Evidence map›Paper›PMID 18003793›Full record

ArticleAmerican journal of physiology. Regulatory, integrative and comparative physiology2008

Detectable serum flagellin and lipopolysaccharide and upregulated anti-flagellin and lipopolysaccharide immunoglobulins in human short bowel syndrome.

Thomas R Ziegler, Menghua Luo, Concepción F Estívariz, Daniel A Moore, Shanthi V Sitaraman, Li Hao, Niloofar Bazargan, Jan-Michael Klapproth, Junqiang Tian, John R Galloway and 3 more

Open access · greenAbstract read
In one paragraph

Article in American journal of physiology. Regulatory, integrative and comparative physiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
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

63 citing papers in PubMed, 95 citations in OpenAlex.

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  6. Maternal Aflatoxin Exposure, Birth Outcomes, and Infant Growth in Uganda.The American journal of tropical medicine and hygiene · 2026
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3 more citing papers are in PubMed but not listed here.

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

13 authors at 1 institution in 1 country.

Thomas R ZieglerGeneral Clinical Research Center, Emory University Hospital, 1364 Clifton Road, Atlanta, GA 30322, USA. tzieg01@emory.edu
Menghua Luo
Concepción F Estívariz
Daniel A Moore
Shanthi V Sitaraman
Li Hao
Niloofar Bazargan
Jan-Michael Klapproth
Junqiang Tian
John R Galloway
Lorraine M Leader
Dean P Jones
Andrew T Gewirtz
Emory University Hospital · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
X LINKED NYSTAGMUS SYNDROME WITH FEATURES OF ALBINISMM01RR000039 · NCRR · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 1985 to 2007
$21.3M
Emory Epithelial Pathobiology Research Development CenterR24DK064399 · NIDDK · EMORY UNIVERSITY · PI PARKOS, CHARLES A · 2003 to 2012
$5.3M
Flagellin-Induced Gut Epithelial Chemokine SecretionR01DK061417 · NIDDK · GEORGIA STATE UNIVERSITY · PI GEWIRTZ, ANDREW T · 2003 to 2012
$3.4M
DIET/GROWTH FACTOR MECHANISMS OF GUT ADAPTATIONR01DK055850 · NIDDK · EMORY UNIVERSITY · PI ZIEGLER, THOMAS R · 2000 to 2004
$1.5M
Patient Oriented Research In Clinical NutritionK24DK096574 · NIDDK · EMORY UNIVERSITY · PI ZIEGLER, THOMAS R · 2012 to 2016
$888k
Patient Oriented Research in Clinical NutritionK24RR023356 · NCRR · EMORY UNIVERSITY · PI ZIEGLER, THOMAS R · 2007 to 2011
$839k
INTESTINAL ADENOSINE A2B RECEPTORK08DK002802 · NIDDK · EMORY UNIVERSITY · PI SITARAMAN, SHANTHI VASUDEVAN · 2000 to 2004
$616k
Mechanisms of Adaptation in Human Short Bowel SyndromeR03DK067123 · NIDDK · EMORY UNIVERSITY · PI ZIEGLER, THOMAS R · 2004 to 2005
$298k
NCATS NIH HHS UL1 TR000454NCRR NIH HHS K24 RR023356NCRR NIH HHS M01 RR000039NCRR NIH HHS M01 RR 00039NCRR NIH HHS UL1 RR025008NIDDK NIH HHS K08 DK002802NIDDK NIH HHS K24 DK096574NIDDK NIH HHS R01 DK 002802NIDDK NIH HHS R01 DK055850NIDDK NIH HHS R01 DK 061417NIDDK NIH HHS R01 DK061417NIDDK NIH HHS R01 DK 55850NIDDK NIH HHS R03 DK067123NIDDK NIH HHS R24 DK 064399NIDDK NIH HHS R24 DK064399
6 · The paper itself

Abstract

Gut barrier dysfunction may occur in short bowel syndrome (SBS). We hypothesized that systemic exposure to flagellin and lipopolysaccharide (LPS) in SBS might regulate specific immune responses. We analyzed serial serum samples obtained from parenteral nutrition (PN)-dependent patients with SBS versus non-SBS control serum. Serum from 23 adult SBS patients was obtained at baseline and 4, 8, 12, 16, 20, and 24 wk in a trial of modified diet with or without growth hormone. Control serum was obtained from 48 healthy adults and 37 adults requiring PN during critical illness. Serum flagellin was detected by an ELISA recognizing an array of gram-negative flagellins, and LPS was detected by limulus assay. Serum flagellin- and LPS-specific immunoglobulin levels (IgM, IgA, and IgG) were determined by ELISA. Serum flagellin and LPS were undetectable in control subjects. In contrast, serum flagellin, LPS, or both were detected in 14 SBS patients (61%) during one or more time points [flagellin alone, 5/23 (22%); LPS alone, 6/23 (26%); or flagellin + LPS, 3/23 (13%)]. Flagellin-specific serum IgM, IgA, and IgG levels were markedly increased in SBS patients compared with both control populations and remained elevated during the 6-mo study period. LPS-specific IgA was significantly higher in SBS patients compared with healthy controls; LPS-specific IgM, IgA, and IgG levels each decreased over time in association with PN weaning. We conclude that adults with PN-dependent SBS are systemically exposed to flagellin and LPS, presumably from the gut lumen. This likely regulates innate and adaptive immune responses to these specific bacterial products.

Indexed as

AdultAgedAntibodies, BacterialAntibody SpecificityFemaleFlagellinHumansImmunoglobulin AImmunoglobulin GImmunoglobulin MLipopolysaccharidesMaleMiddle AgedShort Bowel SyndromeUp-RegulationAntibodies, BacterialFlagellinImmunoglobulin AImmunoglobulin GImmunoglobulin MLipopolysaccharides

Identifiers

PMID18003793
PMCPMC3064750
OpenAlexW2107206594

What OpenQuestion holds

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Registered trials

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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.