Evidence map›Paper›PMID 16775121›Full record

ArticleJournal of clinical pathology2007

Microscopic colitis demonstrates a T helper cell type 1 mucosal cytokine profile.

Peter P Tagkalidis, Peter R Gibson, Prithi S Bhathal

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical pathology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Update on the Epidemiology and Management of Microscopic Colitis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Review
  3. Review
  4. Exploring the association between microscopic colitis and celiac disease: A comprehensive analysis using the national in-patient data (2016-2019).Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2024
    Article
  5. Review
  6. Article
  7. Lymphocytic Gastritis in a Patient With Microscopic Colitis: A Case Report.Journal of community hospital internal medicine perspectives · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Microscopic colitis.Nature reviews. Disease primers · 2021
    Review
  17. Review
  18. Controversials of Microscopic Colitis.Frontiers in medicine · 2021
    Review
  19. Article
  20. Article
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

3 authors at 2 institutions in 1 country.

Peter P TagkalidisDepartment of Pathology, The University of Melbourne, Parkville, Victoria, Australia. tagkalidis@mh.org.au
Peter R Gibson
Prithi S Bhathal
University of Melbourne · AUBox Hill Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMicroscopic colitis (MC) is an inflammatory disorder of unknown aetiology.

aimTo characterise the mucosal cytokine profile of MC, with a view to understanding its potential pathogenic mechanisms.

methodsCytokine profiles of mucosal biopse specimens taken at flexible sigmoidoscopy from 18 patients (8 with lymphocytic colitis and 10 with collagenous colitis) were analysed using real-time reverse transcriptase-PCR, in comparison with those from 13 aged-matched controls with diarrhoea-predominant irritable bowel syndrome. Biopsy specimens from six patients with histologically documented remission were available for comparative analysis. Biopsy specimens were also taken to determine the cellular expression of cytokine and cytokine-related proteins using immunohistochemistry.

resultsMucosal mRNA levels were 100 times greater for interferon (IFN)gamma and interleukin (IL) 15, 60 times greater for tumour necrosis factor alpha, and 35 times greater for inducible nitric oxide synthase in MC compared with controls. Apart from a trend for increased levels of IL10, levels of other T helper cell type 2 (T(H)2) cytokines including IL2 and IL4 were too low to be accurately quantified. Mucosal IFNgamma mRNA levels correlated with the degree of diarrhoea, and returned to normal in remission. The immunohistochemical expression of cell junction proteins E-cadherin and ZO-1 was reduced in active disease. No differences were noted between lymphocytic and collagenous colitis for any of the above parameters.

conclusionsMC demonstrates a T(H)1 mucosal cytokine profile with IFNgamma as the predominantly upregulated cytokine, with concurrent induction of nitric oxide synthase and down regulation of IFNgamma-related cell junction proteins. This pattern is similar to that in coeliac disease and suggests that it might represent a response to a luminal antigen.

Indexed as

AgedAged, 80 and overColitis, CollagenousColitis, MicroscopicCytokinesFemaleGene Expression RegulationHumansInterleukin-15Intestinal MucosaMaleMembrane ProteinsMiddle AgedNitric Oxide Synthase Type IIPhosphoproteinsReverse Transcriptase Polymerase Chain ReactionCytokinesInterleukin-15Membrane ProteinsNitric Oxide Synthase Type IIPhosphoproteinsRNA, MessengerTJP1 protein, humanTumor Necrosis Factor-alphaZonula Occludens-1 Protein

Identifiers

PMID16775121
PMCPMC2001106
OpenAlexW1973146776

What OpenQuestion holds

Textmetadata
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.