Evidence map›Paper›PMID 29659773›Full record

ArticleJournal of Crohn's & colitis2018

Gut Barrier Dysfunction-A Primary Defect in Twins with Crohn's Disease Predominantly Caused by Genetic Predisposition.

Åsa V Keita, Carl Mårten Lindqvist, Åke Öst, Carlos D L Magana, Ida Schoultz, Jonas Halfvarson

RetractedErratum issuedOpen access · hybridAbstract readTwin Study
In one paragraph

Article in Journal of Crohn's & colitis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.6field-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

22 citing papers in PubMed, 41 citations in OpenAlex.

  1. Review
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  8. Role of cyclooxygenases 1 and 2 in the maintenance of colonic mucosal integrity in an experimental colitis model.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2023
    Article
  9. Article
  10. Capsaicin inhibits intestinal ClThe Journal of biological chemistry · 2022
    Article
  11. Epac-2 ameliorates spontaneous colitis in Il-10Journal of cellular and molecular medicine · 2022
    Article
  12. Exploring the Early Phase of Crohn's Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021
    Review
  13. Immune-Mediated Aggravation of theInternational journal of molecular sciences · 2021
    Article
  14. Review
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4 · The record

Corrections and comments

  • Expression of concern · 2022-01-24Civil Proceedings · Concerns/Issues about Data · Concerns/Issues about Results and/or Conclusions · Legal Reasons and/or Threats · · See also: https://doi.org/10.1093/ecco-jcc/jjab225 Journal was previously published by Elsevier until 2015.
  • Commented on by
  • Erratum issued
5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Åsa V KeitaDepartment of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Carl Mårten LindqvistDepartment of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Åke ÖstDepartment of Pathology and Cytology, Aleris Medilab, Täby, Sweden.
Carlos D L MaganaDepartment of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Ida SchoultzDepartment of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Jonas HalfvarsonDepartment of Gastroenterology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Örebro University · SELinköping University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: The aetiology of Crohn's disease is poorly understood. By investigating twin pairs discordant for Crohn's disease, we aimed to assess whether the dysregulated barrier represents a cause or a consequence of inflammation and to evaluate the impact of genetic predisposition on barrier function. Methods: Ileal biopsies from 15 twin pairs discordant for Crohn's disease [monozygotic n = 9, dizygotic n = 6] and 10 external controls were mounted in Ussing chambers to assess paracellular permeability to 51Chromium [Cr]-EDTA and trancellular passage to non-pathogenic E. coli K-12. Experiments were performed with and without provocation with acetylsalicylic acid. Immunofluorescence and ELISA were used to quantify the expression level of tight junction proteins. Results: Healthy co-twins and affected twins displayed increased 51Cr-EDTA permeability at 120 min, both with acetylsalicylic acid [p < 0.001] and without [p < 0.001] when compared with controls. A significant increase in 51Cr-EDTA flux was already seen at 20 min in healthy monozygotic co-twins compared with controls [p≤0.05] when stratified by zygosity, but not in healthy dizygotic co-twins. No difference in E. coli passage was observed between groups. Immunofluorescence of the tight junction proteins claudin-5 and tricellulin showed lower levels in healthy co-twins [p < 0.05] and affected twins [p < 0.05] compared with external controls, while ELISA only showed lower tricellulin in Crohn's disease twins [p < 0.05]. Conclusion: Our results suggest that barrier dysfunction is a primary defect in Crohn's disease, since changes were predominantly seen in healthy monozygotic co-twins. Passage of E. coli seems to be a consequence of inflammation, rather than representing a primary defect.

Indexed as

Crohn DiseaseIleumAdultAspirinChelating AgentsChromium RadioisotopesClaudin-5Diagnostic Techniques, RadioisotopeEdetic AcidEscherichia coli K12FemaleGenetic Predisposition to DiseaseHumansMaleMARVEL Domain Containing 2 ProteinMiddle AgedAspirinChelating AgentsChromium-51Chromium RadioisotopesClaudin-5Edetic AcidMARVELD2 protein, humanMARVEL Domain Containing 2 Protein

Identifiers

PMID29659773
PMCPMC6225972
OpenAlexW2791643381

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.