Evidence map›Paper›PMID 24076061›Full record

ArticleGastroenterology2014

Genetic variants synthesize to produce paneth cell phenotypes that define subtypes of Crohn's disease.

Kelli L VanDussen, Ta-Chiang Liu, Dalin Li, Fadi Towfic, Nir Modiano, Rachel Winter, Talin Haritunians, Kent D Taylor, Deepti Dhall, Stephan R Targan and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed
10.0field-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

119 citing papers in PubMed, 186 citations in OpenAlex.

  1. Trial
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  13. Article
  14. Intestinal stem cell niche: An upcoming area of immense importance in gastrointestinal disorders.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Review
  15. Autophagy and Bacterial infections.Autophagy reports · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Biomarkers That Predict Crohn's Disease Outcomes.Journal of the Canadian Association of Gastroenterology · 2024
    Review

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

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

13 authors at 4 institutions in 1 country.

Kelli L VanDussenDepartment of Pathology and Immunology, Washington University School of Medicine, St Louis, Missouri.
Ta-Chiang LiuDepartment of Pathology and Immunology, Washington University School of Medicine, St Louis, Missouri.
Dalin LiThe F. Widjaja Foundation Inflammatory Bowel and Immunobiology Research Institute, Cedars-Sinai Medical Center, Los Angeles, California; Medical Genetics Research Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Fadi TowficCenter for Computational and Integrative Biology, Massachusetts General Hospital, Harvard Medical School and Broad Institute, Boston, Massachusetts.
Nir ModianoThe F. Widjaja Foundation Inflammatory Bowel and Immunobiology Research Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Rachel WinterThe F. Widjaja Foundation Inflammatory Bowel and Immunobiology Research Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Talin HarituniansThe F. Widjaja Foundation Inflammatory Bowel and Immunobiology Research Institute, Cedars-Sinai Medical Center, Los Angeles, California; Medical Genetics Research Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Kent D TaylorMedical Genetics Research Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Deepti DhallDepartment of Pathology, Cedars-Sinai Medical Center, Los Angeles, California.
Stephan R TarganThe F. Widjaja Foundation Inflammatory Bowel and Immunobiology Research Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Ramnik J XavierCenter for Computational and Integrative Biology, Massachusetts General Hospital, Harvard Medical School and Broad Institute, Boston, Massachusetts.
Dermot P B McGovernThe F. Widjaja Foundation Inflammatory Bowel and Immunobiology Research Institute, Cedars-Sinai Medical Center, Los Angeles, California; Medical Genetics Research Institute, Cedars-Sinai Medical Center, Los Angeles, California. Electronic address: Dermot.McGovern@cshs.org.
Thaddeus S StappenbeckDepartment of Pathology and Immunology, Washington University School of Medicine, St Louis, Missouri. Electronic address: stappenb@pathology.wustl.edu.
Cedars-Sinai Medical Center · USWashington University in St. Louis · USHarvard University · USMassachusetts General Hospital · US

Funding

ZONA-FREE HAMSTER OVA ASSAY AS AN INDICATOR OF MALE FERTILITYM01RR000425 · NCRR · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI ANDERSON, GAIL V · 1985 to 2011
$74.2M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Transgenic & Knock-out MouseP30DK063491 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PETER J TONTONOZ · 2003 to 2026
$40.4M
Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG · 1991 to 2026
$35.3M
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
Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
TRAINING PROGRAM IN IMMUNOLOGY AND IMMUNOGENETICST32AI007163 · NIAID · WASHINGTON UNIVERSITY · PI Kenneth M Murphy, Kodi S Ravichandran · 1985 to 2026
$14.8M
Utilizing the Phenomics of IBD to Enhance Gene DiscoveryU01DK062413 · NIDDK · CEDARS-SINAI MEDICAL CENTER · PI Dermot Patrick McGovern · 2002 to 2026
$12.2M
The Role of HLA and KIR in Rheumatoid Arthritis and Crohn's DiseaseU01AI067068 · NIAID · STANFORD UNIVERSITY · PI ERLICH, HENRY A, TRACHTENBERG, ELIZABETH A · 2005 to 2014
$10.9M
ATG16L1 T300A: genetics to biologyR01DK097485 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI XAVIER, RAMNIK J · 2013 to 2021
$4.1M
Evaluating a Prediction Tool and Decision Aid for Patients with Crohn's DiseaseR01HS021747 · AHRQ · DARTMOUTH COLLEGE · PI SIEGEL, COREY · 2012 to 2016
$2.3M
AHRQ HHS HS021747AHRQ HHS R01 HS021747NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1 TR000124-01NCATS NIH HHS UL1 TR000448NCRR NIH HHS M01 RR000425NCRR NIH HHS M01-RR00425NIAID NIH HHS AI067068NIAID NIH HHS AI084887NIAID NIH HHS R01 AI084887NIAID NIH HHS T32 AI007163NIAID NIH HHS U01 AI067068NIDDK NIH HHS DK043351NIDDK NIH HHS DK046763-19NIDDK NIH HHS DK062413NIDDK NIH HHS DK063491NIDDK NIH HHS DK092405NIDDK NIH HHS DK097485NIDDK NIH HHS P01 DK046763NIDDK NIH HHS P30 DK043351NIDDK NIH HHS P30 DK052574NIDDK NIH HHS P30 DK063491NIDDK NIH HHS R01 DK092405NIDDK NIH HHS R01 DK097485NIDDK NIH HHS U01 DK062413
6 · The paper itself

Abstract

BACKGROUND &

aimsGenetic susceptibility loci for Crohn's disease (CD) are numerous, complex, and likely interact with undefined components of the environment. It has been a challenge to link the effects of particular loci to phenotypes of cells associated with pathogenesis of CD, such as Paneth cells. We investigated whether specific phenotypes of Paneth cells associated with particular genetic susceptibility loci can be used to define specific subtypes of CD.

methodsWe performed a retrospective analysis of 119 resection specimens collected from patients with CD at 2 separate medical centers. Paneth cell phenotypes were classified as normal or abnormal (with disordered, diminished, diffuse, or excluded granule phenotypes) based on lysozyme-positive secretory granule morphology. To uncover the molecular basis of the Paneth cell phenotypes, we developed methods to determine transcriptional profiles from whole-thickness and laser-capture microdissected, formalin-fixed, paraffin-embedded tissue sections.

resultsThe proportion of abnormal Paneth cells was associated with the number of CD-associated NOD2 risk alleles. The cumulative number of NOD2 and ATG16L1 risk alleles had an additive effect on the proportion of abnormal Paneth cells. Unsupervised clustering analysis of demographic and Paneth cell data divided patients into 2 principal subgroups, defined by high and low proportions of abnormal Paneth cells. The disordered and diffuse abnormal Paneth cell phenotypes were associated with an altered transcriptional signature of immune system activation. We observed an inverse correlation between abnormal Paneth cells and presence of granuloma. In addition, high proportions of abnormal Paneth cells were associated with shorter time to disease recurrence after surgery.

conclusionsHistologic analysis of Paneth cell phenotypes can be used to divide patients with CD into subgroups with distinct pathognomonic and clinical features.

Indexed as

AllelesAutophagy-Related ProteinsCarrier ProteinsCohort StudiesCrohn DiseaseFemaleGenetic Predisposition to DiseaseGenotypeGranulomaHumansMaleNod2 Signaling Adaptor ProteinPaneth CellsPhenotypePolymorphism, Single NucleotideRetrospective StudiesATG16L1 protein, humanAutophagy-Related ProteinsCarrier ProteinsNOD2 protein, humanNod2 Signaling Adaptor ProteinCDCrohn's diseaseDiagnosisIBDinflammatory bowel diseaseInflammatory Bowel DiseasePathogenesisPrognostic FactorUCulcerative colitis

Identifiers

PMID24076061
PMCPMC3899786
OpenAlexW2140908681

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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.