Evidence map›Paper›PMID 25058236›Full record

ReviewGastroenterology2014

The diagnostic approach to monogenic very early onset inflammatory bowel disease.

Holm H Uhlig, Tobias Schwerd, Sibylle Koletzko, Neil Shah, Jochen Kammermeier, Abdul Elkadri, Jodie Ouahed, David C Wilson, Simon P Travis, Dan Turner and 4 more

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04170192 (Multi-center Clinical Study of Cord Blood Stem Cell Transplantation in The Treatment of Very Early-Onset Inflammatory Bowel Disease Caused by Interleukin-10 Receptor Gene Deficiency), which is not on this map. Cited by 337 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
337citing papers in PubMed, 11 pooled it
20.1field-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.

NCT04170192 unknown statusnot on this mapstarted 2019, after this paper: background citation

Multi-center Clinical Study of Cord Blood Stem Cell Transplantation in The Treatment of Very Early-Onset Inflammatory Bowel Disease Caused by Interleukin-10 Receptor Gene Deficiency

TypeobservationalSponsorChildren's Hospital of Fudan UniversityRan2019 to 2023Enrolled50ConditionsInflammatory Bowel DiseasesArmsCord Blood Stem Cell Transplantation
3 · Its place in the literature

Who cites it

337 citing papers in PubMed, 11 syntheses or guidelines pooled it, 720 citations in OpenAlex.

  1. Pooled it
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  8. A Systematic Review of Monogenic Inflammatory Bowel Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Pooled it
  9. Crohn's-like Enteritis in X-Linked Agammaglobulinemia: A Case Series and Systematic Review.The journal of allergy and clinical immunology. In practice · 2021
    Pooled it
  10. Pooled it
  11. Ulcerative Colitis-Diagnostic and Therapeutic Algorithms.Deutsches Arzteblatt international · 2020
    Pooled it
  12. Trial
  13. Article
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  16. Review
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  19. Clinical pearls and pitfalls in inborn errors of immunity: An expert-derived framework for diagnostic pattern recognition.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
  20. Article

277 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

14 authors at 8 institutions in 6 countries.

Holm H UhligTranslational Gastroenterology Unit, University of Oxford, Oxford, England; Department of Pediatrics, University of Oxford, Oxford, England. Electronic address: holm.uhlig@ndm.ox.ac.uk.
Tobias SchwerdTranslational Gastroenterology Unit, University of Oxford, Oxford, England.
Sibylle KoletzkoDr von Hauner Children's Hospital, Ludwig Maximilians University, Munich, Germany.
Neil ShahGreat Ormond Street Hospital London, London, England; Catholic University, Leuven, Belgium.
Jochen KammermeierGreat Ormond Street Hospital London, London, England.
Abdul ElkadriSickKids Inflammatory Bowel Disease Center and Cell Biology Program, Research Institute, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada; Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Jodie OuahedDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Medicine, Boston Children's Hospital, Boston, Massachusetts; Division of Gastroenterology and Hepatology, Brigham & Women's Hospital, Department of Medicine, Harvard Medical School, Boston, Massachusetts.
David C WilsonChild Life and Health, University of Edinburgh, Edinburgh, Scotland; Department of Pediatric Gastroenterology, Hepatology, and Nutrition, Royal Hospital for Sick Children, Edinburgh, Scotland.
Simon P TravisTranslational Gastroenterology Unit, University of Oxford, Oxford, England.
Dan TurnerPediatric Gastroenterology Unit, Shaare Zedek Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel.
Christoph KleinDr von Hauner Children's Hospital, Ludwig Maximilians University, Munich, Germany.
Scott B SnapperDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Medicine, Boston Children's Hospital, Boston, Massachusetts; Division of Gastroenterology and Hepatology, Brigham & Women's Hospital, Department of Medicine, Harvard Medical School, Boston, Massachusetts.
Aleixo M MuiseSickKids Inflammatory Bowel Disease Center and Cell Biology Program, Research Institute, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada; Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
COLORS in IBD Study Group and NEOPICS
University of Oxford · GBBoston Children's Hospital · USLudwig-Maximilians-Universität München · DEUniversity College London · GBHospital for Sick Children · CARoyal Hospital for Sick Children · GBShaare Zedek Medical Center · ILSickKids Foundation · CA

Funding

STRUCTURE-FUNCTION RELATIONSHIPS IN THE ALIMENTARY TRACTP30DK034854 · NIDDK · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WAYNE I LENCER · 1986 to 2026
$32.4M
WIP in TCR signaling and actin reorganizationP01HL059561 · NHLBI · IMMUNE DISEASE INSTITUTE, INC. · PI GEHA, RAIF SALIM · 1997 to 2012
$21.8M
The Pathogenesis Of Colitis In A Novel Th2 Model Of IBDR01AI050950 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI SNAPPER, SCOTT B · 2002 to 2013
$2.6M
Exploring Regulatory T Cell Dysfunction in a Murine Model of ColitisR56AI050950 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI SNAPPER, SCOTT B · 2008 to 2008
$336k
Medical Research Council G0800675MRF_ C0482NHLBI NIH HHS P01 HL059561NIAID NIH HHS R01 AI050950NIAID NIH HHS R56 AI050950NIDDK NIH HHS P30 DK034854
6 · The paper itself

Abstract

Patients with a diverse spectrum of rare genetic disorders can present with inflammatory bowel disease (monogenic IBD). Patients with these disorders often develop symptoms during infancy or early childhood, along with endoscopic or histological features of Crohn's disease, ulcerative colitis, or IBD unclassified. Defects in interleukin-10 signaling have a Mendelian inheritance pattern with complete penetrance of intestinal inflammation. Several genetic defects that disturb intestinal epithelial barrier function or affect innate and adaptive immune function have incomplete penetrance of the IBD-like phenotype. Several of these monogenic conditions do not respond to conventional therapy and are associated with high morbidity and mortality. Due to the broad spectrum of these extremely rare diseases, a correct diagnosis is frequently a challenge and often delayed. In many cases, these diseases cannot be categorized based on standard histological and immunologic features of IBD. Genetic analysis is required to identify the cause of the disorder and offer the patient appropriate treatment options, which include medical therapy, surgery, or allogeneic hematopoietic stem cell transplantation. In addition, diagnosis based on genetic analysis can lead to genetic counseling for family members of patients. We describe key intestinal, extraintestinal, and laboratory features of 50 genetic variants associated with IBD-like intestinal inflammation. In addition, we provide approaches for identifying patients likely to have these disorders. We also discuss classic approaches to identify these variants in patients, starting with phenotypic and functional assessments that lead to analysis of candidate genes. As a complementary approach, we discuss parallel genetic screening using next-generation sequencing followed by functional confirmation of genetic defects.

Indexed as

Genetic TestingAge of OnsetColitis, UlcerativeCrohn DiseaseGenetic Predisposition to DiseaseHumansPhenotypePredictive Value of TestsPrognosisRisk FactorsCrohn’s DiseaseGeneticsIBD UnclassifiedImmunodeficiencyIndeterminate ColitisInflammatory Bowel DiseaseNext-Generation SequencingPediatricsUlcerative ColitisUnclassified ColitisWhole Exome Sequencing

Identifiers

PMID25058236
PMCPMC5376484
OpenAlexW2140331116

What OpenQuestion holds

Textmetadata
LicenceTDM
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.