Evidence map›Paper›PMID 21391291›Full record

ArticleInflammatory bowel diseases2011

Combination of genetic and quantitative serological immune markers are associated with complicated Crohn's disease behavior.

Gary R Lichtenstein, Stephan R Targan, Marla C Dubinsky, Jerome I Rotter, Derren M Barken, Fred Princen, Susan Carroll, Michelle Brown, Jordan Stachelski, Emil Chuang and 4 more

Open access · greenAbstract read
In one paragraph

Article in Inflammatory bowel diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
7.4field-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

27 citing papers in PubMed, 82 citations in OpenAlex.

  1. Trial
  2. A high-fiber diet may improve bowel function and health-related quality of life in patients with Crohn disease.Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates
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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

14 authors at 4 institutions in 2 countries.

Gary R LichtensteinDepartment of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA. Gary.Lichtenstein@uphs.upenn.edu
Stephan R Targan
Marla C Dubinsky
Jerome I Rotter
Derren M Barken
Fred Princen
Susan Carroll
Michelle Brown
Jordan Stachelski
Emil Chuang
Carol J Landers
Joanne M Stempak
Sharat Singh
Mark S Silverberg
Prometheus Biosciences (United States) · USCedars-Sinai Medical Center · USUniversity of Toronto · CAHospital of the University of Pennsylvania · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Using polygenic scores to enhance both variant discovery, and understanding of functional consequences of genetic variation in IBD.P01DK046763 · NIDDK · CEDARS-SINAI MEDICAL CENTER · PI TARGAN, STEPHAN R. · 1992 to 2020
$31.1M
NCATS NIH HHS UL1 TR000124NIDDK NIH HHS P01 DK046763
6 · The paper itself

Abstract

backgroundTreatment of Crohn's disease (CD) with biologics may alter disease progression, leading to fewer disease-related complications, but cost and adverse event profiles often limit their effective use. Tools identifying patients at high risk of complications, who would benefit the most from biologics, would be valuable. Previous studies suggest that biomarkers may aid in determining the course of CD. We aimed to determine if combined serologic immune responses and NOD2 genetic markers are associated with CD complications.

methodsIn this cross-sectional study, banked blood from well-characterized CD patients (n = 593; mean follow-up: 12 years) from tertiary and community centers was analyzed for six serological biomarkers (ASCA-IgA, ASCA-IgG, anti-OmpC, anti-CBir1, anti-I2, pANCA). In a patient subset (n = 385), NOD2 (SNP8, SNP12, SNP13) genotyping was performed. Complications included stricturing and penetrating disease behaviors. A logistic regression model for the risk of complications over time was constructed and evaluated by cross-validation.

resultsFor each serologic marker, complication rates were stratified by quartile. Complication frequency was significantly different across quartiles for each marker (P trend ≤ 0.001). Patients with SNP13 NOD2 risk alleles experienced increased complications versus patients without NOD2 mutations (P ≤ 0.001). A calibration plot of modeled versus observed complication rates demonstrated good agreement (R = 0.973). Performance of the model integrating serologic and genetic markers was demonstrated by area under the receiver operating characteristic curve (AUC = 0.801; 95% confidence interval: 0.757-0.846).

conclusionsThis model combining serologic and NOD2 genetic markers may provide physicians with a tool to assess the probability of patients developing a complication over the course of CD.

Indexed as

Genetic MarkersAdolescentAdultAgedAged, 80 and overBiomarkersChildChild, PreschoolConstriction, PathologicCrohn DiseaseCross-Sectional StudiesDisease ProgressionEnzyme-Linked Immunosorbent AssayFemaleHumansMaleBiomarkersGenetic MarkersNOD2 protein, humanNod2 Signaling Adaptor Protein

Identifiers

PMID21391291
PMCPMC4203682
OpenAlexW2037772332

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.