Evidence map›Paper›PMID 29051514›Full record

ArticleScientific reports2017

Evidence for long-term sensitization of the bowel in patients with post-infectious-IBS.

D Balemans, S U Mondelaers, V Cibert-Goton, N Stakenborg, J Aguilera-Lizarraga, J Dooley, A Liston, D C Bulmer, P Vanden Berghe, G E Boeckxstaens and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Gut microbiota in health and disease.Molecular biomedicine · 2026
    Review
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  5. Article
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  12. Article
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  15. Article
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  18. Article
  19. Post-infection Irritable Bowel Syndrome.Gastroenterology clinics of North America · 2021
    Review
  20. Review
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

11 authors at 3 institutions in 2 countries.

D BalemansTranslational Research Center for Gastrointestinal Disorders, Dept. of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium.
S U MondelaersTranslational Research Center for Gastrointestinal Disorders, Dept. of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium.
V Cibert-GotonNational Centre for Bowel Research and Surgical Innovation, Centre for Neuroscience and Trauma, Blizard Institute, Bart's and the London school of Medicine and Dentistry, Queen Mary University of London, London, UK.
N StakenborgTranslational Research Center for Gastrointestinal Disorders, Dept. of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium.
J Aguilera-LizarragaTranslational Research Center for Gastrointestinal Disorders, Dept. of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium.
J DooleyAutoimmune Genetics Laboratory, VIB and Department of Microbiology and Immunology, KU Leuven, Belgium.ORCID 0000-0003-3154-4708
A ListonAutoimmune Genetics Laboratory, VIB and Department of Microbiology and Immunology, KU Leuven, Belgium.
D C BulmerNational Centre for Bowel Research and Surgical Innovation, Centre for Neuroscience and Trauma, Blizard Institute, Bart's and the London school of Medicine and Dentistry, Queen Mary University of London, London, UK.
P Vanden BergheTranslational Research Center for Gastrointestinal Disorders, Dept. of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium.
G E BoeckxstaensTranslational Research Center for Gastrointestinal Disorders, Dept. of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium. guy.boeckxstaens@med.kuleuven.be.
M M WoutersTranslational Research Center for Gastrointestinal Disorders, Dept. of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium.
KU Leuven · BEQueen Mary University of London · GBVIB-KU Leuven Center for Cancer Biology · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-infectious irritable bowel syndrome (PI-IBS) is a common gastrointestinal disorder characterized by persistent abdominal pain despite recovery from acute gastroenteritis. The underlying mechanisms are unclear, although long-term changes in neuronal function, and low grade inflammation of the bowel have been hypothesized. We investigated the presence and mechanism of neuronal sensitization in a unique cohort of individuals who developed PI-IBS following exposure to contaminated drinking water 7 years ago. We provide direct evidence of ongoing sensitization of neuronal signaling in the bowel of patients with PI-IBS. These changes occur in the absence of any detectable tissue inflammation, and instead appear to be driven by pro-nociceptive changes in the gut micro-environment. This is evidenced by the activation of murine colonic afferents, and sensitization responses to capsaicin in dorsal root ganglia (DRGs) following application of supernatants generated from tissue biopsy of patients with PI-IBS. We demonstrate that neuronal signaling within the bowel of PI-IBS patients is sensitized 2 years after the initial infection has resolved. This sensitization appears to be mediated by a persistent pro-nociceptive change in the gut micro-environment, that has the capacity to stimulate visceral afferents and facilitate neuronal TRPV1 signaling.

Indexed as

AdultAnimalsCapsaicinCase-Control StudiesColonCytokinesFemaleGanglia, SpinalGastroenteritisHumansIntestinal MucosaIrritable Bowel SyndromeMaleMiceMice, Inbred C57BLMiddle AgedCapsaicinCytokinesReceptors, Histamine H1TRPV1 protein, humanTRPV Cation Channels

Identifiers

PMID29051514
PMCPMC5648751
OpenAlexW2763849432

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.