Evidence map›Paper›PMID 23728173›Full record

ArticleThe Journal of clinical investigation2013

Persistent G. lamblia impairs growth in a murine malnutrition model.

Luther A Bartelt, James Roche, Glynis Kolling, David Bolick, Francisco Noronha, Caitlin Naylor, Paul Hoffman, Cirle Warren, Steven Singer, Richard Guerrant

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
8.1field-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

68 citing papers in PubMed, 120 citations in OpenAlex.

  1. Trial
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  11. Animals : an open access journal from MDPI · 2023
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  12. Stem-Loop Structures in Iron-Regulated mRNAs ofInternational journal of environmental research and public health · 2023
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  15. Mucosal Defense AgainstFrontiers in immunology · 2022
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Luther A BarteltDivision of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia 22903, USA. lab2za@virginia.edu
James Roche
Glynis Kolling
David Bolick
Francisco Noronha
Caitlin Naylor
Paul Hoffman
Cirle Warren
Steven Singer
Richard Guerrant
Center for Global Health · USGeorgetown University · USUniversity of Virginia Health System · US

Funding

Vaccine strategy for broad spectrum protection agains non-typhoidal salmonellU54AI057168 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI LEVINE, MYRON MAX · 2003 to 2013
$91.5M
Nitrothiazolides:Broad-Spectrum Category B Anti-parasitic/bacterial TherapeuticsU01AI075520 · NIAID · UNIVERSITY OF VIRGINIA · PI HOFFMAN, PAUL STOKES · 2007 to 2011
$2.6M
RESEARCH TRAINING IN DIGESTIVE DISEASEST32DK007769 · NIDDK · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI COHN, STEVEN M · 1999 to 2014
$2.1M
APOE and the Effects of Malnutrition on Cognitive and Intestinal DevelopmentR01HD053131 · NICHD · UNIVERSITY OF VIRGINIA · PI GUERRANT, RICHARD L · 2006 to 2010
$1.6M
Immune Control of Giardia PathogenesisR15AI094492 · NIAID · GEORGETOWN UNIVERSITY · PI SINGER, STEVEN M · 2011 to 2011
$461k
NIAID NIH HHS AI 094492-01NIAID NIH HHS R15 AI094492NIAID NIH HHS U01 AI057168NIAID NIH HHS U01 AI075520NIAID NIH HHS U54 AI057168NICHD NIH HHS R01 HD053131NIDDK NIH HHS T32 DK007769NIDDK NIH HHS T32 DK007769-11
6 · The paper itself

Abstract

Giardia lamblia infections are nearly universal among children in low-income countries and are syndemic with the triumvirate of malnutrition, diarrhea, and developmental growth delays. Amidst the morass of early childhood enteropathogen exposures in these populations, G. lamblia–specific associations with persistent diarrhea, cognitive deficits, stunting, and nutrient deficiencies have demonstrated conflicting results, placing endemic pediatric giardiasis in a state of equipoise. Many infections in endemic settings appear to be asymptomatic/ subclinical, further contributing to uncertainty regarding a causal link between G. lamblia infection and developmental delay. We used G. lamblia H3 cyst infection in a weaned mouse model of malnutrition to demonstrate that persistent giardiasis leads to epithelial cell apoptosis and crypt hyperplasia. Infection was associated with a Th2-biased inflammatory response and impaired growth. Malnutrition accentuated the severity of these growth decrements. Faltering malnourished mice exhibited impaired compensatory responses following infection and demonstrated an absence of crypt hyperplasia and subsequently blunted villus architecture. Concomitantly, severe malnutrition prevented increases in B220+ cells in the lamina propria as well as mucosal Il4 and Il5 mRNA in response to infection. These findings add insight into the potential role of G. lamblia as a "stunting" pathogen and suggest that, similarly, malnourished children may be at increased risk of G. lamblia– potentiated growth decrements.

Indexed as

AnimalsDisease Models, AnimalDuodenumEosinophilsGene ExpressionGiardia lambliaGiardiasisGrowth DisordersHost-Parasite InteractionsHumansIleumInterleukin-4Interleukin-5Intestinal MucosaLymphocyte CountMaleInterleukin-4Interleukin-5

Identifiers

PMID23728173
PMCPMC3668820
OpenAlexW2055074417

What OpenQuestion holds

Textmetadata
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.