Evidence map›Paper›PMID 24435814›Full record

ArticleJournal of gastroenterology2014

Associations among gut permeability, inflammatory markers, and symptoms in patients with irritable bowel syndrome.

Robert J Shulman, Monica E Jarrett, Kevin C Cain, Elizabeth K Broussard, Margaret M Heitkemper

Abstract read
In one paragraph

Article in Journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 pooled it
5.2field-weighted citation impact, top 5% 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

50 citing papers in PubMed, 3 syntheses or guidelines pooled it, 85 citations in OpenAlex.

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  19. Activation of the Innate Immune System in Children With Irritable Bowel Syndrome Evidenced by Increased Fecal Human β-Defensin-2.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021
    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

5 authors at 3 institutions in 1 country.

Robert J ShulmanDepartment of Pediatrics, Baylor College of Medicine, Children's Nutrition Research Center, and Texas Children's Hospital, 1100 Bates Ave Room 8072, Houston, TX, 77030, USA, rshulman@bcm.edu.
Monica E Jarrett
Kevin C Cain
Elizabeth K Broussard
Margaret M Heitkemper
University of Washington · USBaylor College of Medicine · USNeurobehavioral Systems · US

Funding

Tissue Analysis & Molecular Imaging CoreP30DK056338 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI James Versalovic · 2001 to 2026
$28.3M
NURSING MANAGEMENT OF IBS--IMPROVING OUTCOMESR01NR004142 · NINR · UNIVERSITY OF WASHINGTON · PI HEITKEMPER, MARGARET MCLEAN · 1996 to 2011
$5.5M
Recurrent Abdominal Pain in ChildrenR01NR005337 · NINR · BAYLOR COLLEGE OF MEDICINE · PI SHULMAN, ROBERT J · 2002 to 2012
$4.3M
NIDDK NIH HHS P30 DK056338NIDDK NIH HHS P30 DK56338NINR NIH HHS R01 NR004142NINR NIH HHS R01NR004142NINR NIH HHS R01 NR005337NINR NIH HHS R01 NR05337
6 · The paper itself

Abstract

backgroundAlterations in gastrointestinal (GI) permeability and immune measures are present in some patients with irritable bowel syndrome (IBS) but the relationship to symptoms is poorly defined. In adults with IBS, we compared permeability, unstimulated peripheral blood monocyte (PBMC) interleukin-10 (IL-10) levels, IBS life interference, and GI and psychological distress symptoms.

methodsIn 88 women and 18 men with IBS, GI permeability was quantitated as percent recovery of urinary sucrose and the lactulose/mannitol (L/M) ratio. IL-10 was measured in supernatants from 72-h incubated, unstimulated PBMCs. Participants completed a 4-week daily diary recording IBS life interference on daily activities and work, IBS symptoms, and psychological distress symptoms. They also completed the Brief Symptom Inventory.

resultsThe L/M ratio but not percent sucrose recovery was significantly correlated with IBS interference with activities and work and retrospectively measured anxiety and depression. Unstimulated PBMC production of IL-10 correlated significantly with IBS interference with daily work, IBS symptom score, and abdominal pain. We identified a subgroup of IBS subjects with higher IL-10 and/or higher L/M ratio who had substantially higher IBS interference and IBS symptom scores.

conclusionsOur findings suggest a distinct subgroup of IBS patients with alterations in gut barrier function. This subgroup is characterized by increased GI permeability and/or increased PBMC production of IL-10. These physiologic alterations reflect more severe IBS as measured by interference of IBS with daily activities and daily IBS symptoms.

Indexed as

Abdominal PainActivities of Daily LivingAdolescentAdultAgedBiomarkersFemaleHumansInterleukin-10Intestinal MucosaIrritable Bowel SyndromeLeukocytes, MononuclearMaleMiddle AgedPermeabilityProspective StudiesBiomarkersIL10 protein, humanInterleukin-10

Identifiers

PMID24435814
PMCPMC4102674
OpenAlexW1968011717

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.