Evidence map›Paper›PMID 27525061›Full record

ArticleClinical & translational immunology2016

Characterizing the inflammatory response in esophageal mucosal biopsies in children with eosinophilic esophagitis.

Wael N Sayej, Antoine Ménoret, Anu S Maharjan, Marina Fernandez, Zhu Wang, Fabiola Balarezo, Jeffrey S Hyams, Francisco A Sylvester, Anthony T Vella

Open access · goldAbstract read
In one paragraph

Article in Clinical & translational immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Interferon Signaling Alters Epithelial Function in Eosinophilic Esophagitis.Cellular and molecular gastroenterology and hepatology · 2025
    Article
  6. Article
  7. Article
  8. Food antigen consumption and disease activity affect food-specific IgG4 levels in patients with eosinophilic esophagitis (EoE).Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2023
    Article
  9. Breaking down the complex pathophysiology of eosinophilic esophagitis.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2023
    Review
  10. Article
  11. Conserved IFN Signature between Adult and Pediatric Eosinophilic Esophagitis.Journal of immunology (Baltimore, Md. : 1950) · 2021
    Observational
  12. Review
  13. Review
  14. Review
  15. Eosinophilic esophagitis: early diagnosis is the key.Clinical and experimental gastroenterology · 2019
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

9 authors at 4 institutions in 1 country.

Wael N SayejDepartment of Pediatrics, Division of Digestive Diseases, Hepatology & Nutrition, Connecticut Children's Medical Center , Hartford, CT, USA.
Antoine MénoretDepartment of Immunology, University of Connecticut Health Center , Farmington, CT, USA.
Anu S MaharjanDepartment of Immunology, University of Connecticut Health Center, Farmington, CT, USA; Department of Pediatrics, Division of Gastroenterology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Marina FernandezDepartment of Pediatrics, Division of Digestive Diseases, Hepatology & Nutrition, Connecticut Children's Medical Center , Hartford, CT, USA.
Zhu WangDepartment of Research, Connecticut Children's Medical Center , Hartford, CT, USA.
Fabiola BalarezoDepartment of Pathology and Laboratory Medicine, Hartford Hospital , Hartford, CT, USA.
Jeffrey S HyamsDepartment of Pediatrics, Division of Digestive Diseases, Hepatology & Nutrition, Connecticut Children's Medical Center , Hartford, CT, USA.
Francisco A SylvesterDepartment of Pediatrics, Division of Digestive Diseases, Hepatology & Nutrition, Connecticut Children's Medical Center, Hartford, CT, USA; Department of Immunology, University of Connecticut Health Center, Farmington, CT, USA; Department of Pediatrics, Division of Gastroenterology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Anthony T VellaDepartment of Immunology, University of Connecticut Health Center , Farmington, CT, USA.
Connecticut Children's Medical Center · USUConn Health · USUniversity of North Carolina at Chapel Hill · USHartford Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eosinophilic esophagitis (EoE) is an emerging allergic, IgE- and non-IgE (Th2 cell)-mediated disease. There are major gaps in the understanding of the basic mechanisms that drive the persistence of EoE. We investigated whether esophageal biopsies from children with EoE demonstrate an inflammatory response that is distinct from normal controls. We prospectively enrolled 84 patients, of whom 77 were included in our analysis, aged 4-17 years (12.8±3.8 years; 81% males). Five esophageal biopsies were collected from each patient at the time of endoscopy. Intramucosal lymphocytes were isolated, phenotyped and stimulated with phorbol 12-myristate 13-acetate/ionomycin to measure their potential to produce cytokines via flow cytometry. We also performed cytokine arrays on 72-h biopsy culture supernatants. CD8(+) T cells, compared with CD4(+) T cells, synthesized more TNF-α and interferon (IFN)-γ after mitogen stimulation in the EoE-New/Active vs EoE-Remission group (P=0.0098; P=0.02) and controls (P=0.0008; P=0.03). Culture supernatants taken from explant esophageal tissue contained 13 analytes that distinguished EoE-New/Active from EoE-Remission and Controls. Principal component analysis and cluster analysis based on these analytes distinctly separated EoE-New/Active from EoE-Remission and Controls. In summary, we have identified a previously unappreciated role for CD8(+) T lymphocytes with potential to produce TNF-α and IFN-γ in EoE. Our results suggest that CD8(+) T cells have a role in the persistence or progression of EoE. We have also identified a panel of analytes produced by intact esophageal biopsies that differentiates EoE-New/Active from EoE-Remission and controls. Our results suggest that esophageal epithelial cells may have specific immune effector functions in EoE that control the type and amplitude of inflammation.

Identifiers

PMID27525061
PMCPMC4973319
OpenAlexW2466463186

What OpenQuestion holds

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Registered trials

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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.