Evidence map›Paper›PMID 30298961›Full record

ArticleNeurogastroenterology and motility2019

Evidence of increased fecal granins in children with irritable bowel syndrome and correlates with symptoms.

Robert J Shulman, Lena Öhman, Mats Stridsberg, Kevin Cain, Magnus Simrén, Margaret Heitkemper

Abstract read
In one paragraph

Article in Neurogastroenterology and motility, 2019. 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
0.7field-weighted citation impact, top 29% 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, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Activation of the Innate Immune System in Children With Irritable Bowel Syndrome Evidenced by Increased Fecal Human β-Defensin-2.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021
    Article
  5. Article
  6. 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 4 institutions in 2 countries.

Robert J ShulmanDepartment of Pediatrics, Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas.ORCID 0000-0003-2385-0991
Lena ÖhmanUniversity of Gothenburg, Göteborg, Sweden.
Mats StridsbergUppsala University, Uppsala, Sweden.
Kevin CainUniversity of Washington, Seattle, Washington.
Magnus SimrénUniversity of Gothenburg, Göteborg, Sweden.
Margaret HeitkemperUniversity of Washington, Seattle, Washington.
University of Gothenburg · SEUniversity of Washington · USChildren's Nutrition Research Center at Baylor College of Medicine · USUppsala University · SE

Funding

Tissue Analysis & Molecular Imaging CoreP30DK056338 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI James Versalovic · 2001 to 2026
$28.3M
PATHWAYS TO NEW BIOMARKERS IN RECURRENT ABDOMINAL PAIN IN CHILDRENR01NR013497 · NINR · BAYLOR COLLEGE OF MEDICINE · PI SAVIDGE, TOR C. · 2012 to 2024
$4.7M
Recurrent Abdominal Pain in ChildrenR01NR005337 · NINR · BAYLOR COLLEGE OF MEDICINE · PI SHULMAN, ROBERT J · 2002 to 2012
$4.3M
Abdominal Symptom Phenotypes: Pathways to New BiomarkersRC2NR011959 · NINR · UNIVERSITY OF WASHINGTON · PI HEITKEMPER, MARGARET MCLEAN, SHULMAN, ROBERT J · 2009 to 2010
$1.9M
Agricultural Research Service 6250-51000-043Daffy's FoundationNIDDK NIH HHS P30 DK056338NINR NIH HHS NR011959NINR NIH HHS NR013497NINR NIH HHS NR05337NINR NIH HHS R01 NR005337NINR NIH HHS R01 NR013497NINR NIH HHS RC2 NR011959
6 · The paper itself

Abstract

backgroundGranins have been implicated in the pathophysiology of irritable bowel syndrome (IBS) in adults. We sought to determine whether fecal granins are altered in children with IBS and associated with symptoms.

methodsChildren (7-12 years of age) with IBS and healthy controls (HC) kept daily pain and stool diaries for 2 weeks. Stool samples were analyzed for chromogranins A and B (CgA, CgB) and secretogranins II and III (SgII, SgIII). Children also completed psychological measures to assess anxiety, depression, somatization, and internalizing symptoms. KEY

resultsFecal CgB and SgIII concentrations were higher in all the boys (IBS plus HC, n = 48) than in all the girls (IBS plus HC, n = 75) (P = 0.02 and P = 0.046, respectively). CgA and SgIII were greater in children with IBS (n = 52) vs HC (n = 69) (P = 0.01, P = 0.017, respectively). CgB and SgII did not differ between groups. In children with IBS, the number of pain episodes per week and mean daily pain rating correlated positively with all four granins. The number of stools per day correlated positively with CgB and SgII, and the percent of diarrheal stools (6 or 7 on the Bristol Scale) correlated inversely with all four granins in boys but not in girls. Fecal granins did not correlate with psychological measures. CONCLUSIONS AND INFERENCES: As measured by fecal granins, there is evidence of neuroimmune activation in children with IBS. Granins are related to abdominal pain symptoms, stooling frequency, and stool form in children with IBS. Sex influences the fecal concentration of CgB and SgIII.

Indexed as

Irritable Bowel SyndromeChildChromograninsFecesFemaleHumansMaleNeuroimmunomodulationChromograninschildrenchromograninirritable bowel syndromepediatricsecretogranin

Identifiers

PMID30298961
PMCPMC6296885
OpenAlexW2897488791

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.