Evidence map›Paper›PMID 26512113›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2015

Crohn's disease-derived monocytes fail to induce Paneth cell defensins.

Lioba F Courth, Maureen J Ostaff, Daniela Mailänder-Sánchez, Nisar P Malek, Eduard F Stange, Jan Wehkamp

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
8.3field-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

46 citing papers in PubMed, 65 citations in OpenAlex.

  1. A Novel Cationic Antimicrobial Peptide ScymidgutinProbiotics and antimicrobial proteins · 2026
    Article
  2. Article
  3. Article
  4. Human α-Defensin 5International journal of molecular sciences · 2023
    Article
  5. Mechanisms and regulation of defensins in host defense.Signal transduction and targeted therapy · 2023
    Review
  6. Article
  7. Myeloid vitamin D receptor regulates Paneth cells and microbial homeostasis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2023
    Article
  8. The role of Evi/Wntless in exporting Wnt proteins.Development (Cambridge, England) · 2023
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Exploring the Early Phase of Crohn's Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021
    Review
  14. Review
  15. Article
  16. Article
  17. The RNA helicase Dhx15 mediates Wnt-induced antimicrobial protein expression in Paneth cells.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  18. Review
  19. Article
  20. Review
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 2 institutions in 1 country.

Lioba F CourthDepartment of Internal Medicine I, University Hospital Tuebingen, 72076 Tuebingen, Germany;
Maureen J OstaffDr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology Stuttgart, University of Tuebingen, 70376 Stuttgart, Germany;
Daniela Mailänder-SánchezDepartment of Internal Medicine I, University Hospital Tuebingen, 72076 Tuebingen, Germany;
Nisar P MalekDepartment of Internal Medicine I, University Hospital Tuebingen, 72076 Tuebingen, Germany;
Eduard F StangeDepartment of Gastroenterology, Robert Bosch Hospital, 70376 Stuttgart, Germany.
Jan WehkampDepartment of Internal Medicine I, University Hospital Tuebingen, 72076 Tuebingen, Germany; jan.wehkamp@med.uni-tuebingen.de.
University of Tübingen · DERobert Bosch Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Crohn's disease (CD) is associated with a multitude of genetic defects, many of which likely affect Paneth cell function. Paneth cells reside in the small intestine and produce antimicrobial peptides essential for the host barrier, principally human α-defensin 5 (HD5) and HD6. Patients with CD of the ileum are characterized by reduced constitutive expression of these peptides and, accordingly, compromised antimicrobial barrier function. Here, we present a previously unidentified regulatory mechanism of Paneth cell defensins. Using cultures of human ileal tissue, we showed that the secretome of peripheral blood mononuclear cells (PBMCs) from healthy controls restored the attenuated Paneth cell α-defensin expression characteristic of patients with ileal CD. Analysis of the Wnt pathway in both cultured biopsies and intestinal epithelial cells implicated Wnt ligands driving the PBMC effect, whereas various tested cytokines were ineffective. We further detected another defect in patients with ileal CD, because the PBMC secretomes derived from patients with CD were unable to restore the reduced HD5/HD6 expression. Accordingly, analysis of PBMC subtypes showed that monocytes of patients with CD express significantly lower levels of canonical Wnt ligands, including Wnt3, Wnt3a, Wnt1, and wntless Wnt ligand secretion mediator (Evi/Wls). These studies reveal an important cross-talk between bone marrow-derived cells and epithelial secretory Paneth cells. Defective Paneth cell-mediated innate immunity due to inadequate Wnt ligand stimulation by monocytes provides an additional mechanism in CD. Because defects of Paneth cell function stemming from various etiologies are overcome by Wnt ligands, this mechanism is a potential therapeutic target for this disease.

Indexed as

alpha-DefensinsCrohn DiseaseDNA PrimersHEK293 CellsHumansIleumImmunohistochemistryMicrobiotaMonocytesPaneth CellsReal-Time Polymerase Chain ReactionReceptor Cross-TalkStatistics, Nonparametricalpha-DefensinsDNA PrimersCrohn’s diseaseileumPaneth cellsWnt ligandsα-defensins

Identifiers

PMID26512113
PMCPMC4653149
OpenAlexW1871092986

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.