Evidence map›Paper›PMID 23324439›Full record

ArticleBMC gastroenterology2013

The impact of MFG-E8 in chronic pancreatitis: potential for future immunotherapy?

Jan G D'Haese, Ihsan Ekin Demir, Timo Kehl, Jannik Winckler, Nathalia A Giese, Frank Bergmann, Thomas Giese, Markus W Büchler, Helmut Friess, Mark Hartel and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

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  8. Regulation of osteoclast homeostasis and inflammatory bone loss by MFG-E8.Journal of immunology (Baltimore, Md. : 1950) · 2014
    Article
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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

11 authors at 3 institutions in 1 country.

Jan G D'HaeseDepartment of Surgery, Klinikum Rechts der Isar, Technische Universität München, Ismaninger Str, 22, Munich, D-81675, Germany.
Ihsan Ekin Demir
Timo Kehl
Jannik Winckler
Nathalia A Giese
Frank Bergmann
Thomas Giese
Markus W Büchler
Helmut Friess
Mark Hartel
Güralp O Ceyhan
Technical University of Munich · DEHeidelberg University · DEKlinikum rechts der Isar · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe glycoprotein MFG-E8 mediates phagocytic clearance of apoptotic cells and influences the pathogenesis and progression of inflammatory diseases. MFG-E8 was shown to attenuate the progression of inflammation and to improve survival in septic rats. Accumulating evidence suggests an immunomodulatory link between MFG-E8 and the pro-inflammatory chemokine fractalkine, which may determine the severity of pain, fibrosis, and inflammation in chronic pancreatitis (CP).

methodsThe expression and localization of MFG-E8 was investigated in CP (n=62), and normal pancreas (NP; n=34) by QRT-PCR, Western-blot and immunohistochemistry analyses. Results were correlated with mRNA expression of fractalkine, CX3CR1, and with the presence and degree of pain and fibrosis. Human pancreatic stellate cells (hPSCs) were isolated from CP tissues and evaluated for MFG-E8 mRNA expression after fractalkine stimulation.

resultsMFG-E8-mRNA was significantly overexpressed in CP and isolated hPSCs when compared to NP. Western-blot and immunohistochemistry analysis confirmed accumulation of MFG-E8 in CP, with noticeably increased MFG-E8 immunoreactivity in tubular complexes. MFG-E8 expression correlated significantly with fractalkine expression, severe fibrosis, and the presence of pain in CP patients. Stimulation of hPSCs with fractalkine led to a significant increase in MFG-E8 expression.

conclusionsIn the present study, we demonstrated for the first time that MFG-E8 is significantly up-regulated in CP patients and together with fractalkine correlated noticeably with severe fibrosis and the presence of pain. hPSCs overexpress MFG-E8 upon fractalkine stimulation in vitro, which underlines the suggested immunmodulatory link in CP and may be a key mechanism in CP fibrogenesis and pain generation. Taken together, these novel findings suggest that MFG-E8 blockade may be a promising tool for future immunotherapy in CP to attenuate both fibrosis and pain sensation.

Indexed as

ImmunotherapyAdultAntigens, SurfaceCase-Control StudiesCells, CulturedChemokine CX3CL1FemaleHumansIn Vitro TechniquesMaleMiddle AgedMilk ProteinsPain MeasurementPancreasPancreatic Stellate CellsPancreatitis, ChronicAntigens, SurfaceChemokine CX3CL1MFGE8 protein, humanMilk Proteins

Identifiers

PMID23324439
PMCPMC3556065
OpenAlexW2048594837

What OpenQuestion holds

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LicenceCC BY
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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.