Evidence map›Paper›PMID 30106382›Full record

Trial reportThe Journal of clinical investigation2018

Survival signal REG3α prevents crypt apoptosis to control acute gastrointestinal graft-versus-host disease.

Dongchang Zhao, Yeung-Hyen Kim, Seihwan Jeong, Joel K Greenson, Mohammed S Chaudhry, Matthias Hoepting, Erik R Anderson, Marcel Rm van den Brink, Jonathan U Peled, Antonio Lc Gomes and 11 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of clinical investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed
13.7field-weighted citation impact, top 1% 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

100 citing papers in PubMed, 134 citations in OpenAlex.

  1. Trial
  2. MAGIC Composite Score Predicts Outcomes of Second-Line Therapy for Acute GVHD.medRxiv : the preprint server for health sciences · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Loss of GLP-2R signaling in Glp2rMolecular metabolism · 2026
    Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Modern-Era Challenges in the Clinical Management of Graft-Versus-Host Disease.Advances in experimental medicine and biology · 2025
    Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

40 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

21 authors at 8 institutions in 2 countries.

Dongchang ZhaoThe Tisch Cancer Institute and Division of Hematology/Medical Oncology, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Yeung-Hyen KimDepartment of Microbiology and Immunology, and.
Seihwan JeongThe Tisch Cancer Institute and Division of Hematology/Medical Oncology, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Joel K GreensonDepartment of Pathology, University of Michigan, Ann Arbor, Michigan, USA.
Mohammed S ChaudhryThe Tisch Cancer Institute and Division of Hematology/Medical Oncology, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Matthias HoeptingDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Erik R AndersonThe Tisch Cancer Institute and Division of Hematology/Medical Oncology, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Marcel Rm van den BrinkMemorial Sloan Kettering Cancer Center, Weill Cornell Medical College, New York, New York, USA.
Jonathan U PeledMemorial Sloan Kettering Cancer Center, Weill Cornell Medical College, New York, New York, USA.
Antonio Lc GomesMemorial Sloan Kettering Cancer Center, Weill Cornell Medical College, New York, New York, USA.
Ann E SlingerlandMemorial Sloan Kettering Cancer Center, Weill Cornell Medical College, New York, New York, USA.
Michael J DonovanDepartment of Pathology, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Andrew C HarrisBlood and Marrow Transplantation Program, University of Utah, Salt Lake City, Utah, USA.
John E LevineThe Tisch Cancer Institute and Division of Hematology/Medical Oncology, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Umut OzbekThe Tisch Cancer Institute and Division of Hematology/Medical Oncology, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Lora V HooperHoward Hughes Medical Institute, Department of Immunology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Thaddeus S StappenbeckDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri, USA.
Aaron Ver HeulDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri, USA.
Ta-Chiang LiuDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri, USA.
Pavan ReddyDivision of Hematology/Oncology, University of Michigan, Ann Arbor, Michigan, USA.
James Lm FerraraThe Tisch Cancer Institute and Division of Hematology/Medical Oncology, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Tisch Hospital · USMemorial Sloan Kettering Cancer Center · USWashington University in St. Louis · USUniversity of Michigan · USHoward Hughes Medical Institute · USMedizinische Hochschule Hannover · DEMount Sinai Hospital · USUniversity of Utah · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
TUMOR VACCINES AND BONE MARROW TRANSPLANTATIONP01CA039542 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PAVAN REDDY · 1985 to 2026
$47.9M
Training Program in Molecular HematologyT32HL007622 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SUNG WON CHOI, Jordan A. Shavit · 1986 to 2026
$9.2M
The role of intestinal microbiota in graft-versus-host diseaseR01CA228308 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Philip L Lorenzi, Marcel R M van den Brink · 2018 to 2026
$5.2M
Translational Immunology Training ProgramT32AI078892 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Karen Leigh Edelblum, SERGIO A. LIRA · 2008 to 2026
$4.5M
The role of intestinal microbiota in graft-versus-host diseaseR01CA228358 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI VAN DEN BRINK, MARCEL R M · 2018 to 2022
$2.6M
NCI NIH HHS P01 CA039542NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA228308NCI NIH HHS R01 CA228358NHLBI NIH HHS T32 HL007622NIAID NIH HHS T32 AI078892
6 · The paper itself

Abstract

Graft-versus-host disease (GVHD) in the gastrointestinal (GI) tract remains the major cause of morbidity and nonrelapse mortality after BM transplantation (BMT). The Paneth cell protein regenerating islet-derived 3α (REG3α) is a biomarker specific for GI GVHD. REG3α serum levels rose in the systematic circulation as GVHD progressively destroyed Paneth cells and reduced GI epithelial barrier function. Paradoxically, GVHD suppressed intestinal REG3γ (the mouse homolog of human REG3α), and the absence of REG3γ in BMT recipients intensified GVHD but did not change the composition of the microbiome. IL-22 administration restored REG3γ production and prevented apoptosis of both intestinal stem cells (ISCs) and Paneth cells, but this protection was completely abrogated in Reg3g-/- mice. In vitro, addition of REG3α reduced the apoptosis of colonic cell lines. Strategies that increase intestinal REG3α/γ to promote crypt regeneration may offer a novel, nonimmunosuppressive approach for GVHD and perhaps for other diseases involving the ISC niche, such as inflammatory bowel disease.

Indexed as

ApoptosisBone Marrow TransplantationSignal TransductionAnimalsCell SurvivalColonFemaleGraft vs Host DiseaseHumansInflammatory Bowel DiseasesMaleMiceMice, Inbred BALB CMice, KnockoutPancreatitis-Associated ProteinsPaneth CellsPancreatitis-Associated ProteinsREG3A protein, humanReg3g protein, mouseAdaptive immunityBone marrow transplantationImmunologyInnate immunityTransplantation

Identifiers

PMID30106382
PMCPMC6205404
OpenAlexW2886776552

What OpenQuestion holds

Textmetadata
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.