Evidence map›Paper›PMID 19924809›Full record

ArticleInflammatory bowel diseases2010

Lipopolysaccharide exposure is linked to activation of the acute phase response and growth failure in pediatric Crohn's disease and murine colitis.

Brad A Pasternak, Sharon D'Mello, Ingrid I Jurickova, Xiaonan Han, Tara Willson, Leah Flick, Lisa Petiniot, Naonori Uozumi, Senad Divanovic, Anna Traurnicht and 4 more

Open access · greenAbstract read
In one paragraph

Article in Inflammatory bowel diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. AcuteMicroorganisms · 2025
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  9. Journal of inflammation research · 2025
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  10. Article
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  12. Article
  13. Evolution ofGut microbes · 2023
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. BMJ case reports · 2022
    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

14 authors at 4 institutions in 1 country.

Brad A PasternakDepartment of Pediatric Gastroenterology, Phoenix Children's Hospital, Phoenix, Arizona, USA.
Sharon D'Mello
Ingrid I Jurickova
Xiaonan Han
Tara Willson
Leah Flick
Lisa Petiniot
Naonori Uozumi
Senad Divanovic
Anna Traurnicht
Erin Bonkowski
Subra Kugathasan
Christopher L Karp
Lee A Denson
University of Cincinnati · USCincinnati Children's Hospital Medical Center · USEmory University · USPhoenix Children's Hospital · US

Funding

Pediatric Scientist Development Program (PSDP) [K12]K12HD000850 · NICHD · YALE UNIVERSITY · PI Sallie R. Permar · 1987 to 2026
$44.1M
Growth Hormone Receptor Dimerization/Disulfide LinkageR01DK058259 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FRANK, STUART J · 2001 to 2014
$3.4M
Regulation of TLR Signaling and Innate Immunity by RP105R01AI075159 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI HOEBE, KASPER · 2007 to 2011
$1.8M
NIAID NIH HHS R01 AI075159NICHD NIH HHS K12 HD000850NICHD NIH HHS K12-HD00850NIDDK NIH HHS P30 DK0789392NIDDK NIH HHS R01 DK058259
6 · The paper itself

Abstract

backgroundSystemic exposure to lipopolysaccharide (LPS) has been linked to clinical disease activity in adults with inflammatory bowel disease (IBD). We hypothesized that markers of LPS exposure and the acute phase response (APR) would be increased in pediatric IBD patients with growth failure, and that LPS signaling would be required for induction of the APR in murine colitis.

methodsSerum markers of LPS exposure, endotoxin core IgA antibody (EndoCAb), and the APR, LPS binding protein (LBP) were quantified in pediatric IBD patients and controls. LBP and cytokine production were determined after administration of trinitrobenzene sulfonic acid (TNBS) enemas to mice with genetic deletion of Toll-Like receptor 4 (TLR4), and wildtype (WT) controls.

resultsSerum EndoCAb and LBP were significantly elevated in patients with Crohn's disease (CD), compared to disease controls with ulcerative colitis (UC) and healthy controls (P < 0.001). This was independent of disease activity or location. CD patients with elevated serum EndoCAb and LBP exhibited linear growth failure which persisted during therapy. Serum LBP increased in WT mice following TNBS administration, in conjunction with increased serum TNF-alpha, IL-6, and IL-10, and expansion of regulatory T-cell numbers. Both the APR and expansion of foxp3+ T cells were abrogated in TLR4-deficient mice, in conjunction with a reduction in acute weight loss.

conclusionsLPS exposure and a persistent APR are associated with growth failure in pediatric CD. LPS signaling is required for the APR in murine colitis. Therapies targeting this pathway may benefit the subset of patients with refractory growth failure.

Indexed as

Acute-Phase ProteinsAcute-Phase ReactionAdolescentAdultAnimalsBiomarkersCarrier ProteinsCase-Control StudiesChildChild, PreschoolColitis, UlcerativeColonCrohn DiseaseCytokinesEnemaEnzyme-Linked Immunosorbent AssayAcute-Phase ProteinsBiomarkersCarrier ProteinsCytokinesLipopolysaccharide-Binding ProteinLipopolysaccharidesMembrane GlycoproteinsTlr4 protein, mouseToll-Like Receptor 4Trinitrobenzenesulfonic Acid

Identifiers

PMID19924809
PMCPMC3052288
OpenAlexW2098506435

What OpenQuestion holds

Textmetadata
LicenceTDM
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.