Evidence map›Paper›PMID 28934294›Full record

ArticlePloS one2017

Immunopathology of childhood celiac disease-Key role of intestinal epithelial cells.

Grzegorz Pietz, Rituparna De, Maria Hedberg, Veronika Sjöberg, Olof Sandström, Olle Hernell, Sten Hammarström, Marie-Louise Hammarström

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

29 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
  2. T cell receptors for antigen on intraepithelial cytolytic T lymphocytes in celiac disease engage enterocyte HLA-E and HLA-B.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. International journal of molecular sciences · 2025
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Pivotal Role of Inflammation in Celiac Disease.International journal of molecular sciences · 2022
    Review
  15. Article
  16. NOD-like receptors in autoimmune diseases.Acta pharmacologica Sinica · 2021
    Review
  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

8 authors at 1 institution in 1 country.

Grzegorz PietzDepartment of Clinical Microbiology, Immunology, Umeå University, Umeå, Sweden.
Rituparna DeDepartment of Clinical Microbiology, Immunology, Umeå University, Umeå, Sweden.
Maria HedbergDepartment of Clinical Microbiology, Immunology, Umeå University, Umeå, Sweden.
Veronika SjöbergDepartment of Clinical Microbiology, Immunology, Umeå University, Umeå, Sweden.
Olof SandströmDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Olle HernellDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Sten HammarströmDepartment of Clinical Microbiology, Immunology, Umeå University, Umeå, Sweden.
Marie-Louise HammarströmDepartment of Clinical Microbiology, Immunology, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0001-6182-4423
Umeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsCeliac disease is a chronic inflammatory disease of the small intestine mucosa due to permanent intolerance to dietary gluten. The aim was to elucidate the role of small intestinal epithelial cells in the immunopathology of celiac disease in particular the influence of celiac disease-associated bacteria.

methodsDuodenal biopsies were collected from children with active celiac disease, treated celiac disease, and clinical controls. Intestinal epithelial cells were purified and analyzed for gene expression changes at the mRNA and protein levels. Two in vitro models for human intestinal epithelium, small intestinal enteroids and polarized tight monolayers, were utilized to assess how interferon-γ, interleukin-17A, celiac disease-associated bacteria and gluten influence intestinal epithelial cells.

resultsMore than 25 defense-related genes, including IRF1, SPINK4, ITLN1, OAS2, CIITA, HLA-DMB, HLA-DOB, PSMB9, TAP1, BTN3A1, and CX3CL1, were significantly upregulated in intestinal epithelial cells at active celiac disease. Of these genes, 70% were upregulated by interferon-γ via the IRF1 pathway. Most interestingly, IRF1 was also upregulated by celiac disease-associated bacteria. The NLRP6/8 inflammasome yielding CASP1 and biologically active interleukin-18, which induces interferon-γ in intraepithelial lymphocytes, was expressed in intestinal epithelial cells.

conclusionA key factor in the epithelial reaction in celiac disease appears to be over-expression of IRF1 that could be inherent and/or due to presence of undesirable microbes that act directly on IRF1. Dual activation of IRF1 and IRF1-regulated genes, both directly and via the interleukin-18 dependent inflammasome would drastically enhance the inflammatory response and lead to the pathological situation seen in active celiac disease.

Indexed as

BacteriaBiomarkersCeliac DiseaseCells, CulturedChildChild, PreschoolFemaleGlutensHumansInterferon Regulatory Factor-1Intestinal MucosaLymphocytesMaleBiomarkersGlutensInterferon Regulatory Factor-1IRF1 protein, human

Identifiers

PMID28934294
PMCPMC5608296
OpenAlexW2758632822

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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.