Evidence map›Paper›PMID 28279965›Full record

ArticleBlood2017

Lower levels of vitamin A are associated with increased gastrointestinal graft-versus-host disease in children.

Dana T Lounder, Pooja Khandelwal, Christopher E Dandoy, Sonata Jodele, Michael S Grimley, Gregory Wallace, Adam Lane, Cynthia Taggart, Ashley C Teusink-Cross, Kelly E Lake and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
3.8field-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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Vitamin requirements during stem cell transplantation: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  2. Trial
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  4. Article
  5. Article
  6. Loss of GLP-2R signaling in Glp2rMolecular metabolism · 2026
    Article
  7. Article
  8. Article
  9. Modern-Era Challenges in the Clinical Management of Graft-Versus-Host Disease.Advances in experimental medicine and biology · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Review
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  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Dana T LounderDivision of Bone Marrow Transplant and Immune Deficiency.
Pooja KhandelwalDivision of Bone Marrow Transplant and Immune Deficiency.
Christopher E DandoyDivision of Bone Marrow Transplant and Immune Deficiency.
Sonata JodeleDivision of Bone Marrow Transplant and Immune Deficiency.
Michael S GrimleyDivision of Bone Marrow Transplant and Immune Deficiency.
Gregory WallaceDivision of Bone Marrow Transplant and Immune Deficiency.
Adam LaneDivision of Bone Marrow Transplant and Immune Deficiency.
Cynthia TaggartDivision of Nutrition Therapy, and.
Ashley C Teusink-CrossDepartment of Pharmacy, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Kelly E LakeDivision of Bone Marrow Transplant and Immune Deficiency.
Stella M DaviesDivision of Bone Marrow Transplant and Immune Deficiency.
Immune Deficiency Foundation · USCincinnati Children's Hospital Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vitamin A promotes development of mucosal tolerance and enhances differentiation of regulatory T cells. Vitamin A deficiency impairs epithelial integrity, increasing intestinal permeability. We hypothesized that higher vitamin A levels would reduce the risk of graft-versus-host disease (GVHD) through reduced gastrointestinal (GI) permeability, reduced mucosal injury, and reduced lymphocyte homing to the gut. We tested this hypothesis in a cohort study of 114 consecutive patients undergoing allogeneic stem cell transplant. Free vitamin A levels were measured in plasma at day 30 posttransplant. GI GVHD was increased in patients with vitamin A levels below the median (38% vs 12.4% at 100 days,

Indexed as

AdolescentAdultChildChild, PreschoolDemographyGastrointestinal DiseasesGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansIncidenceInfantIntestinal MucosaMultivariate AnalysisPermeabilityReceptors, CCRRetinol-Binding Proteins, PlasmaCC chemokine receptor 9RBP4 protein, humanReceptors, CCRRetinol-Binding Proteins, PlasmaVitamin A

Identifiers

PMID28279965
PMCPMC5766846
OpenAlexW2592326108

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.