Evidence map›Paper›PMID 30159037›Full record

ArticleTherapeutic advances in gastroenterology2018

Indoleamine 2,3-dioxygenase-dependent expansion of T-regulatory cells maintains mucosal healing in ulcerative colitis.

Aleksandar Acovic, Bojana Simovic Markovic, Marina Gazdic, Aleksandar Arsenijevic, Nemanja Jovicic, Nevena Gajovic, Marina Jovanovic, Natasa Zdravkovic, Tatjana Kanjevac, C Randall Harrell and 6 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 30 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

16 authors at 4 institutions in 2 countries.

Aleksandar AcovicCenter for Molecular Medicine and Stem Cell Research, University of Kragujevac, Kragujevac, Serbia.
Bojana Simovic MarkovicCenter for Molecular Medicine and Stem Cell Research, University of Kragujevac, Kragujevac, Serbia.
Marina GazdicDepartment of Genetics, University of Kragujevac, Kragujevac, Serbia.
Aleksandar ArsenijevicCenter for Molecular Medicine and Stem Cell Research, University of Kragujevac, Kragujevac, Serbia.
Nemanja JovicicDepartment of Histology and Embryology, University of Kragujevac, Kragujevac, Serbia.
Nevena GajovicCenter for Molecular Medicine and Stem Cell Research, University of Kragujevac, Kragujevac, Serbia.
Marina JovanovicCenter for Gastroenterology, Clinical Center Kragujevac, Kragujevac, Serbia.
Natasa ZdravkovicCenter for Gastroenterology, Clinical Center Kragujevac, Kragujevac, Serbia.
Tatjana KanjevacCenter for Molecular Medicine and Stem Cell Research, University of Kragujevac, Kragujevac, Serbia.
C Randall HarrellRegenerative Processing Plant, LLC, Palm Harbor, FL, USA.
Crissy FellabaumRegenerative Processing Plant, LLC, Palm Harbor, FL, USA.
Zana DolicaninState University of Novi Pazar, Department of Biomedical Sciences, Novi Pazar, Serbia.
Valentin DjonovInstitute of Anatomy, University of Bern, Baltzerstrasse, Switzerland.
Nebojsa ArsenijevicCenter for Molecular Medicine and Stem Cell Research, University of Kragujevac, Kragujevac, Serbia.
Miodrag L LukicCenter for Molecular Medicine and Stem Cell Research, University of Kragujevac, Kragujevac, Serbia.
Vladislav VolarevicCenter for Molecular Medicine and Stem Cell Research, Faculty of Medical Sciences, University of Kragujevac, 69 Svetozar Markovic Street, 34000 Kragujevac, Serbia.
University of Kragujevac · RSClinical Centre of Kragujevac · RSState University of Novi Pazar · RSUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDendritic cell (DC)-derived indolamine 2,3-dioxygenase (IDO) degrades tryptophan to kynurenine, which promotes conversion of inflammatory T cells in immunosuppressive regulatory T cells (Tregs). We analyzed the significance of the IDO:Treg axis for inducing and maintaining mucosal healing in ulcerative colitis (UC).

methodsDextran sodium sulphate (DSS)-induced colitis in BALB/c mice (model for mucosal healing) and C57BL/6 mice (model for persistent disease) was used. Serum, fecal samples and colon-infiltrating immune cells of 65 patients with UC with mucosal healing or persistent colitis were analyzed.

resultsSignificantly higher serum levels of kynurenine and downregulated inflammatory cytokines were noticed in DSS-treated BALB/c mice compared with C57BL/6 mice. Increased IDO activity and attenuated capacity for antigen presentation and production of inflammatory cytokines, observed in BALB/c DCs, was followed by a significantly lower number of inflammatory T helper 1 (Th1) and Th17 cells and a notably increased number of Tregs in the colons of DSS-treated BALB/c mice. DCs and Tregs were crucially important for the maintenance of mucosal healing since their depletion aggravated colitis. Mucosal healing, followed by an increase in kynurenine and intestinal Tregs, was re-established when BALB/c DCs were transferred into DC-depleted or Treg-depleted DSS-treated BALB/c mice. This phenomenon was completely abrogated by the IDO inhibitor. Significantly higher serum and fecal levels of kynurenine, accompanied by an increased presence of intestinal Tregs, were noticed in patients with UC with mucosal healing and negatively correlated with disease severity, fecal calprotectin, colon-infiltrating interferon γ and interleukin-17-producing cells, serum and fecal levels of inflammatory cytokines.

conclusionIDO-dependent expansion of endogenous Tregs should be further explored as a new approach for the induction and maintenance of mucosal healing in patients with UC.

Indexed as

indolamine 2,3-dioxygenasekynureninemucosal healingT-regulatory cellsulcerative colitis

Identifiers

PMID30159037
PMCPMC6109841
OpenAlexW2888605630

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.