Evidence map›Paper›PMID 21502824›Full record

ArticleJournal of pediatric gastroenterology and nutrition2011

Granulocyte macrophage-colony-stimulating factor autoantibodies and increased intestinal permeability in Crohn disease.

Cade M Nylund, Sharon D'Mello, Mi-Ok Kim, Erin Bonkowski, Jan Däbritz, Dirk Foell, Jon Meddings, Bruce C Trapnell, Lee A Denson

Abstract read
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  11. Pulmonary Alveolar Proteinosis with Ulcerative Colitis.Internal medicine (Tokyo, Japan) · 2018
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  16. [Biomarkers for chronic inflammatory diseases].Zeitschrift fur Rheumatologie · 2015
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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

9 authors at 4 institutions in 3 countries.

Cade M NylundDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA. cade.nylund@usuhs.mil
Sharon D'Mello
Mi-Ok Kim
Erin Bonkowski
Jan Däbritz
Dirk Foell
Jon Meddings
Bruce C Trapnell
Lee A Denson
University of Cincinnati · USUniversity of Münster · DECincinnati Children's Hospital Medical Center · USUniversity of Alberta · CA

Funding

Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Kathryn Ann Wikenheiser-Brokamp · 2007 to 2026
$24.4M
PEDIATRIC GASTROENTEROLOGY AND NUTRITION TRAINING GRANTT32DK007727 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Phillip P Minar · 1995 to 2026
$11.3M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
Growth Hormone Receptor Dimerization/Disulfide LinkageR01DK058259 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FRANK, STUART J · 2001 to 2014
$3.4M
Biomarkers for Inflammatory Bowel Disease Behavior and Treatment ResponseR01DK078683 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI DENSON, LEE ARMISTEAD · 2009 to 2012
$2.0M
NCATS NIH HHS UL1 TR000077NIDDK NIH HHS 1P30DK078392-01NIDDK NIH HHS P30 DK078392NIDDK NIH HHS R01 DK058259NIDDK NIH HHS R01 DK078683NIDDK NIH HHS T32 DK007727
6 · The paper itself

Abstract

backgroundAlterations in intestinal permeability have been implicated in the pathogenesis of Crohn disease (CD). We have reported that granulocyte macrophage-colony-stimulating factor (GM-CSF) is required for mucosal barrier function in mice, and elevated neutralizing GM-CSF autoantibodies (Ab) are associated with stricturing ileal disease and surgery in patients with CD. We hypothesized that children with CD with elevated GM-CSF Ab would exhibit increased intestinal permeability. PATIENTS AND

methodsSubjects were divided into 3 groups: 15 with CD and high GM-CSF Ab (≥ 1.6 μg/mL, GM-CSF Ab Hi), 12 with CD and low GM-CSF Ab (<1.6 μg/mL, GM-CSF Ab Lo), and 15 healthy controls. Subjects ingested a lactulose:mannitol (L:M) solution, and urinary excretion of LM was measured by high-performance liquid chromatography. Serum GM-CSF Ab, endotoxin core Ab (EndoCAb), and lipopolysaccharide-binding protein (LBP), and fecal S100A12 were determined by enzyme-linked immunosorbent assay.

resultsThe CD groups did not vary by age, sex, disease location, or activity. Neither systemic (serum LBP) nor mucosal (fecal S100A12) inflammation differed between the CD groups. Intestinal permeability as measured by the urine L:M ratio and endotoxin exposure as measured by serum EndoCAb were increased in the GM-CSF Ab Hi group compared to the GM-CSF Ab Lo group and controls.

conclusionsPatients with CD with elevated GM-CSF Ab exhibit an increase in bowel permeability relative to patients with CD with lower levels of GM-CSF Ab in the absence of differences in systemic or intestinal inflammation. Therapies that target the mucosal barrier may be of particular benefit in this subgroup of patients with CD.

Indexed as

InflammationAcute-Phase ProteinsAdolescentAutoantibodiesCarrier ProteinsCase-Control StudiesChildCrohn DiseaseFemaleGranulocyte-Macrophage Colony-Stimulating FactorHumansIntestinal AbsorptionIntestinal MucosaLactuloseLipopolysaccharide-Binding ProteinMaleAcute-Phase ProteinsAutoantibodiesCarrier ProteinsGranulocyte-Macrophage Colony-Stimulating FactorLactuloseLipopolysaccharide-Binding ProteinMannitolMembrane GlycoproteinsS100A12 ProteinS100A12 protein, humanS100 Proteins

Identifiers

PMID21502824
PMCPMC6476427
OpenAlexW1994487913

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.