Evidence map›Paper›PMID 19221600›Full record

ArticlePloS one2009

Genetic variants of Wnt transcription factor TCF-4 (TCF7L2) putative promoter region are associated with small intestinal Crohn's disease.

Maureen J Koslowski, Irmgard Kübler, Mathias Chamaillard, Elke Schaeffeler, Walter Reinisch, Guoxing Wang, Julia Beisner, Alexander Teml, Laurent Peyrin-Biroulet, Stefan Winter and 10 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
8.1field-weighted citation impact, top 2% 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

65 citing papers in PubMed, 135 citations in OpenAlex.

  1. Trial
  2. Notoginsenoside R1 promotes Lgr5Acta pharmacologica Sinica · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Human α-Defensin 5International journal of molecular sciences · 2023
    Article
  8. Review
  9. Crohn's disease: Why the ileum?World journal of gastroenterology · 2023
    Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. The MYTHS ofJapanese journal of gastroenterology and hepatology · 2020
    Article
  18. Review
  19. Article
  20. Article

5 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

20 authors at 9 institutions in 8 countries.

Maureen J KoslowskiDr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology, University of Tübingen, Stuttgart, Germany.
Irmgard Kübler
Mathias Chamaillard
Elke Schaeffeler
Walter Reinisch
Guoxing Wang
Julia Beisner
Alexander Teml
Laurent Peyrin-Biroulet
Stefan Winter
Klaus R Herrlinger
Paul Rutgeerts
Séverine Vermeire
Rachel Cooney
Klaus Fellermann
Derek Jewell
Charles L Bevins
Matthias Schwab
Eduard F Stange
Jan Wehkamp
University of Tübingen · DERobert Bosch Hospital · DEDr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology · DEJohn Radcliffe Hospital · GBKU Leuven · BECentre Hospitalier Universitaire de Tokoin · TGCzech Academy of Sciences, Institute of Microbiology · CZInserm · FRMedical University of Vienna · AT

Funding

Novel Defensins in Human Epithelial TissuesR37AI032738 · NIAID · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BEVINS, CHARLES L · 2015 to 2022
$3.1M
Novel Defensins of Human EpitheliaR01AI032738 · NIAID · UNIVERSITY OF CALIFORNIA DAVIS · PI BEVINS, CHARLES L · 1993 to 2009
$2.3M
In vivo Models of Defensin ActivityR01AI050843 · NIAID · UNIVERSITY OF CALIFORNIA DAVIS · PI BEVINS, CHARLES L · 2002 to 2006
$1.6M
NIAID NIH HHS AI32738NIAID NIH HHS AI50843NIAID NIH HHS R01 AI032738NIAID NIH HHS R01 AI050843NIAID NIH HHS R37 AI032738
6 · The paper itself

Abstract

Reduced expression of Paneth cell antimicrobial alpha-defensins, human defensin (HD)-5 and -6, characterizes Crohn's disease (CD) of the ileum. TCF-4 (also named TCF7L2), a Wnt signalling pathway transcription factor, orchestrates Paneth cell differentiation, directly regulates the expression of HD-5 and -6, and was previously associated with the decrease of these antimicrobial peptides in a subset of ileal CD. To investigate a potential genetic association of TCF-4 with ileal CD, we sequenced 2.1 kb of the 5' flanking region of TCF-4 in a small group of ileal CD patients and controls (n = 10 each). We identified eight single nucleotide polymorphisms (SNPs), of which three (rs3814570, rs10885394, rs10885395) were in linkage disequilibrium and found more frequently in patients; one (rs3814570) was thereby located in a predicted regulatory region. We carried out high-throughput analysis of this SNP in three cohorts of inflammatory bowel disease (IBD) patients and controls. Overall 1399 healthy individuals, 785 ulcerative colitis (UC) patients, 225 CD patients with colonic disease only and 784 CD patients with ileal involvement were used to determine frequency distributions. We found an association of rs3814570 with ileal CD but neither with colonic CD or UC, in a combined analysis (allele positivity: OR 1.27, 95% CI 1.07 to 1.52, p = 0.00737), which was the strongest in ileal CD patients with stricturing behaviour (allele frequency: OR 1.32, 95% CI 1.08 to1.62, p = 0.00686) or an additional involvement of the upper GIT (allele frequency: OR 1.38, 95% CI 1.03 to1.84, p = 0.02882). The newly identified genetic association of TCF-4 with ileal CD provides evidence that the decrease in Paneth cell alpha-defensins is a primary factor in disease pathogenesis.

Indexed as

Genetic VariationAdolescentAdultAllelesCrohn DiseaseFemaleGenetic Predisposition to DiseaseGenotypeHumansIleumLinkage DisequilibriumMaleNod2 Signaling Adaptor ProteinPaneth CellsPolymorphism, Single NucleotidePromoter Regions, GeneticNod2 Signaling Adaptor ProteinTCF7L2 protein, humanTCF Transcription FactorsTranscription Factor 7-Like 2 Protein

Identifiers

PMID19221600
PMCPMC2637978
OpenAlexW1989377261

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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.