Evidence map›Paper›PMID 29434451›Full record

ArticleWorld journal of gastroenterology2018

Impaired granulocyte-macrophage colony-stimulating factor bioactivity accelerates surgical recurrence in ileal Crohn's disease.

Grace Gathungu, Yuanhao Zhang, Xinyu Tian, Erin Bonkowski, Leahana Rowehl, Julia Krumsiek, Billy Nix, Claudia Chalk, Bruce Trapnell, Wei Zhu and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in World journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 17 citations in OpenAlex.

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  13. Association Between Plasma Level of Collagen Type III Alpha 1 Chain and Development of Strictures in Pediatric Patients With Crohn's Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2019
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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

13 authors at 4 institutions in 1 country.

Grace GathunguDepartment of Pediatrics, Division of Pediatric Gastroenterology, Stony Brook University, Stony Brook, NY 11794, United States. grace.gathungu@stonybrookmedicine.edu.
Yuanhao ZhangDepartment of Medicine, Division of Gastroenterology, Stony Brook University, Stony Brook, NY 11794, United States.
Xinyu TianDepartment of Medicine, Division of Gastroenterology, Stony Brook University, Stony Brook, NY 11794, United States.
Erin BonkowskiDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3026, United States.
Leahana RowehlDepartment of Medicine, Division of Gastroenterology, Stony Brook University, Stony Brook, NY 11794, United States.
Julia KrumsiekDepartment of Pediatrics, Division of Pediatric Gastroenterology, Stony Brook University, Stony Brook, NY 11794, United States.
Billy NixDepartment of Medicine, Washington University St. Louis, St. Louis, MO 63110, United States.
Claudia ChalkDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3026, United States.
Bruce TrapnellDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3026, United States.
Wei ZhuApplied Mathematics and Statistics, Stony Brook University, Stony Brook, NY 11794, United states.
Rodney NewberryDepartment of Medicine, Washington University St. Louis, St. Louis, MO 63110, United States.
Lee DensonDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3026, United States.
Ellen LiDepartment of Medicine, Division of Gastroenterology, Stony Brook University, Stony Brook, NY 11794, United States.
Cincinnati Children's Hospital Medical Center · USApplied Mathematics (United States) · USPediatrics and Genetics · USStony Brook University · US

Funding

Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 2007 to 2026
$24.4M
Causes and consequences of neutrophil dysfunction in early onset Crohn's diseaseR01DK098231 · NIDDK · EMORY UNIVERSITY · PI DENSON, LEE ARMISTEAD, KUGATHASAN, SUBRA · 2013 to 2017
$3.3M
Biomarkers for Inflammatory Bowel Disease Behavior and Treatment ResponseR01DK078683 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI DENSON, LEE ARMISTEAD · 2009 to 2012
$2.0M
NIDDK NIH HHS P30 DK052574NIDDK NIH HHS P30 DK078392NIDDK NIH HHS R01 DK078683NIDDK NIH HHS R01 DK098231
6 · The paper itself

Abstract

aimTo examine the relationship between elevated granulocyte-macrophage colony-stimulating factor (GM-CSF) auto-antibodies (Ab) level and time to surgical recurrence after initial surgery for Crohn's disease (CD).

methodsWe reviewed 412 charts from a clinical database at tertiary academic hospital. Patients included in the study had ileal or ileocolonic CD and surgical resection of small bowel or ileocecal region for management of disease. Serum samples were analyzed for serological assays including GM-CSF cytokine, GM-CSF Ab, ASCA IgG and IgA, and genetic markers including SNPs rs2066843, rs2066844, rs2066845, rs2076756 and rs2066847 in NOD2, rs2241880 in ATG16L1, and rs13361189 in IRGM. Cox proportional-hazards models were used to assess the predictors of surgical recurrence.

resultsNinety six percent of patients underwent initial ileocecal resection (ICR) or ileal resection (IR) and subsequently 40% of patients required a second ICR/IR for CD. GM-CSF Ab level was elevated at a median of 3.81 mcg/mL. Factors predicting faster time to a second surgery included elevated GM-CSF Ab [hazard ratio (HR) 3.52, 95%CI: 1.45-8.53,

conclusionGM-CSF bioavailability plays a critical role in maintaining intestinal homeostasis. Decreased bioavailability coupled with the genetic risk markers and/or smoking results in aggressive CD behavior.

Indexed as

AdultAutoantibodiesAutophagy-Related ProteinsBiomarkersCrohn DiseaseFemaleGranulocyte-Macrophage Colony-Stimulating FactorHumansIleal DiseasesIleumMaleMiddle AgedRecurrenceRetrospective StudiesRisk AssessmentTime FactorsATG16L1 protein, humanAutoantibodiesAutophagy-Related ProteinsBiomarkersGranulocyte-Macrophage Colony-Stimulating FactorCrohn’s diseaseGranulocyte-macrophage colony-stimulating factor antibodyInflammatory bowel diseaseSurgery

Identifiers

PMID29434451
PMCPMC5799863
OpenAlexW2786491593

What OpenQuestion holds

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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.