Evidence map›Paper›PMID 25003194›Full record

ArticleThe Journal of clinical investigation2014

Pediatric Crohn disease patients exhibit specific ileal transcriptome and microbiome signature.

Yael Haberman, Timothy L Tickle, Phillip J Dexheimer, Mi-Ok Kim, Dora Tang, Rebekah Karns, Robert N Baldassano, Joshua D Noe, Joel Rosh, James Markowitz and 14 more

Erratum issued Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03378167 (PediCRaFT), which is not on this map. Cited by 324 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
324citing papers in PubMed, 4 pooled it
29.9field-weighted citation impact, top 1% 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.

NCT03378167 phase1completednot on this mapstarted 2018, after this paper: background citation

PediCRaFT: Pediatric Crohn's Disease Fecal Microbiota Transplant Pilot Study

TypeinterventionalSponsorMcMaster Children's HospitalRan2018 to 2023Enrolled17ConditionsCrohn Disease, Pediatric Crohns Disease, Inflammatory Bowel Diseases, ColitisArmsMICROBIOTA, PLACEBO
3 · Its place in the literature

Who cites it

324 citing papers in PubMed, 4 syntheses or guidelines pooled it, 522 citations in OpenAlex.

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  19. TET1 deficiency amplifies macrophage inflammatory signaling associated with Crohn's disease.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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264 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 14 institutions in 3 countries.

Yael Haberman
Timothy L Tickle
Phillip J Dexheimer
Mi-Ok Kim
Dora Tang
Rebekah Karns
Robert N Baldassano
Joshua D Noe
Joel Rosh
James Markowitz
Melvin B Heyman
Anne M Griffiths
Wallace V Crandall
David R Mack
Susan S Baker
Curtis Huttenhower
David J Keljo
Jeffrey S Hyams
Subra Kugathasan
Thomas D Walters
Bruce Aronow
Ramnik J Xavier
Dirk Gevers
Lee A Denson
Cincinnati Children's Hospital Medical Center · USHarvard University Press · USBiomedical Informatics Research Center Antwerp · BEUniversity of Toronto · CACohen Children's Medical Center · USConnecticut Children's Medical Center · USEmory University · USGoryeb Children's Hospital · USMedical College of Wisconsin · USNationwide Children's Hospital · USUniversity at Buffalo, State University of New York · USUniversity of California, San Francisco · USUniversity of Ottawa · CAUniversity of Pittsburgh · US

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG · 1991 to 2026
$35.3M
Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 2007 to 2026
$24.4M
Characterizing the gut microbial ecosystem for diagnosis and therapy in IBDU54DK102557 · NIDDK · BROAD INSTITUTE, INC. · PI HUTTENHOWER, CURTIS, XAVIER, RAMNIK J · 2014 to 2015
$7.7M
NIDDK NIH HHS 1P30DK078392-01NIDDK NIH HHS P30 DK043351NIDDK NIH HHS P30 DK078392NIDDK NIH HHS U54 DK102557NIDDK NIH HHS U54DK102557
6 · The paper itself

Abstract

Interactions between the host and gut microbial community likely contribute to Crohn disease (CD) pathogenesis; however, direct evidence for these interactions at the onset of disease is lacking. Here, we characterized the global pattern of ileal gene expression and the ileal microbial community in 359 treatment-naive pediatric patients with CD, patients with ulcerative colitis (UC), and control individuals. We identified core gene expression profiles and microbial communities in the affected CD ilea that are preserved in the unaffected ilea of patients with colon-only CD but not present in those with UC or control individuals; therefore, this signature is specific to CD and independent of clinical inflammation. An abnormal increase of antimicrobial dual oxidase (DUOX2) expression was detected in association with an expansion of Proteobacteria in both UC and CD, while expression of lipoprotein APOA1 gene was downregulated and associated with CD-specific alterations in Firmicutes. The increased DUOX2 and decreased APOA1 gene expression signature favored oxidative stress and Th1 polarization and was maximally altered in patients with more severe mucosal injury. A regression model that included APOA1 gene expression and microbial abundance more accurately predicted month 6 steroid-free remission than a model using clinical factors alone. These CD-specific host and microbe profiles identify the ileum as the primary inductive site for all forms of CD and may direct prognostic and therapeutic approaches.

Indexed as

MicrobiotaTranscriptomeAdolescentApolipoprotein A-ICase-Control StudiesChildCohort StudiesColitis, UlcerativeCrohn DiseaseDual OxidasesFemaleGene Expression ProfilingHumansIleumMaleNADPH OxidasesAPOA1 protein, humanApolipoprotein A-IDual OxidasesDUOX2 protein, humanNADPH Oxidases

Identifiers

PMID25003194
PMCPMC4109533
OpenAlexW2024192805

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.