Evidence map›Paper›PMID 30293993›Full record

ArticleClinical and translational gastroenterology2018

First Degree Relatives of Patients with Celiac Disease Harbour an Intestinal Transcriptomic Signature that Might Protect them from Enterocyte Damage.

Pragyan Acharya, Rintu Kutum, Rajesh Pandey, Asha Mishra, Rohini Saha, Akshay Munjal, Vineet Ahuja, Mitali Mukerji, Govind K Makharia

Open access · goldAbstract read
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Article in Clinical and translational gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 15 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

9 authors at 3 institutions in 2 countries.

Pragyan AcharyaDepartment of Biochemistry, All India Institute of Medical Sciences, New Delhi, India.
Rintu KutumGenomics and Molecular Medicine and CSIR-TRISUTRA Ayurgenomics Unit, Council for Scientific and Industrial Research-Institute of Genomics and Integrative Biology, New Delhi, India.
Rajesh PandeyGenomics and Molecular Medicine and CSIR-TRISUTRA Ayurgenomics Unit, Council for Scientific and Industrial Research-Institute of Genomics and Integrative Biology, New Delhi, India.
Asha MishraDepartment of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, 110029, India.
Rohini SahaDepartment of Biochemistry, All India Institute of Medical Sciences, New Delhi, India.
Akshay MunjalDepartment of Biochemistry, All India Institute of Medical Sciences, New Delhi, India.
Vineet AhujaDepartment of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, 110029, India.
Mitali MukerjiGenomics and Molecular Medicine and CSIR-TRISUTRA Ayurgenomics Unit, Council for Scientific and Industrial Research-Institute of Genomics and Integrative Biology, New Delhi, India.
Govind K MakhariaDepartment of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, 110029, India. govindmakharia@gmail.com.
All India Institute of Medical Sciences · INAcademy of Scientific and Innovative Research · INInstitute of Genomics and Integrative Biology · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCeliac disease (CeD) is an autoimmune enteropathy which affects approximately 0.7% of the global population. While first-degree relatives (FDR) of patients with CeD have a 7.5% risk of developing enteropathy, many remain protected. Therefore, intestinal mucosa of FDR might have protective compensatory mechanisms against immunological injury. We have explored the protective mechanisms that may be active in intestinal mucosa of FDR.

methodsIntestinal mucosal biopsies (4-5 pieces) from treatment naïve patients with CeD (n = 12), FDR (n = 12) (anti-tTG negative) and controls (n = 12) (anti-tTG negative) were obtained from each individual and subjected to microarray analysis using HT-12-v4 Human Expression BeadChips (Illumina). Differential gene expression analysis was carried out among CeD, FDR and controls; and resulting gene lists were analyzed using gene ontology and pathway enrichment tools.

resultsPatients with CeD, FDR and control groups displayed significant differential gene expression. Thirty seven genes were upregulated and 372 were downregulated in the intestinal mucosa of FDR in comparison to CeD and controls. Pseudogenes constituted about 18% (315/1751) of FDR differentially expressed genes, and formed "clusters" that associated uniquely with individual study groups. The three study groups segregated into distinct clusters in unsupervised (PCA) and supervised (random forests) modelling approaches. Pathways analysis revealed an emphasis on crypt-villous maintenance and immune regulation in the intestinal mucosa of FDR.

conclusionsOur analysis suggests that the intestinal mucosa of celiac FDR consist of a unique molecular phenotype that is distinct from CeD and controls. The transcriptomic landscape of FDR promotes maintenance of crypt-villous axis and modulation of immune mechanisms. These differences clearly demonstrate the existence of compensatory protective mechanisms in the FDR intestinal mucosa.

Indexed as

FamilyAdolescentAdultAutoantibodiesBiopsyCase-Control StudiesCeliac DiseaseDiet, Gluten-FreeEnterocytesFemaleGene Expression ProfilingHumansMaleTissue Array AnalysisTranscriptomeYoung AdultAutoantibodies

Identifiers

PMID30293993
PMCPMC6174158
OpenAlexW2894987163

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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.