Evidence map›Paper›PMID 27271818›Full record

ReviewClinical and experimental immunology2016

The immunology of the vermiform appendix: a review of the literature.

I A Kooij, S Sahami, S L Meijer, C J Buskens, A A Te Velde

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Clinical and experimental immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05209061 (Cellular Composition of the Human Appendix Using Single-cell RNA and Single-cell ATAC-sequencing.), which is not on this map. Cited by 108 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 2 pooled it
12.9field-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.

NCT05209061 completednot on this mapstarted 2023, after this paper: background citation

Cellular Composition of the Human Appendix Using Single-cell RNA and Single-cell ATAC-sequencing.

Typeobservational_patient_registrySponsorBispebjerg HospitalRan2023 to 2026Enrolled5ConditionsDiabetes, Appendicitis, Inflammatory Bowel DiseasesArmsBiopsy
3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 2 syntheses or guidelines pooled it, 223 citations in OpenAlex.

  1. Pooled it
  2. Rate of Application and Outcome of Non-operative Management of Acute Appendicitis in the Setting of COVID-19: Systematic Review and Meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Pooled it
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  6. Microbial profiles in pediatric complicated appendicitis: a systematic review and meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
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48 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

5 authors at 1 institution in 1 country.

I A KooijTytgat Institute for Liver and Intestinal Research, Academic Medical Center, Amsterdam, the Netherlands.
S SahamiDepartment of Surgery, Academic Medical Center, Amsterdam, the Netherlands.
S L MeijerDepartment of Pathology, Academic Medical Center, Amsterdam, the Netherlands.
C J BuskensTytgat Institute for Liver and Intestinal Research, Academic Medical Center, Amsterdam, the Netherlands.
A A Te VeldeTytgat Institute for Liver and Intestinal Research, Academic Medical Center, Amsterdam, the Netherlands.
Academic Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This literature review assesses the current knowledge about the immunological aspects of the vermiform appendix in health and disease. An essential part of its immunological function is the interaction with the intestinal bacteria, a trait shown to be preserved during its evolution. The existence of the appendiceal biofilm in particular has proved to have a beneficial effect for the entire gut. In assessing the influence of acute appendicitis and the importance of a normally functioning gut flora, however, multiple immunological aspects point towards the appendix as a priming site for ulcerative colitis. Describing the immunological and microbiotical changes in the appendix during acute and chronic inflammation of the appendix, this review suggests that this association becomes increasingly plausible. Sustained by the distinct composition of cells, molecules and microbiota, as well as by the ever more likely negative correlation between the appendix and ulcerative colitis, the idea of the appendix being a vestigial organ should therefore be discarded.

Indexed as

AnimalsAppendicitisAppendixBiological EvolutionHumansInflammatory Bowel DiseasesIntestinal MucosaLymphocytesMicrobiotaappendixbiofilmimmunologyinflammatory bowel disease

Identifiers

PMID27271818
PMCPMC5011360
OpenAlexW2414107843

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.