Evidence map›Paper›PMID 30240468›Full record

ArticleJournal of gastrointestinal and liver diseases : JGLD2018

A differential host response to viral infection defines a subset of earlier-onset diverticulitis patients.

Kathleen M Schieffer, Bryan P Kline, Leonard R Harris, Sue Deiling, Walter A Koltun, Gregory S Yochum

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Journal of gastrointestinal and liver diseases : JGLD, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
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

6 authors at 2 institutions in 1 country.

Kathleen M SchiefferDepartment of Surgery, Division of Colon and Rectal Surgery, Pennsylvania State University College of Medicine, Hershey, USA.
Bryan P KlineDepartment of Surgery, Division of Colon and Rectal Surgery, Pennsylvania State University College of Medicine, Hershey, USA.
Leonard R HarrisDepartment of Surgery, Division of Colon and Rectal Surgery, Pennsylvania State University College of Medicine, Hershey, USA.
Sue DeilingDepartment of Surgery, Division of Colon and Rectal Surgery, Pennsylvania State University College of Medicine, Hershey, USA.
Walter A KoltunDepartment of Surgery, Division of Colon and Rectal Surgery, Pennsylvania State University College of Medicine, Hershey, USA.
Gregory S YochumDepartment of Surgery, Division of Colon and Rectal Surgery, Pennsylvania State University College of Medicine, Hershey;Department of Biochemistry & Molecular Biology, Pennsylvania State University College of Medicine, Hershey, PA, USA.gyochum@pennstatehealth.psu.edu.
Penn State Milton S. Hershey Medical Center · USPennsylvania State University · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
NRSA Training CoreTL1TR002016 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI THOMAS, GAIL D. · 2016 to 2025
$3.4M
NCATS NIH HHS TL1 TR002016NCATS NIH HHS UL1 TR002014
6 · The paper itself

Abstract

BACKGROUND AND

aimsDiverticulitis is the chronic inflammation of diverticula. Whether the pathophysiology of earlier-onset patients differs from later-onset patients is unknown. We profiled the colonic transcriptomes of these two patient populations to gain insight into the molecular underpinnings of diverticulitis.

methodsWe conducted deep RNA sequencing (RNA-seq) on colonic segments surgically resected from earlier-onset (<42 years old, n=13) and later-onset (>65 years old, n=13) diverticulitis patients. We used bioinformatic approaches to cluster the patients based on the relationship of differentially expressed genes and to inform on the molecular pathways that segregated the clusters.

resultsPrincipal component analysis identified three patient clusters; diverticulitis later-onset (DVT-LO), diverticulitis mixed-onset (DVT-MO), and diverticulitis earlier-onset (DVT-EO). The patients comprising DVT-EO, which was the majority of earlier-onset patients, displayed increased expression of anti-viral response genes. This finding was confirmed using an independent weighted co-expression network analysis (WGCNA) of differentially expressed genes.

conclusionsWe found that the majority of patients with earlier-onset disease contained elevated expression of host genes involved in the anti-viral response. Thus, susceptibility to a viral pathogen may offer one explanation why some individuals develop diverticulitis at an earlier age.

Indexed as

TranscriptomeAdultAgedAge of OnsetCase-Control StudiesDiverticulitis, ColonicFemaleGene Expression ProfilingGene Expression RegulationHigh-Throughput Nucleotide SequencingHost-Pathogen InteractionsHumansMaleMiddle AgedPrincipal Component AnalysisRisk FactorsRNA, Messenger

Identifiers

PMID30240468
PMCPMC6340102
OpenAlexW2907055946

What OpenQuestion holds

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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.