evaluation, with faecal processing and patient safety unresolved · outcome (stated by the tagger, no quotation): absent-declared-unreported</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t28" type="concepts" ana="#concepts[0]" resp="#paper" cert="0.95">
        <label>microbiome</label>
        <term>microbiome</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t29" type="concepts" ana="#concepts[1]" resp="#paper" cert="0.95">
        <label>germ-free</label>
        <term>germ-free</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t30" type="concepts" ana="#concepts[2]" resp="#paper" cert="0.85">
        <label>segmented filamentous bacteria</label>
        <term>segmented filamentous bacteria</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t31" type="concepts" ana="#concepts[3]" resp="#paper" cert="0.85">
        <label>Th17</label>
        <term>Th17</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t32" type="concepts" ana="#concepts[4]" resp="#paper" cert="0.95">
        <label>Broad-spectrum antibiotic</label>
        <term>Broad-spectrum antibiotic</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t33" type="concepts" ana="#concepts[5]" resp="#paper" cert="0.95">
        <label>SCFAs</label>
        <term>SCFAs</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t34" type="concepts" ana="#concepts[6]" resp="#paper" cert="0.95">
        <label>16S rRNA sequencing</label>
        <term>16S rRNA sequencing</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t35" type="concepts" ana="#concepts[7]" resp="#paper" cert="0.95">
        <label>shotgun metagenomic sequencing</label>
        <term>shotgun metagenomic sequencing</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t36" type="concepts" ana="#concepts[8]" resp="#paper" cert="0.95">
        <label>laboratory mice</label>
        <term>laboratory mice</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t37" type="concepts" ana="#concepts[9]" resp="#paper" cert="0.95">
        <label>wild mice</label>
        <term>wild mice</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t38" type="concepts" ana="#concepts[10]" resp="#paper" cert="0.95">
        <label>inter-individual variation</label>
        <term>inter-individual variation</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t39" type="concepts" ana="#concepts[11]" resp="#paper" cert="0.95">
        <label>disease state</label>
        <term>disease state</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t40" type="concepts" ana="#concepts[12]" resp="#paper" cert="0.95">
        <label>Bilophila wadsworthia</label>
        <term>Bilophila wadsworthia</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t41" type="concepts" ana="#concepts[13]" resp="#paper" cert="0.95">
        <label>NLRP6</label>
        <term>NLRP6</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t42" type="concepts" ana="#concepts[14]" resp="#paper" cert="0.95">
        <label>humans</label>
        <term>humans</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t43" type="concepts" ana="#concepts[15]" resp="#paper" cert="0.95">
        <label>colitis</label>
        <term>colitis</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t44" type="concepts" ana="#concepts[16]" resp="#paper" cert="0.95">
        <label>vivarium</label>
        <term>vivarium</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t45" type="senses" ana="#senses[0]" resp="#tagger" cert="0.95">
        <label>the microbiome-immunity relationship - AS ESTABLISHED: a bidirectional relationship in animal models, where microbiota drive immune activation and inflammation conversely reshapes the community</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t46" type="senses" ana="#senses[1]" resp="#tagger" cert="0.95">
        <label>the microbiome-immunity relationship - AS NOT ESTABLISHED: a direct causal relationship before onset or in early disease, which the authors say has not been shown in most medical conditions</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t47" type="senses" ana="#senses[2]" resp="#tagger" cert="0.95">
        <label>the microbiome - AS MEASURED BY 16S rRNA SEQUENCING: genus-level and purely compositional, which is the resolution most of the literature reviewed here was produced at</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t48" type="senses" ana="#senses[3]" resp="#tagger" cert="0.95">
        <label>the microbiome - AS MEASURED BY SHOTGUN METAGENOMICS: strain-level and functional, the resolution the authors say the field must move to</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t49" type="senses" ana="#senses[4]" resp="#tagger" cert="0.95">
        <label>a &#x27;healthy&#x27; microbiome - AS A THERAPEUTIC TARGET: the configuration FMT aims to restore, and on which the authors say there is still no general consensus</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t50" type="senses" ana="#senses[5]" resp="#tagger" cert="0.95">
        <label>the mouse microbiota - IN THE LABORATORY: divergent from wild animals and humans, with limited translational potential</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t51" type="senses" ana="#senses[6]" resp="#tagger" cert="0.95">
        <label>the mouse microbiota - IN THE WILD: resilient, and shown to recapitulate human phenotypes better - laboratory mice receiving it become less susceptible to influenza and to colitis-induced tumorigenesis</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t52" type="claim_relations" ana="#claim_relations[0]" resp="#tagger" cert="0.95">
        <label>qualifies → its own field&#x27;s causal language about the microbiome, by stating that a direct causal relationship has not been established in most medical conditions</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t53" type="claim_relations" ana="#claim_relations[1]" resp="#tagger" cert="0.95">
        <label>critiques → the reliance on laboratory mice, whose microbiota is divergent from wild animals and humans and whose translational potential is therefore limited</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t54" type="claim_relations" ana="#claim_relations[2]" resp="#tagger" cert="0.95">
        <label>critiques → 16S rRNA sequencing as the field&#x27;s default instrument, on the grounds that its genus-level compositional resolution cannot register strain or function</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t55" type="claim_relations" ana="#claim_relations[3]" resp="#tagger" cert="0.95">
        <label>qualifies → microbiome-targeted therapy, by noting that there is no consensus definition of the healthy configuration such therapy aims to restore</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t56" type="claim_relations" ana="#claim_relations[4]" resp="#tagger" cert="0.95">
        <label>builds-on → germ-free and gnotobiotic animal work as the basis for every mechanistic claim in the review</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t57" type="concept_edges" ana="#concept_edges[0]" resp="#tagger" cert="0.95">
        <label>laboratory mice —distinct-from→ humans</label>
        <term>laboratory mice</term>
        <term>humans</term>
        <note>differs in: whether the microbiota is the one the conclusion is meant to be about · the relation itself is separately evidenced · strength of the relation: 0.95 · differs in (stated by the tagger, no quotation): whether the microbiota is the one the conclusion is meant to be about · the relation stated: nearly all of this evidence comes from mice carrying a microbiota the authors call divergent from wild animals and from humans, which bounds what any of it translates to
Audit 2026-09-28: DOUBTFUL - read against its span and kept, but laboratory mice carry a divergent microbiota; distinct-from is loose.</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t58" type="concept_edges" ana="#concept_edges[1]" resp="#tagger" cert="0.95">
        <label>inter-individual variation —distinct-from→ disease state</label>
        <term>inter-individual variation</term>
        <term>disease state</term>
        <note>differs in: which source of variance a case-control comparison is actually measuring · the relation itself is separately evidenced · strength of the relation: 0.95 · differs in (stated by the tagger, no quotation): which source of variance a case-control comparison is actually measuring · the relation stated: in both microbiome configuration and immune response, more variance is typically explained by who the person is than by whether they are ill
Audit 2026-09-28: DOUBTFUL - read against its full span and kept, but the span says more variance is explained by inter-individual variation than by disease state; distinct-from is loose.</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t59" type="concept_edges" ana="#concept_edges[2]" resp="#tagger" cert="0.85">
        <label>segmented filamentous bacteria —causes→ Th17</label>
        <term>segmented filamentous bacteria</term>
        <term>Th17</term>
        <note>direction on the measure: increases · the relation itself is separately evidenced · strength of the relation: 0.95 · direction on the measure (stated by the tagger, no quotation): increases · the relation stated: Th17 cells are absent in germ-free mice and are induced by colonisation, most notably with SFB - a single named commensal producing a defined immune cell population</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t60" type="concept_edges" ana="#concept_edges[3]" resp="#tagger" cert="0.95">
        <label>Broad-spectrum antibiotic —causes→ SCFAs</label>
        <term>Broad-spectrum antibiotic</term>
        <term>SCFAs</term>
        <note>direction on the measure: reduces · the relation itself is separately evidenced · strength of the relation: 0.95 · direction on the measure (stated by the tagger, no quotation): reduces · the relation stated: broad-spectrum antibiotics perturb the microbiota and deplete microbiota-derived SCFAs, and that depletion hyperactivates intestinal macrophages, expands pro-inflammatory T helper cells and raises susceptibility to infection</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t61" type="concept_edges" ana="#concept_edges[4]" resp="#tagger" cert="0.95">
        <label>Bilophila wadsworthia —causes→ colitis</label>
        <term>Bilophila wadsworthia</term>
        <term>colitis</term>
        <note>direction on the measure: increases · the relation itself is separately evidenced · strength of the relation: 0.95 · direction on the measure (stated by the tagger, no quotation): increases · the relation stated: saturated fat raises taurocholic acid, which expands this pathobiont, which promotes Th1 responses and raises colitis susceptibility - the review&#x27;s most completely specified dietary chain</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t62" type="content_tags" ana="#content_tags.findings[0]" resp="#tagger" cert="0.95">
        <label>a direct causal relationship between microbiome and immunity before disease onset has not been established in most medical conditions</label>
        <term>a direct causal relationship between microbiome and immunity before disease onset has not been established in most medical conditions</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t63" type="content_tags" ana="#content_tags.findings[1]" resp="#tagger" cert="0.85">
        <label>Th17 cells are absent in germ-free mice and are induced by colonisation, most notably with segmented filamentous bacteria</label>
        <term>Th17 cells are absent in germ-free mice and are induced by colonisation, most notably with segmented filamentous bacteria</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t64" type="content_tags" ana="#content_tags.findings[2]" resp="#tagger" cert="0.95">
        <label>broad-spectrum antibiotics deplete microbiota-derived SCFAs, hyperactivating intestinal macrophages and increasing susceptibility to infection</label>
        <term>broad-spectrum antibiotics deplete microbiota-derived SCFAs, hyperactivating intestinal macrophages and increasing susceptibility to infection</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t65" type="content_tags" ana="#content_tags.findings[3]" resp="#tagger" cert="0.95">
        <label>microbiome depletion by antibiotics diminishes the antibody response to seasonal influenza vaccination in humans</label>
        <term>microbiome depletion by antibiotics diminishes the antibody response to seasonal influenza vaccination in humans</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t66" type="content_tags" ana="#content_tags.findings[4]" resp="#tagger" cert="0.95">
        <label>a diet high in saturated fats raises taurocholic acid, expands Bilophila wadsworthia and increases colitis susceptibility</label>
        <term>a diet high in saturated fats raises taurocholic acid, expands Bilophila wadsworthia and increases colitis susceptibility</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t67" type="content_tags" ana="#content_tags.findings[5]" resp="#tagger" cert="0.95">
        <label>NLRP6&#x27;s effect on microbiota structure appears only against a background microbiota containing particular pathobionts, so the phenotype depends on the vivarium</label>
        <term>NLRP6&#x27;s effect on microbiota structure appears only against a background microbiota containing particular pathobionts, so the phenotype depends on the vivarium</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t68" type="content_tags" ana="#content_tags.findings[6]" resp="#tagger" cert="0.95">
        <label>more variance in microbiome configuration and immune response is explained by inter-individual variation than by disease state</label>
        <term>more variance in microbiome configuration and immune response is explained by inter-individual variation than by disease state</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t69" type="content_tags" ana="#content_tags.findings[7]" resp="#tagger" cert="0.95">
        <label>there is no general consensus on which features constitute a healthy microbiome</label>
        <term>there is no general consensus on which features constitute a healthy microbiome</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t70" type="content_tags" ana="#content_tags.definitions[0]" resp="#tagger" cert="0.95">
        <label>an animal model raised without commensal microbes, used as the field&#x27;s instrument for mechanistic causal relationships between microbiota and host immunity</label>
        <term>germ-free</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t71" type="content_tags" ana="#content_tags.definitions[1]" resp="#tagger" cert="0.95">
        <label>a modality limited to genus-level and purely compositional resolution, as against shotgun metagenomics which resolves strain and function</label>
        <term>16S rRNA sequencing</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t72" type="content_tags" ana="#content_tags.variables[0]" resp="#tagger" cert="0.95">
        <label>microbiome</label>
        <term>microbiome</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t73" type="content_tags" ana="#content_tags.variables[1]" resp="#tagger" cert="0.95">
        <label>disease state</label>
        <term>disease state</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
    </spanGrp>
  </standOff>
  <text>
    <body>
      <p><note type="rights">The full text of this article is not redistributable, so it is
      not included here. The evidence sentences are withheld with it; the tag layer and its
      grounding status remain. The article itself is at https://doi.org/10.1038/s41422-020-0332-7.</note></p>
    </body>
  </text>
</TEI>
