Evidence map›Paper›PMID 27746181›Full record

ArticleThe American journal of pathology2016

Lymphoid Aggregates Remodel Lymphatic Collecting Vessels that Serve Mesenteric Lymph Nodes in Crohn Disease.

Gwendalyn J Randolph, Shashi Bala, Jean-François Rahier, Michael W Johnson, Peter L Wang, ILKe Nalbantoglu, Laurent Dubuquoy, Amélie Chau, Benjamin Pariente, Alex Kartheuser and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of pathology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

68 citing papers in PubMed, 102 citations in OpenAlex.

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  19. Transport functions of intestinal lymphatic vessels.Nature reviews. Gastroenterology & hepatology · 2025
    Review
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8 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

12 authors at 6 institutions in 3 countries.

Gwendalyn J RandolphDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri. Electronic address: grandolph@path.wustl.edu.
Shashi BalaDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri.
Jean-François RahierDepartment of Gastroenterology and Hepatology, Central University Hospital Catholic University of Louvain Namur, Yvoir, Belgium.
Michael W JohnsonDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri.
Peter L WangDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri.
ILKe NalbantogluDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri.
Laurent DubuquoyUMR995-LIRIC, INSERM, University of Lille, Lille, France.
Amélie ChauDepartment of Surgery, Centre Hospitalier Régional Universitaire (CHRU), Lille University North of France, Lille, France.
Benjamin ParienteDepartment of Hepatology and Gastroenterology, Centre Hospitalier Régional Universitaire (CHRU), Lille University North of France, Lille, France.
Alex KartheuserColorectal Surgery Unit, University Clinic of St-Luc, Catholic University of Louvain, Brussels, Belgium.
Bernd H ZinselmeyerDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri.
Jean-Frederic ColombelDivision of Gastroenterology, Department of Medicine, Icahn Medical School of Medicine at Mount Sinai, New York, New York.
Washington University in St. Louis · USCentre Hospitalier Universitaire de Lille · FRCliniques Universitaires Saint-Luc · BEIcahn School of Medicine at Mount Sinai · USUCLouvain · BEUniversité de Lille · FR

Funding

Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
INTEGRATING CELL & LIPOPROTEIN TRAFFICKING WITH VASCULAR BIOLOGY IN HUMAN IBDDP1DK109668 · NIDDK · WASHINGTON UNIVERSITY · PI RANDOLPH, GWENDALYN J · 2015 to 2019
$3.8M
NIDDK NIH HHS DP1 DK109668NIDDK NIH HHS P30 DK052574
6 · The paper itself

Abstract

Early pathological descriptions of Crohn disease (CD) argued for a potential defect in lymph transport; however, this concept has not been thoroughly investigated. In mice, poor healing in response to infection-induced tissue damage can cause hyperpermeable lymphatic collecting vessels in mesenteric adipose tissue that impair antigen and immune cell access to mesenteric lymph nodes (LNs), which normally sustain appropriate immunity. To investigate whether analogous changes might occur in human intestinal disease, we established a three-dimensional imaging approach to characterize the lymphatic vasculature in mesenteric tissue from controls or patients with CD. In CD specimens, B-cell-rich aggregates resembling tertiary lymphoid organs (TLOs) impinged on lymphatic collecting vessels that enter and exit LNs. In areas of creeping fat, which characterizes inflammation-affected areas of the bowel in CD, we observed B cells and apparent innate lymphoid cells that had invaded the lymphatic vessel wall, suggesting these cells may be mediators of lymphatic remodeling. Although TLOs have been described in many chronic inflammatory states, their anatomical relationship to preestablished LNs has never been revealed. Our data indicate that, at least in the CD-affected mesentery, TLOs are positioned along collecting lymphatic vessels in a manner expected to affect delivery of lymph to LNs.

Indexed as

AdultAnimalsB-LymphocytesCrohn DiseaseFemaleHumansIleumImaging, Three-DimensionalInflammationIntestinesLymphatic VesselsLymph NodesMaleMesenteryMiceMiddle Aged

Identifiers

PMID27746181
PMCPMC5225286
OpenAlexW2530453317

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.