Evidence map›Paper›PMID 30578874›Full record

ArticleThe Journal of allergy and clinical immunology2019

Fibrostenotic eosinophilic esophagitis might reflect epithelial lysyl oxidase induction by fibroblast-derived TNF-α.

Yuta Kasagi, Kara Dods, Joshua X Wang, Prasanna M Chandramouleeswaran, Alain J Benitez, Fiona Gambanga, Jonathan Kluger, Tokunbo Ashorobi, Jonathan Gross, John W Tobias and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Prostaglandin EbioRxiv : the preprint server for biology · 2026
    Article
  9. Review
  10. Review
  11. The oesophagus as an immune organ.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Development and dysfunction of structural cells in eosinophilic esophagitis.The Journal of allergy and clinical immunology · 2024
    Review
  17. Eosinophilic esophagitis: Shifting immune complexity beyond the eosinophil.The Journal of allergy and clinical immunology · 2024
    Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 1 country.

Yuta KasagiDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Philadelphia, Pa.
Kara DodsDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Philadelphia, Pa.
Joshua X WangDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Philadelphia, Pa.
Prasanna M ChandramouleeswaranDivision of Gastroenterology, Department of Medicine, Philadelphia, Pa; University of Pennsylvania Abramson Cancer Center, Philadelphia, Pa.
Alain J BenitezDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Philadelphia, Pa.
Fiona GambangaDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Philadelphia, Pa.
Jonathan KlugerDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Philadelphia, Pa.
Tokunbo AshorobiDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Philadelphia, Pa.
Jonathan GrossDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Philadelphia, Pa.
John W TobiasPenn Genomic Analysis Core, Philadelphia, Pa.
Andres J Klein-SzantoHistopathology Facility and Cancer Biology Program, Fox Chase Cancer Center, Philadelphia, Pa.
Jonathan M SpergelDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
Antonella CianferoniDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
Gary W FalkDivision of Gastroenterology, Department of Medicine, Philadelphia, Pa.
Kelly A WhelanDepartment of Pathology & Laboratory Medicine, Philadelphia, Pa; Fels Institute for Cancer Research & Molecular Biology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pa.
Hiroshi NakagawaDivision of Gastroenterology, Department of Medicine, Philadelphia, Pa; University of Pennsylvania Abramson Cancer Center, Philadelphia, Pa.
Amanda B MuirDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Philadelphia, Pa; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa. Electronic address: muira@email.chop.edu.
Philadelphia University · USUniversity of Pennsylvania · USChildren's Hospital of Philadelphia · USFox Chase Cancer Center · USPenn Center for AIDS Research · US

Funding

Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Trevor M Penning · 2006 to 2026
$35.3M
TRANSGENIC AND CHIMERIC MOUSE COREP30DK050306 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI REBECCA G WELLS · 1997 to 2026
$32.5M
Transformed Esophageal Epithelial Cells and the Tumor MicroenvironmentP01CA098101 · NCI · UNIVERSITY OF PENNSYLVANIA · PI HIBSHOOSH, HANINA · 2003 to 2023
$31.7M
TRAINING (CAREER DEVELOPMENT) COMPONENTU54AI117804 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI Marc E. Rothenberg · 2014 to 2026
$18.5M
Institutional Clinical and Translational Science AwardKL2TR001879 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$13.7M
Autophagy and esophageal tissue remodeling in EoER01DK114436 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI NAKAGAWA, HIROSHI · 2017 to 2024
$3.1M
Investigating the role of mitochondria in Eosinophilic Esophagitis pathogenesis.R01DK121159 · NIDDK · TEMPLE UNIV OF THE COMMONWEALTH · PI WHELAN, KELLY A · 2019 to 2023
$2.4M
Lysyl oxidase mediated fibrosis in eosinophilic esophagitisK08DK106444 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI MUIR, AMANDA BROOKE · 2015 to 2019
$778k
The functional role of mitophagy in esophageal cell biologyK01DK103953 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI WHELAN, KELLY A · 2015 to 2019
$637k
The Role of Lysyl Oxidase in Epithelial Differentiation in Eosinophilic EsophagitisR03DK118310 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI MUIR, AMANDA BROOKE · 2019 to 2020
$264k
Autophagy regulation of esophageal basal cell dynamicsR03DK118304 · NIDDK · TEMPLE UNIV OF THE COMMONWEALTH · PI WHELAN, KELLY A · 2018 to 2019
$238k
Maturational Characterization of Human Esophageal Fibroblasts in EoEF32DK100088 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI MUIR, AMANDA BROOKE · 2013 to 2014
$120k
NCATS NIH HHS KL2 TR001879NCI NIH HHS F31 CA174176NCI NIH HHS P01 CA098101NIAID NIH HHS U54 AI117804NIDDK NIH HHS F32 DK100088NIDDK NIH HHS K01 DK103953NIDDK NIH HHS K08 DK106444NIDDK NIH HHS P30 DK050306NIDDK NIH HHS R01 DK114436NIDDK NIH HHS R01 DK121159NIDDK NIH HHS R03 DK118304NIDDK NIH HHS R03 DK118310NIEHS NIH HHS P30 ES013508
6 · The paper itself

Abstract

backgroundFibrosis and stricture are major comorbidities in patients with eosinophilic esophagitis (EoE). Lysyl oxidase (LOX), a collagen cross-linking enzyme, has not been investigated in the context of EoE.

objectiveWe investigated regulation of epithelial LOX expression as a novel biomarker and functional effector of fibrostenotic disease conditions associated with EoE.

methodsLOX expression was analyzed by using RNA-sequencing, PCR assays, and immunostaining in patients with EoE; cytokine-stimulated esophageal 3-dimensional organoids; and fibroblast-epithelial cell coculture, the latter coupled with fluorescence-activated cell sorting.

resultsGene ontology and pathway analyses linked TNF-α and LOX expression in patients with EoE, which was validated in independent sets of patients with fibrostenotic conditions. TNF-α-mediated epithelial LOX upregulation was recapitulated in 3-dimensional organoids and coculture experiments. We find that fibroblast-derived TNF-α stimulates epithelial LOX expression through activation of nuclear factor κB and TGF-β-mediated signaling. In patients receiver operating characteristic analyses suggested that LOX upregulation indicates disease complications and fibrostenotic conditions in patients with EoE.

conclusionsThere is a novel positive feedback mechanism in epithelial LOX induction through fibroblast-derived TNF-α secretion. Esophageal epithelial LOX might have a role in the development of fibrosis with substantial translational implications.

Indexed as

AdolescentAdultAgedBiomarkersCells, CulturedChildChild, PreschoolCoculture TechniquesConstriction, PathologicEosinophilic EsophagitisEpithelial CellsEsophagusFemaleFibroblastsFibrosisGene OntologyBiomarkersLOX protein, humanProtein-Lysine 6-OxidaseTumor Necrosis Factor-alphacocultureEosinophilic esophagitisfibrosislysyl oxidaseTGF-βTNF-α

Identifiers

PMID30578874
PMCPMC6586527
OpenAlexW2905134409

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.