Barely Significant
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Gut microbiota alterations in primary biliary cholangitis: a systematic review and meta-analysis.

Front Microbiol · 2026 · PMC13290725 · PMID 42358256

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a decreasing trendno p-value reported
Enriched genera such as Bifidobacterium , Lactobacillus , and Clostridium may directly produce indole-3-lactic acid, indole-3-aldehyde, or related metabolites, whereas Bacteroides , one of the major taxa associated with tryptophanase activity, showed a decreasing trend ( Wang et al., 2019 ).

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Specifically, the Shannon index was significantly reduced (SMD = −0.72, 95% CI: −1.22 to −0.22), and although the Chao1 index did not reach statistical significance in the overall analysis, it showed a significant reduction after exclusion of an outlier study in sensitivity analysis (SMD = −0.38, 95% CI: −0.63 to −0.15).

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.