Evidence map›Paper›PMID 15285784›Full record

ArticleBMC gastroenterology2004

Maternal microchimerism in the livers of patients with biliary atresia.

David L Suskind, Philip Rosenthal, Melvin B Heyman, Denice Kong, Greg Magrane, Lee-Ann Baxter-Lowe, Marcus O Muench

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 81 citations in OpenAlex.

  1. Article
  2. Review
  3. Genetic background and biliary atresia.World journal of pediatric surgery · 2025
    Review
  4. Biliary atresia.Nature reviews. Disease primers · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

David L SuskindDepartment of Pediatrics, University of California, San Francisco, USA. david.suskind@seattlechildrens.org
Philip Rosenthal
Melvin B Heyman
Denice Kong
Greg Magrane
Lee-Ann Baxter-Lowe
Marcus O Muench
University of California, San Francisco · USSeattle Children's Hospital · US

Funding

TRAINING PROGRAM IN PEDIATRIC GASTROENTEROLOGY/NUTRITIONT32DK007762 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI James Bayrer · 1998 to 2026
$7.3M
Studies in Children with Digestive DisordersK24DK060617 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HEYMAN, MELVIN B. · 2002 to 2011
$1.6M
Fetal Stem Cell Gene TherapyK01DK059301 · NIDDK · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI MUENCH, MARCUS O · 2001 to 2003
$265k
NIDDK NIH HHS DK060617NIDDK NIH HHS DK07762NIDDK NIH HHS DK59301NIDDK NIH HHS K01 DK059301NIDDK NIH HHS K24 DK060617NIDDK NIH HHS T32 DK007762
6 · The paper itself

Abstract

backgroundBiliary atresia (BA) is a neonatal cholestatic disease of unknown etiology. It is the leading cause of liver transplantation in children. Many similarities exist between BA and graft versus host disease suggesting engraftment of maternal cells during gestation could result in immune responses that lead to BA. The aim of this study was to determine the presence and extent of maternal microchimerism (MM) in the livers of infants with BA.

methodsUsing fluorescent in situ hybridization (FISH), 11 male BA & 4 male neonatal hepatitis (NH) livers, which served as controls, were analyzed for X and Y-chromosomes. To further investigate MM in BA, 3 patients with BA, and their mothers, were HLA typed. Using immunohistochemical stains, the BA livers were examined for MM. Four additional BA livers underwent analysis by polymerase chain reaction (PCR) for evidence of MM.

resultsBy FISH, 8 BA and 2 NH livers were interpretable. Seven of eight BA specimens showed evidence of MM. The number of maternal cells ranged from 2-4 maternal cells per biopsy slide. Neither NH specimen showed evidence of MM. In addition, immunohistochemical stains confirmed evidence of MM. Using PCR, a range of 1-142 copies of maternal DNA per 25,000 copies of patients DNA was found.

conclusionsMaternal microchimerism is present in the livers of patients with BA and may contribute to the pathogenesis of BA.

Indexed as

Biliary AtresiaChimeraChromosomes, Human, XChromosomes, Human, YDNAFemaleHLA AntigensHumansInfant, NewbornIn Situ Hybridization, FluorescenceLiverMaleMaternal-Fetal ExchangePolymerase Chain ReactionPregnancyDNAHLA Antigens

Identifiers

PMID15285784
PMCPMC514704
OpenAlexW1777952349

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.