Evidence map›Paper›PMID 29934438›Full record

ArticleGut2019

Terrence E Riehl, David Alvarado, Xueping Ee, Aaron Zuckerman, Lynn Foster, Vaishali Kapoor, Dinesh Thotala, Matthew A Ciorba, William F Stenson

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Gut, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01790035 (A Phase I and Randomized Controlled Phase II Trial of the Probiotic LGG for Prevention of Side Effects in Patients Undergoing Chemoradiation for Gastrointestinal Cancer), which is not on this map. Cited by 134 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 2 pooled it
8.8field-weighted citation impact, top 2% 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.

NCT01790035 phase1terminatednot on this map

A Phase I and Randomized Controlled Phase II Trial of the Probiotic LGG for Prevention of Side Effects in Patients Undergoing Chemoradiation for Gastrointestinal Cancer

TypeinterventionalSponsorWashington University School of MedicineRan2014 to 2021Enrolled23ConditionsGastrointestinal NeoplasmsArmsLGG, Placebo
3 · Its place in the literature

Who cites it

134 citing papers in PubMed, 2 syntheses or guidelines pooled it, 209 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. A phase II clinical trial ofFrontiers in nutrition · 2025
    Trial
  5. Review
  6. Gut microbes · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Radiomitigators: Breakthroughs in Post-Radiation Recovery.Antioxidants (Basel, Switzerland) · 2026
    Review
  17. Article
  18. Article
  19. Review
  20. Review

74 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

9 authors at 1 institution in 1 country.

Terrence E RiehlDivision of Gastroenterology, Washington University School of Medicine, Saint Louis, Missouri, USA.
David AlvaradoDivision of Gastroenterology, Washington University School of Medicine, Saint Louis, Missouri, USA.
Xueping EeDivision of Gastroenterology, Washington University School of Medicine, Saint Louis, Missouri, USA.
Aaron ZuckermanDivision of Gastroenterology, Washington University School of Medicine, Saint Louis, Missouri, USA.
Lynn FosterDivision of Gastroenterology, Washington University School of Medicine, Saint Louis, Missouri, USA.
Vaishali KapoorDepartment of Radiation Oncology, Washington University School of Medicine, Saint Louis, Missouri, USA.
Dinesh ThotalaDepartment of Radiation Oncology, Washington University School of Medicine, Saint Louis, Missouri, USA.
Matthew A CiorbaDivision of Gastroenterology, Washington University School of Medicine, Saint Louis, Missouri, USA.
William F StensonDivision of Gastroenterology, Washington University School of Medicine, Saint Louis, Missouri, USA.
Washington University in St. Louis · US

Funding

Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
Pediatric Gastroenterology Research Training ProgramT32DK077653 · NIDDK · WASHINGTON UNIVERSITY · PI PHILLIP I TARR · 2007 to 2026
$5.8M
Mediators of Inflammation in Intestinal InjuryR37DK033165 · NIDDK · WASHINGTON UNIVERSITY · PI STENSON, WILLIAM F. · 2007 to 2016
$3.5M
MEDIATORS OF INFLAMMATION IN INFLAMMATORY BOWEL DISEASER01DK033165 · NIDDK · WASHINGTON UNIVERSITY · PI STENSON, WILLIAM F. · 1986 to 2006
$1.9M
TARGETING TRYPTOPHAN METABOLISM IN COLITIS ASSOCIATED CANCERR01DK109384 · NIDDK · WASHINGTON UNIVERSITY · PI CIORBA, MATTHEW AARON · 2016 to 2020
$1.7M
PROBIOTICS TO PREVENT GI SIDE EFFECTS FROM CHEMORADIATION FOR ABDOMINAL MALIGNANCYR21CA206039 · NCI · WASHINGTON UNIVERSITY · PI CIORBA, MATTHEW AARON · 2016 to 2017
$365k
IDO1 IN THE HUMAN GUT EPITHELIUMR03DK100737 · NIDDK · WASHINGTON UNIVERSITY · PI CIORBA, MATTHEW AARON · 2014 to 2015
$152k
NCI NIH HHS R21 CA206039NIDDK NIH HHS P30 DK052574NIDDK NIH HHS R01 DK033165NIDDK NIH HHS R01 DK109384NIDDK NIH HHS R03 DK100737NIDDK NIH HHS R37 DK033165NIDDK NIH HHS T32 DK077653
6 · The paper itself

Abstract

objective

designIntestinal radioprotection was modelled in vitro with cell lines and enteroids as well as in vivo by assaying clinical outcomes and crypt survival. Fractionated abdominal and single dose radiation were used along with syngeneic CT26 colon tumour grafts to assess tumour radioprotection.

resultsLGG with a mutation in the processing of lipoteichoic acid (LTA), a TLR2 agonist, was not radioprotective, while LTA agonist and native LGG were. An agonist of CXCR4 blocked LGG-induced MSC migration and LGG-induced radioprotection. LGG given by gavage induced expression of CXCL12, a CXCR4 agonist, in pericryptal macrophages and depletion of macrophages by clodronate liposomes blocked LGG-induced MSC migration and radioprotection. LTA effectively protected the normal intestinal crypt, but not tumours in fractionated radiation regimens.

conclusionsLGG acts as a 'time-release capsule' releasing radioprotective LTA. LTA then primes the epithelial stem cell niche to protect epithelial stem cells by triggering a multicellular, adaptive immune signalling cascade involving macrophages and PGE2 secreting MSCs. TRIAL REGISTRATION NUMBER: NCT01790035; Pre-results.

Indexed as

Lacticaseibacillus rhamnosusAnimalsCell MovementCells, CulturedDisease Models, AnimalEnzyme-Linked Immunosorbent AssayImmunohistochemistryIntestinal MucosaLipopolysaccharidesMacrophage ActivationMesenchymal Stem CellsMiceMice, Inbred BALB CMice, Inbred C57BLProbioticsRadiation InjuriesLipopolysaccharideslipoteichoic acidRadiation-Protective AgentsTeichoic Acidsintestinal epitheliumprobioticsprostaglandinsradiotherapystem cells

Identifiers

PMID29934438
PMCPMC7202371
OpenAlexW2809122762

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

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.