Evidence map›Paper›PMID 23426341›Full record

ArticleAnnals of surgery2014

IL-25 improves luminal innate immunity and barrier function during parenteral nutrition.

Aaron F Heneghan, Joseph F Pierre, Ankush Gosain, Kenneth A Kudsk

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in Annals of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.5field-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

17 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. The Pathology and Physiology of Ileostomy.Frontiers in nutrition · 2022
    Review
  6. Review
  7. Article
  8. Article
  9. Gastrointestinal immune and microbiome changes during parenteral nutrition.American journal of physiology. Gastrointestinal and liver physiology · 2017
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
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

4 authors at 2 institutions in 1 country.

Aaron F Heneghan*Department of Surgery, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI; and †Veteran Administration Surgical Service, William S. Middleton Memorial Veterans Hospital, Madison, WI.
Joseph F Pierre
Ankush Gosain
Kenneth A Kudsk
University of Wisconsin–Madison · USWisconsin Division of Public Health · US

Funding

ENTERAL VS IV FEEDING--EFFECT ON MUCOSAL IMMUNITYR01GM053439 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI KUDSK, KENNETH A · 1998 to 2010
$2.9M
Gastrointestinal Mucosal Immune Defects in Hirschsprungs DiseaseK08DK098271 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI GOSAIN, ANKUSH · 2014 to 2018
$815k
Route of Nutrition and Enteric Nervous System Effects on Innate Mucosal DefenseI01BX001672 · VA · WM S. MIDDLETON MEMORIAL VETERANS HOSP · PI KUDSK, KENNETH A · 2012 to 2015
–
BLRD VA I01 BX001672NIDDK NIH HHS K08 DK098271NIGMS NIH HHS R01 GM053439NIGMS NIH HHS R01 GM 53439
6 · The paper itself

Abstract

backgroundParenteral nutrition (PN) increases risks of infections in critically injured patients. Recently, PN was shown to reduce intestine luminal levels of the Paneth cell antimicrobial molecule secretory phospholipase A2 (sPLA2) and the goblet cell glycoprotein mucin2 (MUC2). These molecules are critical factors for innate mucosal immunity and provide barrier protection. Interleukin-4 (IL-4) and IL-13 regulate sPLA2 and MUC2 production through the IL-13 receptor. Because IL-25 stimulates IL-4 and IL-13 release and PN reduces luminal sPLA2 and MUC2, we hypothesized that adding IL-25 to PN would restore these innate immune factors and maintain barrier function.

methodsTwo days after venous cannulation, male ICR (Institute of Cancer Research) mice were randomized to receive chow (n = 12), PN (n = 9), or PN + 0.7 μg of exogenous IL-25 (n = 11) daily for 5 days. Small-intestine wash fluid (SIWF) was collected for analysis of sPLA2 activity, MUC2 density, and luminal levels of IL-4 and IL-13. Small-intestinal tissue was harvested for analysis of tissue sPLA2 activity or immediate use in an ex-vivo intestinal segment culture (EVISC) to assess susceptibility of the tissue segments to enteroinvasive Escherichia coli.

resultsPN reduced luminal sPLA2 (P < 0.0001) and MUC2 (P <0.002) compared with chow, whereas the addition of IL-25 to PN increased luminal sPLA2 (P < 0.0001) and MUC2 (P < 0.02) compared with PN. Tissue IL-4 and IL-13 decreased with PN compared with chow (IL-4: P < 0.0001, IL-13: P < 0.002), whereas IL-25 increased both cytokines compared with PN (IL-4: P < 0.03, IL-13: P < 0.02). Tissue levels of sPLA2 were significantly decreased with PN compared with chow, whereas IL-25 significantly increased tissue sPLA2 levels compared with PN alone. Functionally, more bacteria invaded the PN-treated tissue compared with chow (P < 0.01), and the addition of IL-25 to PN decreased enteroinvasion to chow levels (P < 0.01).

conclusionsPN impairs innate mucosal immunity by suppressing luminal sPLA2 activity and MUC2 density compared with chow. PN also increases bacterial invasion in ex-vivo tissue. Administration of exogenous IL-25 reverses this dysfunction and increases luminal sPLA2 and MUC2. PN tissue treated with IL-25 was significantly more resistant to bacterial invasion than with PN alone, suggesting that IL-25-induced effects augment the barrier defense mechanisms.

Indexed as

AnimalsBiomarkersBlotting, WesternDisease SusceptibilityEscherichia coliImmunity, InnateImmunologic FactorsInterleukin-13Interleukin-17Interleukin-4Intestinal MucosaIntestine, SmallMaleMiceMice, Inbred ICRMucin-2BiomarkersImmunologic FactorsInterleukin-13Interleukin-17Interleukin-4Muc2 protein, mouseMucin-2Phospholipases A2, Secretory

Identifiers

PMID23426341
PMCPMC3661688
OpenAlexW1999794186

What OpenQuestion holds

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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.