Evidence map›Paper›PMID 29782846›Full record

ArticleGastroenterology2018

Abnormal Small Intestinal Epithelial Microvilli in Patients With Crohn's Disease.

Kelli L VanDussen, Aleksandar Stojmirović, Katherine Li, Ta-Chiang Liu, Patrick K Kimes, Brian D Muegge, Katherine F Simpson, Matthew A Ciorba, Jacqueline G Perrigoue, Joshua R Friedman and 3 more

Abstract read
In one paragraph

Article in Gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% 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

76 citing papers in PubMed, 2 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Pooled it
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  14. Integrative Analysis of Intestinal Transcriptomes UnderscoresBioinformatics and biology insights · 2026
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16 more citing papers are in PubMed but not listed here.

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 2 institutions in 1 country.

Kelli L VanDussenDepartment of Pathology and Immunology, Division of Gastroenterology, Inflammatory Bowel Disease Program, St Louis, Missouri.
Aleksandar StojmirovićJanssen Research and Development, LLC, Spring House, Pennsylvania.
Katherine LiJanssen Research and Development, LLC, Spring House, Pennsylvania.
Ta-Chiang LiuDepartment of Pathology and Immunology, Division of Gastroenterology, Inflammatory Bowel Disease Program, St Louis, Missouri.
Patrick K KimesJanssen Research and Development, LLC, Spring House, Pennsylvania.
Brian D MueggeDepartment of Pathology and Immunology, Division of Gastroenterology, Inflammatory Bowel Disease Program, St Louis, Missouri.
Katherine F SimpsonDepartment of Pathology and Immunology, Division of Gastroenterology, Inflammatory Bowel Disease Program, St Louis, Missouri.
Matthew A CiorbaDepartment of Internal Medicine, Division of Gastroenterology, Inflammatory Bowel Disease Program, St Louis, Missouri.
Jacqueline G PerrigoueJanssen Research and Development, LLC, Spring House, Pennsylvania.
Joshua R FriedmanJanssen Research and Development, LLC, Spring House, Pennsylvania.
Jennifer E TowneJanssen Research and Development, LLC, Spring House, Pennsylvania.
Richard D HeadDepartment of Genetics, Washington University School of Medicine, St Louis, Missouri.
Thaddeus S StappenbeckDepartment of Pathology and Immunology, Division of Gastroenterology, Inflammatory Bowel Disease Program, St Louis, Missouri. Electronic address: stappenb@pathology.wustl.edu.
Janssen (United States) · USWashington University in St. Louis · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
RESPONSES OF INTESTINAL STEM CELLS TO EPITHELIAL INJURYR01DK071619 · NIDDK · WASHINGTON UNIVERSITY · PI STAPPENBECK, THADDEUS S · 2008 to 2017
$3.2M
TARGETING TRYPTOPHAN METABOLISM IN COLITIS ASSOCIATED CANCERR01DK109384 · NIDDK · WASHINGTON UNIVERSITY · PI CIORBA, MATTHEW AARON · 2016 to 2020
$1.7M
DEFINING THE BASIS OF EPITHELIAL DEFECTS IN CROHN'S DISEASE PATIENTSK01DK109081 · NIDDK · WASHINGTON UNIVERSITY · PI VANDUSSEN, KELLI LYNN · 2016 to 2020
$737k
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NCI NIH HHS P30 CA091842NIDDK NIH HHS K01 DK109081NIDDK NIH HHS P30 DK052574NIDDK NIH HHS R01 DK071619NIDDK NIH HHS R01 DK109384
6 · The paper itself

Abstract

BACKGROUND &

aimsCrohn disease (CD) presents as chronic and often progressive intestinal inflammation, but the contributing pathogenic mechanisms are unclear. We aimed to identify alterations in intestinal cells that could contribute to the chronic and progressive course of CD.

methodsWe took an unbiased system-wide approach by performing sequence analysis of RNA extracted from formalin-fixed paraffin-embedded ileal tissue sections from patients with CD (n = 36) and without CD (controls; n = 32). We selected relatively uninflamed samples, based on histology, before gene expression profiling; validation studies were performed using adjacent serial tissue sections. A separate set of samples (3 control and 4 CD samples) was analyzed by transmission electron microscopy. We developed methods to visualize an overlapping modular network of genes dysregulated in the CD samples. We validated our findings using biopsy samples (110 CD samples for gene expression analysis and 54 for histologic analysis) from the UNITI-2 phase 3 trial of ustekinumab for patients with CD and healthy individuals (26 samples used in gene expression analysis).

resultsWe identified gene clusters that were altered in nearly all CD samples. One cluster encoded genes associated with the enterocyte brush border, leading us to investigate microvilli. In ileal tissues from patients with CD, the microvilli were of decreased length and had ultrastructural defects compared with tissues from controls. Microvilli length correlated with expression of genes that regulate microvilli structure and function. Network analysis linked the microvilli cluster to several other down-regulated clusters associated with altered intracellular trafficking and cellular metabolism. Enrichment of a core microvilli gene set also was lower in the UNITI-2 trial CD samples compared with controls; expression of microvilli genes was correlated with microvilli length and endoscopy score and was associated with response to treatment.

conclusionsIn a transcriptome analysis of formalin-fixed and paraffin-embedded ileal tissues from patients with CD and controls, we associated transcriptional alterations with histologic alterations, such as differences in microvilli length. Decreased microvilli length and decreased expression of the microvilli gene set might contribute to epithelial malfunction and the chronic and progressive disease course in patients with CD.

Indexed as

Chronic DiseaseCrohn DiseaseDisease ProgressionGene Expression ProfilingHumansIleumIntestinal MucosaIntestine, SmallMicrovilliTranscriptomeFormalin-FixedInflammatory Bowel DiseasesNext-Generation SequencingParaffin-EmbeddedRNA-Seq

Identifiers

PMID29782846
PMCPMC6378688
OpenAlexW2803660147

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.