Evidence map›Paper›PMID 30182050›Full record

ArticleCellular and molecular gastroenterology and hepatology2018

Increased Pancreatic Protease Activity in Response to Antibiotics Impairs Gut Barrier and Triggers Colitis.

Hongsup Yoon, Monika Schaubeck, Ilias Lagkouvardos, Andreas Blesl, Stephanie Heinzlmeir, Hannes Hahne, Thomas Clavel, Suchita Panda, Christina Ludwig, Bernhard Kuster and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cellular and molecular gastroenterology and hepatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.5field-weighted citation impact, top 10% 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, 37 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Proteases in intestinal health and disease.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  6. Nutrients · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Gut-liver axis: barriers and functional circuits.Nature reviews. Gastroenterology & hepatology · 2023
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 3 countries.

Hongsup YoonTechnische Universität München, Chair of Nutrition and Immunology, Freising-Weihenstephan, Germany.
Monika SchaubeckMax Planck Institute of Neurobiology, Department of Neuroimmunology, Martinsried, Germany.
Ilias LagkouvardosTechnische Universität München, Junior Research Group Microbial Bioinformatics, ZIEL - Institute for Food and Health, Freising-Weihenstephan, Germany.
Andreas BleslDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Stephanie HeinzlmeirTechnische Universität München, Chair of Proteomics and Bioanalytics, Freising-Weihenstephan, Germany.
Hannes HahneTechnische Universität München, Chair of Proteomics and Bioanalytics, Freising-Weihenstephan, Germany.
Thomas ClavelTechnische Universität München, ZIEL - Institute for Food & Health, Freising-Weihenstephan, Germany.
Suchita PandaVall d'Hebron Research Institute, Digestive Research Unit, Barcelona, Spain.
Christina LudwigTechnische Universität München, Bavarian Center for Biomolecular Mass Spectrometry (BayBioMS), Freising-Weihenstephan, Germany.
Bernhard KusterTechnische Universität München, Chair of Proteomics and Bioanalytics, Freising-Weihenstephan, Germany.
Chaysavanh ManichanhVall d'Hebron Research Institute, Digestive Research Unit, Barcelona, Spain.
Patrizia KumpDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Dirk HallerTechnische Universität München, Chair of Nutrition and Immunology, Freising-Weihenstephan, Germany.
Gabriele HörmannspergerTechnische Universität München, Chair of Nutrition and Immunology, Freising-Weihenstephan, Germany.
Technical University of Munich · DEWeihenstephan-Triesdorf University of Applied Sciences · DEMedical University of Graz · ATVall d'Hebron Institut de Recerca · ESMax Planck Institute of Neurobiology · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & Aims: Antibiotic (ABx) therapy is associated with increased risk for Crohn's disease but underlying mechanisms are unknown. We observed high fecal serine protease activity (PA) to be a frequent side effect of ABx therapy. The aim of the present study was to unravel whether this rise in large intestinal PA may promote colitis development via detrimental effects on the large intestinal barrier. Methods: Transwell experiments were used to assess the impact of high PA in ABx-treated patients or vancomycin/metronidazole-treated mice on the epithelial barrier. Serine protease profiling was performed using liquid chromatography-mass spectrometry/mass spectrometry analysis. The impact of high large intestinal PA on the intestinal barrier in wild-type and interleukin (IL)10 Results: The ABx-induced, high large intestinal PA was caused by significantly increased levels of pancreatic proteases and impaired epithelial barrier integrity. In wild-type mice, the rise in PA caused a transient increase in intestinal permeability but did not affect susceptibility to chemically induced acute colitis. In IL10 Conclusions: High large intestinal PA is a frequent adverse effect of ABx therapy, which is detrimental to the large intestinal barrier and may contribute to the development of chronic intestinal inflammation in susceptible individuals.

Indexed as

AnimalsAnti-Bacterial AgentsColitisDextran SulfateDisease Models, AnimalFecesHumansIntestine, LargeMetronidazoleMiceMice, Inbred C57BLMice, KnockoutRisk FactorsSerine ProteasesSulfonesVancomycin4-(2-aminoethyl)benzenesulfonylfluorideAnti-Bacterial AgentsDextran SulfateMetronidazoleSerine ProteasesSulfonesVancomycinABx, antibioticsAEBSF, 4-(2-aminoethyl) benzenesulfonyl fluoride hydrochloridececal-sup, cecal-supernatantsctr, controlDSS, dextran sulfate sodiumEpithelial BarrierGF, germ-freeGut MicrobiotaIBD, inflammatory bowel diseasesIL, interleukinInflammatory Bowel DiseasesLC-MS/MS, liquid chromatography–mass spectrometry/mass spectrometryPA, protease activityPBS, phosphate-buffered salinePMSF, phenylmethane-sulfonylfluorideSerine ProteasesSPF, specific pathogen-freestool-sup, stool-supernatantsTEER, transepithelial electrical resistanceV/M, vancomycin/metronidazoleWT, wild-type

Identifiers

PMID30182050
PMCPMC6121113
OpenAlexW2806965635

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.