Evidence map›Paper›PMID 26271615›Full record

ArticleDigestive diseases and sciences2015

Fecal Human β-Defensin 2 in Children with Cystic Fibrosis: Is There a Diminished Intestinal Innate Immune Response?

Chee Y Ooi, Tamara Pang, Steven T Leach, Tamarah Katz, Andrew S Day, Adam Jaffe

Open access · greenAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Prebiotics for people with cystic fibrosis.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Probiotics for people with cystic fibrosis.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Review
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  7. Article
  8. Observational
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  10. Observational
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  14. Cystic fibrosis from the gastroenterologist's perspective.Nature reviews. Gastroenterology & hepatology · 2016
    Review
  15. Article
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

6 authors at 3 institutions in 2 countries.

Chee Y OoiDiscipline of Paediatrics, School of Women's and Children's Health, Medicine, Sydney Children's Hospital, University of New South Wales, High Street, Randwick, Sydney, NSW, 2031, Australia. keith.ooi@unsw.edu.au.
Tamara PangDiscipline of Paediatrics, School of Women's and Children's Health, Medicine, Sydney Children's Hospital, University of New South Wales, High Street, Randwick, Sydney, NSW, 2031, Australia. tamarapangmp@gmail.com.
Steven T LeachDiscipline of Paediatrics, School of Women's and Children's Health, Medicine, Sydney Children's Hospital, University of New South Wales, High Street, Randwick, Sydney, NSW, 2031, Australia. steven.leach@sesiahs.health.nsw.gov.au.
Tamarah KatzDepartment of Nutrition and Dietetics, Sydney Children's Hospital, High Street, Randwick, Sydney, NSW, 2031, Australia. Tamarah.Katz@sesiahs.health.nsw.gov.au.
Andrew S DayDepartment of Paediatrics, Christchurch Hospital, University of Otago, Christchurch, 4710, New Zealand. andrew.day@otago.ac.nz.
Adam JaffeDiscipline of Paediatrics, School of Women's and Children's Health, Medicine, Sydney Children's Hospital, University of New South Wales, High Street, Randwick, Sydney, NSW, 2031, Australia. a.jaffe@unsw.edu.au.
UNSW Sydney · AUSydney Children's Hospital · AUUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDefects in bacterial host defenses in the cystic fibrosis (CF) airways have been extensively investigated, but the role of the intestinal innate immune system in CF is unknown. Human β-defensin 2 (HBD-2) is an antimicrobial protein produced by epithelial surfaces and upregulated by inflammation. Its expression in the CF intestine is unknown.

aimTo determine whether HBD-2 was present in the feces of patients with CF, and to compare fecal HBD-2 levels between CF and healthy controls (HC). To compare fecal HBD-2 levels in inflamed and noninflamed states, as measured by fecal calprotectin, as a secondary aim.

methodsFeces from children with CF and HC were collected for analysis.

resultsThirty-three CF patients and 33 HC were recruited. All CF patients had detectable fecal HBD-2. There was no difference between fecal HBD-2 in CF and HC (median (IQR) 49.1 (19.7-77.2) versus 43.4 (26.5-71.9) ng/g; P = 0.7). Fecal calprotectin was significantly higher in the CF cohort than in HC (median (IQR) 61.3 (43.8-143.8) versus 19.5 (19.5-35.1) mg/kg; P < 0.0001). There was no difference in fecal HBD-2 levels between CF subjects with fecal calprotectin ≥50 mg/kg and <50 mg/kg (50.5 (19.6-80.2) versus 43.0 (19.0-70.4); P = 0.7). There was no correlation between fecal HBD-2 and calprotectin in CF (r = 0.14; P = 0.4).

conclusionFecal HBD-2 levels were not increased in children with CF, in inflamed or noninflamed states. The lack of HBD-2 induction and upregulation under inflammatory conditions may suggest a diminished intestinal innate immune response in CF.

Indexed as

Adolescentbeta-DefensinsBiomarkersChildChild, PreschoolCohort StudiesCystic FibrosisEnteritisFecesFemaleHospitals, PediatricHumansImmunity, InnateLeukocyte L1 Antigen ComplexMalePrognosisbeta-DefensinsBiomarkersDEFB4A protein, humanLeukocyte L1 Antigen ComplexBiological markersCystic fibrosisInflammationInnate immunity

Identifiers

PMID26271615
OpenAlexW1171996912

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.