Evidence map›Paper›PMID 30240602›Full record

ArticleClinical immunology (Orlando, Fla.)2018

CVID enteropathy is characterized by exceeding low mucosal IgA levels and interferon-driven inflammation possibly related to the presence of a pathobiont.

Natalia Shulzhenko, Xiaoxi Dong, Dariia Vyshenska, Renee L Greer, Manoj Gurung, Stephany Vasquez-Perez, Ekaterina Peremyslova, Stanislav Sosnovtsev, Martha Quezado, Michael Yao and 4 more

Open access · greenAbstract read
In one paragraph

Article in Clinical immunology (Orlando, Fla.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 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

14 authors at 3 institutions in 1 country.

Natalia ShulzhenkoCollege of Veterinary Medicine, Oregon State University, Corvallis, OR, United States. Electronic address: Natalia.shulzhenko@oregonstate.edu.
Xiaoxi DongCollege of Pharmacy, Oregon State University, Corvallis, OR, United States.
Dariia VyshenskaCollege of Pharmacy, Oregon State University, Corvallis, OR, United States.
Renee L GreerCollege of Veterinary Medicine, Oregon State University, Corvallis, OR, United States.
Manoj GurungCollege of Veterinary Medicine, Oregon State University, Corvallis, OR, United States.
Stephany Vasquez-PerezCollege of Veterinary Medicine, Oregon State University, Corvallis, OR, United States.
Ekaterina PeremyslovaCollege of Pharmacy, Oregon State University, Corvallis, OR, United States.
Stanislav SosnovtsevLaboratory of Infectious Diseases, NIAID, United States.
Martha QuezadoSurgical Pathology Section, National Cancer Institute, National Institutes of Health, Bethesda, MD, United States.
Michael YaoMucosal Immunity Section, NIAID, National Institutes of Health, Bethesda, MD, United States; Washington DC VA Medical Center, Washington DC, United States.
Kim Montgomery-RechtMucosal Immunity Section, NIAID, National Institutes of Health, Bethesda, MD, United States; Clinical Research Directorate/Clinical Monitoring Research Program, Frederick National Laboratory for Cancer Research sponsored by the National Cancer Institute,United States.
Warren StroberMucosal Immunity Section, NIAID, National Institutes of Health, Bethesda, MD, United States.
Ivan J FussMucosal Immunity Section, NIAID, National Institutes of Health, Bethesda, MD, United States.
Andrey MorgunCollege of Pharmacy, Oregon State University, Corvallis, OR, United States. Electronic address: andriy.morgun@oregonstate.edu.
Oregon State University · USNational Institutes of Health · USOffice of Infectious Diseases · US

Funding

Clinical Studies of Inflammatory Bowel DiseasesZIAAI000903 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI STROBER, WARREN · 2009 to 2025
$5.9M
Gut microbiota mediates the interplay between immunity and glucose metabolismR01DK103761 · NIDDK · OREGON STATE UNIVERSITY · PI SHULZHENKO, NATALIA · 2015 to 2019
$1.7M
Anti-IL-12p40 Treatment of CVID Enteropathy: Gene Expression/Microbiota AnalysisU01AI109695 · NIAID · OREGON STATE UNIVERSITY · PI MORGUN, ANDRIY · 2013 to 2015
$951k
NIAID NIH HHS U01 AI109695NIDDK NIH HHS R01 DK103761
6 · The paper itself

Abstract

Common variable immunodeficiency (CVID), the most common symptomatic primary antibody deficiency, is accompanied in some patients by a duodenal inflammation and malabsorption syndrome known as CVID enteropathy (E-CVID).The goal of this study was to investigate the immunological abnormalities in CVID patients that lead to enteropathy as well as the contribution of intestinal microbiota to this process.We found that, in contrast to noE-CVID patients (without enteropathy), E-CVID patients have exceedingly low levels of IgA in duodenal tissues. In addition, using transkingdom network analysis of the duodenal microbiome, we identified Acinetobacter baumannii as a candidate pathobiont in E-CVID. Finally, we found that E-CVID patients exhibit a pronounced activation of immune genes and down-regulation of epithelial lipid metabolism genes. We conclude that in the virtual absence of mucosal IgA, pathobionts such as A. baumannii, may induce inflammation that re-directs intestinal molecular pathways from lipid metabolism to immune processes responsible for enteropathy.

Indexed as

Acinetobacter baumanniiCommon Variable ImmunodeficiencyDown-RegulationDuodenitisFemaleGastrointestinal MicrobiomeGene ExpressionHumansImmunity, MucosalImmunoglobulin AInflammationInterferonsLipid MetabolismMalabsorption SyndromesMaleRNA, BacterialImmunoglobulin AInterferonsRNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID30240602
PMCPMC6289276
OpenAlexW2890951391

What OpenQuestion holds

Textmetadata
LicenceTDM
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.