Evidence map›Paper›PMID 29955137›Full record

ArticleScientific reports2018

Downregulation of WNT11 is associated with bladder tissue fibrosis in patients with interstitial cystitis/bladder pain syndrome without Hunner lesion.

Daeheon Choi, Ju-Young Han, Jung Hyun Shin, Chae-Min Ryu, Hwan Yeul Yu, Aram Kim, Seungun Lee, Jisun Lim, Dong-Myung Shin, Myung-Soo Choo

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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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

10 authors at 2 institutions in 2 countries.

Daeheon ChoiDepartment of Urology, University of Ulsan College of Medicine, Seoul, Korea.
Ju-Young HanDepartment of Urology, University of Ulsan College of Medicine, Seoul, Korea.
Jung Hyun ShinDepartment of Urology, University of Ulsan College of Medicine, Seoul, Korea.
Chae-Min RyuDepartment of Urology, University of Ulsan College of Medicine, Seoul, Korea.
Hwan Yeul YuDepartment of Urology, University of Ulsan College of Medicine, Seoul, Korea.
Aram KimDepartment of Urology, Konkuk University Hospital, Konkuk University School of Medicine, Seoul, Korea.
Seungun LeeDepartment of Biomedical Sciences, University of Ulsan College of Medicine, Seoul, Korea.
Jisun LimDepartment of Biomedical Sciences, University of Ulsan College of Medicine, Seoul, Korea.
Dong-Myung ShinDepartment of Biomedical Sciences, University of Ulsan College of Medicine, Seoul, Korea. d0shin03@amc.seoul.kr.ORCID 0000-0002-0511-5750
Myung-Soo ChooDepartment of Urology, University of Ulsan College of Medicine, Seoul, Korea. mschoo@amc.seoul.kr.
Ulsan College · KRKonkuk University Medical Center · KR

Funding

Asan Institute for Life Sciences, Asan Medical Center 2017-098Asan Institute for Life Sciences, Asan Medical Center 2017-528Ministry of Health and Welfare (Ministry of Health, Welfare and Family Affairs) HI14C3365
6 · The paper itself

Abstract

This study assessed the functional role of WNT genes and the association between WNT signalling cascades and fibrosis in interstitial cystitis/bladder pain syndrome (IC/BPS) patients. Twenty-five patients (3 males, 22 females; mean age 59.7 ± 10.9 years), included 7 non-Hunner-type IC (NHIC), 18 Hunner-type IC (HIC), and 5 non-IC (control) groups. The expression of sonic hedgehog, WNT gene family, and genes previously reported as biomarkers for IC/BPS were examined using RT-PCR in biopsy specimens from the mucosa and submucosa layer of the bladder. WNT2B, WNT5A, WNT10A, and WNT11 functions in the urothelium were evaluated by silencing in an HBlEpC cell line. Pelvic Pain and Urgency/Frequency Patient Symptom Scale scores, O'Leary-Sant Symptom and Problem Index scores, and Visual Analogue Scores did not differ between the NHIC and HIC groups. However, HIC patients had significantly shorter symptom duration (30.9 vs 70.8 months, p = 0.046), higher daily urinary frequency (16.1 versus 8.5 times, p = 0.006), and smaller bladder capacity (208.6 versus 361.4 ml, p = 0.006) than NHIC patients. Overall WNT gene expression was lower in NHIC than HIC patients. Bladder epithelial tissues from HIC patients were characterised by the downregulation of WNT11. Silencing of WNT11, WNT2B, WNT5A, and WNT10A in HBlEpCs resulted in fibrotic changes, indicated by fibrotic morphology, increased fibrosis-related gene expression, and nuclear localisation of phosphorylated SMAD2, and increased vimentin and fibronectin levels. Downregulation of WNT11 results in fibrotic changes of bladder epithelial cells and is associated with the pathogenesis and differential diagnosis of NHIC. Decreased expression of WNT11 is a potential biomarker for predicting NHIC.

Indexed as

Down-RegulationAgedCell NucleusCystitis, InterstitialEpithelial CellsFemaleFibronectinsFibrosisHumansMaleMiddle AgedPhosphorylationSmad2 ProteinTransforming Growth Factor betaUp-RegulationUrinary BladderFibronectinsSmad2 ProteinTransforming Growth Factor betaVimentinWnt11 protein, humanWnt Proteins

Identifiers

PMID29955137
PMCPMC6023880
OpenAlexW2808818474

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.