Evidence map›Paper›PMID 27893720›Full record

ArticlePediatric research2017

A functional ATG16L1 (T300A) variant is associated with necrotizing enterocolitis in premature infants.

Venkatesh Sampath, Vineet Bhandari, Jessica Berger, Daniel Merchant, Liyun Zhang, Mihoko Ladd, Heather Menden, Jeffery Garland, Namasivayam Ambalavanan, Neil Mulrooney and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Necrotizing Enterocolitis: What's New and What's Next?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

15 authors at 10 institutions in 2 countries.

Venkatesh SampathDepartment of Pediatrics, Children's Mercy, Kansas City, Missouri.
Vineet BhandariDepartment of Pediatrics, Yale University School of Medicine, New Haven, Connecticut.
Jessica BergerDepartment of Pediatrics, Yale University School of Medicine, New Haven, Connecticut.
Daniel MerchantDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Liyun ZhangDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Mihoko LaddDepartment of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
Heather MendenDepartment of Pediatrics, Children's Mercy, Kansas City, Missouri.
Jeffery GarlandDepartment of Pediatrics, St Joseph Hospital, Milwaukee, Wisconsin.
Namasivayam AmbalavananDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama.
Neil MulrooneyDepartment of Pediatrics, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota.
Michael QuasneyDepartment of Pediatrics, University of Michigan, Ann Harbor, Michigan.
John DagleDepartment of Pediatrics, Iowa Children's Hospital, Iowa City, Iowa.
Pascal M LavoieDepartment of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
Pippa SimpsonDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Mary DahmerDepartment of Pediatrics, University of Michigan, Ann Harbor, Michigan.
Medical College of Wisconsin · USChildren's Mercy Hospital · USUniversity of British Columbia · CAUniversity of Michigan · USChildren's Minnesota · USJohns Hopkins Medicine · USSt. Joseph Hospital · USUniversity of Alabama at Birmingham · USUniversity of Iowa Stead Family Children’s Hospital · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
Institutional Career Development CoreKL2TR001438 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI WIDLANSKY, MICHAEL E · 2015 to 2024
$2.9M
Clinical and Translational Science AwardKL2TR000056 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 2012 to 2015
$609k
NCATS NIH HHS KL2 TR000056NCATS NIH HHS KL2 TR001438NCATS NIH HHS UL1 TR001436NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundThe genetic basis of dysfunctional immune responses in necrotizing enterocolitis (NEC) remains unknown. We hypothesized that variants in nucleotide binding and oligomerization domain (NOD)-like receptors (NLRs) and autophagy (ATG) genes modulate vulnerability to NEC.

methodsWe genotyped a multi-center cohort of premature infants with and without NEC for NOD1, NOD2, ATG16L1, CARD8, and NLRP3 variants. Chi-square tests and logistic regression were used for statistical analysis.

resultsIn our primary cohort (n = 1,015), 86 (8.5%) infants developed NEC. The A allele of the ATG16L1 (Thr300Ala) variant was associated with increased NEC (AA vs. AG vs. GG; 11.3 vs. 8.4 vs. 4.8%, P = 0.009). In regression models for NEC that adjusted for epidemiological confounders, GA (P = 0.033) and the AA genotype (P = 0.038) of ATG16L1 variant were associated with NEC. The association between the A allele of the ATG16L1 variant and NEC remained significant among Caucasian infants (P = 0.02). In a replication cohort (n = 259), NEC rates were highest among infants with the AA genotype but did not reach statistical significance.

conclusionWe report a novel association between a hypomorphic variant in an autophagy gene (ATG16L1) and NEC in premature infants. Our data suggest that decreased autophagy arising from genetic variants may confer protection against NEC.

Indexed as

AutophagyInfant, PrematureAllelesAutophagy-Related ProteinsCarrier ProteinsCohort StudiesEnterocolitis, NecrotizingFemaleGenetic Predisposition to DiseaseGenetic VariationGenotypeHumansInfant, NewbornPolymorphism, Single NucleotideWhite PeopleATG16L1 protein, humanAutophagy-Related ProteinsCarrier Proteins

Identifiers

PMID27893720
PMCPMC5714513
OpenAlexW2557956519

What OpenQuestion holds

Textmetadata
LicenceTDM
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.