Evidence map›Paper›PMID 30016408›Full record

ArticleJournal of Crohn's & colitis2018

Plasma Nuclear Magnetic Resonance Metabolomics Discriminates Between High and Low Endoscopic Activity and Predicts Progression in a Prospective Cohort of Patients With Ulcerative Colitis.

Fay Probert, Alissa Walsh, Marta Jagielowicz, Tianrong Yeo, Timothy D W Claridge, Alison Simmons, Simon Travis, Daniel C Anthony

Open access · hybridAbstract read
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. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

31 citing papers in PubMed, 59 citations in OpenAlex.

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  20. A novel serum metabolomic panel distinguishes IgG4-related sclerosing cholangitis from primary sclerosing cholangitis.Liver international : official journal of the International Association for the Study of the Liver · 2022
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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

8 authors at 3 institutions in 2 countries.

Fay ProbertDepartment of Pharmacology, University of Oxford, Oxford, UK.
Alissa WalshTranslational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Marta JagielowiczMRC Human Immunology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, and Translational Gastroenterology Unit, John Radcliffe Hospital, Oxford, UK.
Tianrong YeoDepartment of Pharmacology, University of Oxford, Oxford, UK.
Timothy D W ClaridgeDepartment of Chemistry, University of Oxford, Chemistry Research Laboratory, Oxford, UK.
Alison SimmonsMRC Human Immunology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, and Translational Gastroenterology Unit, John Radcliffe Hospital, Oxford, UK.
Simon TravisTranslational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Daniel C AnthonyDepartment of Pharmacology, University of Oxford, Oxford, UK.
University of Oxford · GBJohn Radcliffe Hospital · GBOxford University Hospitals NHS Trust · GB

Funding

Department of Health NIHR-RP-R3-12-026Medical Research Council MC_PC_15029Medical Research Council MC_UU_00008/7Medical Research Council MC_UU_12010/7
6 · The paper itself

Abstract

BACKGROUND AND

aimsEndoscopic assessment of ulcerative colitis [UC] is one of the most accurate measures of disease activity, but frequent endoscopic investigations are disliked by patients and expensive for the healthcare system. A minimally invasive test that provides a surrogate measure of endoscopic activity is required.

methodsPlasma nuclear magnetic resonance [NMR] spectra from 40 patients with UC followed prospectively over 6 months were analysed with multivariate statistics. NMR metabolite profiles were compared with endoscopic [Ulcerative Colitis Endoscopic Index of Severity: UCEIS], histological [Nancy Index] and clinical [Simple Clinical Colitis Activity Index: SCCAI] severity indices, along with routine blood measurements.

resultsA blinded principal component analysis spontaneously separated metabolite profiles of patients with low [≤3] and high [>3] UCEIS. Orthogonal partial least squares discrimination analysis identified low and high UCEIS metabolite profiles with an accuracy of 77 ± 5%. Plasma metabolites driving discrimination included decreases in lipoproteins and increases in isoleucine, valine, glucose and myo-inositol in high compared to low UCEIS. This same metabolite profile distinguished between low [Nancy 0-1] and high histological activity [Nancy 3-4] with a modest although significant accuracy [65 ± 6%] but was independent of SCCAI and all blood parameters measured. A different metabolite profile, dominated by changes in lysine, histidine, phenylalanine and tyrosine, distinguished between improvement in UCEIS [decrease ≥1] and worsening [increase ≥1] over 6 months with an accuracy of 74 ± 4%.

conclusionPlasma NMR metabolite analysis has the potential to provide a low-cost, minimally invasive technique that may be a surrogate for endoscopic assessment, with predictive capacity.

Indexed as

Magnetic Resonance SpectroscopyAdolescentAdultAmino AcidsBlood GlucoseColitis, UlcerativeDisease ProgressionEndoscopy, GastrointestinalFemaleHistidineHumansIsoleucineLipoproteinsLysineMaleMetabolomicsAmino AcidsBlood GlucoseHistidineIsoleucineLipoproteinsLysinePhenylalanineTyrosineValine

Identifiers

PMID30016408
PMCPMC6403054
OpenAlexW2883121502

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.