Evidence map›Paper›PMID 27628422›Full record

ArticleClinical and translational gastroenterology2016

Identification of Pathway-Specific Serum Biomarkers of Response to Glucocorticoid and Infliximab Treatment in Children with Inflammatory Bowel Disease.

Christopher R Heier, Alyson A Fiorillo, Ellen Chaisson, Heather Gordish-Dressman, Yetrib Hathout, Jesse M Damsker, Eric P Hoffman, Laurie S Conklin

Abstract read
In one paragraph

Article in Clinical and translational gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
–field-weighted citation impact
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

37 citing papers in PubMed.

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  11. The Role of microRNAs in Inflammatory Bowel Disease.International journal of molecular sciences · 2025
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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

8 authors.

Christopher R HeierResearch Center for Genetic Medicine, Children's National Health System, Washington, District of Columbia, USA.
Alyson A FiorilloResearch Center for Genetic Medicine, Children's National Health System, Washington, District of Columbia, USA.
Ellen ChaissonDivision of Gastroenterology, Hepatology, and Nutrition, Children's National Health System, Washington, DC, USA.
Heather Gordish-DressmanResearch Center for Genetic Medicine, Children's National Health System, Washington, District of Columbia, USA.
Yetrib HathoutResearch Center for Genetic Medicine, Children's National Health System, Washington, District of Columbia, USA.
Jesse M DamskerResearch Center for Genetic Medicine, Children's National Health System, Washington, District of Columbia, USA.
Eric P HoffmanResearch Center for Genetic Medicine, Children's National Health System, Washington, District of Columbia, USA.
Laurie S ConklinResearch Center for Genetic Medicine, Children's National Health System, Washington, District of Columbia, USA.

Funding

Mechanisms of anti-inflammation and membrane stabilization in muscular dystrophyR00HL130035 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI HEIER, CHRISTOPHER RYAN · 2017 to 2019
$730k
Mechanisms of anti-inflammation and membrane stabilization in muscular dystrophyK99HL130035 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI HEIER, CHRISTOPHER RYAN · 2015 to 2016
$191k
NHLBI NIH HHS K99 HL130035NHLBI NIH HHS R00 HL130035NIAMS NIH HHS L40 AR068727
6 · The paper itself

Abstract

objectiveSerum biomarkers may serve to predict early response to therapy, identify relapse, and facilitate drug development in inflammatory bowel disease (IBD). Biomarkers are particularly important in children, in whom achieving early remission and minimizing procedures are especially beneficial.

methodsWe profiled protein and micro RNA (miRNA) in serum from patients pre- and post-therapy, to identify molecular markers of pharmacodynamic effect. Serum was obtained from children with IBD before and after treatment with either corticosteroids (prednisone; n=12) or anti-tumor necrosis factor-α biologic (infliximab; n=7). Over 1,100 serum proteins were assayed using aptamer-based SOMAscan proteomics, and 22 miRNAs analyzed by quantitative real time PCR. Concordance of longitudinal changes between the groups was used to identify markers responsive to treatment. Bioinformatic analysis was used to build insight into mechanisms of changes in response to treatment.

resultsWe identified 18 proteins and three miRNAs responsive to both prednisone and infliximab. Eight markers that decreased are associated with inflammation and have gene promoters regulated by nuclear factor (NF)-κB. Several that increased are associated with resolving inflammation and tissue damage. We also identified six markers that appear to be steroid-specific, three of which have glucocorticoid receptor binding elements in their promoter region.

conclusionsSerum markers regulated by the inflammatory transcription factor NF-κB are potential candidates for pharmacodynamic biomarkers that, if correlated with later outcomes like endoscopic or histologic healing, could be used to monitor treatment, optimize dosing, and enhance drug development. The pharmacodynamic biomarkers identified here hold potential to improve both clinical care and drug development. Further studies are warranted to investigate these markers as early predictors of response, or possibly surrogate outcomes.

Identifiers

PMID27628422
PMCPMC5288595

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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.