Evidence map›Paper›PMID 30703170›Full record

ArticlePLoS pathogens2019

Increased Programmed Death-Ligand 1 is an Early Epithelial Cell Response to Helicobacter pylori Infection.

Loryn Holokai, Jayati Chakrabarti, Taylor Broda, Julie Chang, Jennifer A Hawkins, Nambirajan Sundaram, Lydia E Wroblewski, Richard M Peek, Jiang Wang, Michael Helmrath and 2 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 115 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 1 pooled it
20.8field-weighted citation impact, top 1% 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

115 citing papers in PubMed, 1 synthesis or guideline pooled it, 183 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Tumor organoid-immune cell co-culture systems for precision oncology.Frontiers in cell and developmental biology · 2026
    Review
  10. Review
  11. Myeloid-derived suppressor cells modulation in the context of tumor microenvironment for gastric cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Comparative models of uveitis.Eye (London, England) · 2025
    Review
  20. Article

55 more citing papers are in PubMed but not listed here.

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

12 authors at 4 institutions in 1 country.

Loryn HolokaiDepartment of Molecular Genetics, Biochemistry, and Microbiology, Cincinnati OH, United States of America.ORCID 0000-0002-3611-9535
Jayati ChakrabartiDepartment of Pharmacology and Systems Physiology, University of Cincinnati, Cincinnati OH, United States of America.ORCID 0000-0003-2265-4657
Taylor BrodaDivision of Developmental Biology, Cincinnati Children's Hospital Medical Center, Cincinnati OH, United States of America.
Julie ChangDepartment of Biomedical Engineering, University of Cincinnati, Cincinnati OH, United States of America.
Jennifer A HawkinsDepartment of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati OH, United States of America.
Nambirajan SundaramDepartment of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati OH, United States of America.
Lydia E WroblewskiDivision of Gastroenterology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States of America.
Richard M PeekDivision of Gastroenterology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States of America.
Jiang WangDepartment of Pathology and Lab Medicine, University of Cincinnati College of Medicine, Cincinnati OH, United States of America.
Michael HelmrathDepartment of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati OH, United States of America.
James M WellsDivision of Developmental Biology, Cincinnati Children's Hospital Medical Center, Cincinnati OH, United States of America.
Yana ZavrosDepartment of Pharmacology and Systems Physiology, University of Cincinnati, Cincinnati OH, United States of America.ORCID 0000-0003-2384-3775
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati · USVanderbilt University Medical Center · USUniversity of Cincinnati Medical Center · US

Funding

Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Role of Iron and B-Catenin Activation in Gastric CarcinogenesisP01CA116087 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Kevin L Schey · 2009 to 2026
$27.5M
Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 2007 to 2026
$24.4M
ENVIRONMETAL CARCINOGENESIS AND MUTAGENESIST32ES007250 · NIEHS · UNIVERSITY OF CINCINNATI · PI MILLER, WILLIAM E · 1988 to 2024
$11.9M
H.Pylori Relationship to Digestive Diseases and CancerR01CA077955 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2003 to 2026
$9.7M
Helicobacter Pylori and Gastrointestinal BiologyR01DK058587 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PEEK, RICHARD M. · 2001 to 2024
$7.8M
Organoids as a Model System for Studying Gastrointestinal DiseaseU19AI116491 · NIAID · UNIVERSITY OF CINCINNATI · PI WEISS, ALISON A., WELLS, JAMES M · 2015 to 2019
$4.6M
The role of Hedgehog Signaling in gastric tissue repair and regenerationR01DK083402 · NIDDK · UNIVERSITY OF CINCINNATI · PI ZAVROS, YANA · 2011 to 2019
$3.7M
Molecular Mechanisms of Premalignancy in Response to Helicobacter pylori InfectionF31DK120206 · NIDDK · UNIVERSITY OF CINCINNATI · PI HOLOKAI, LORYN · 2018 to 2018
$35k
NCI NIH HHS P01 CA116087NCI NIH HHS R01 CA077955NIAID NIH HHS U19 AI116491NIDDK NIH HHS F31 DK120206NIDDK NIH HHS P30 DK058404NIDDK NIH HHS P30 DK078392NIDDK NIH HHS R01 DK058587NIDDK NIH HHS R01 DK083402NIEHS NIH HHS T32 ES007250
6 · The paper itself

Abstract

Helicobacter pylori (H. pylori) is the major risk factor for the development of gastric cancer. Our laboratory has reported that the Sonic Hedgehog (Shh) signaling pathway is an early response to infection that is fundamental to the initiation of H. pylori-induced gastritis. H. pylori also induces programmed death ligand 1 (PD-L1) expression on gastric epithelial cells, yet the mechanism is unknown. We hypothesize that H. pylori-induced PD-L1 expression within the gastric epithelium is mediated by the Shh signaling pathway during infection. To identify the role of Shh signaling as a mediator of H. pylori-induced PD-L1 expression, human gastric organoids generated from either induced pluripotent stem cells (HGOs) or tissue (huFGOs) were microinjected with bacteria and treated with Hedgehog/Gli inhibitor GANT61. Gastric epithelial monolayers generated from the huFGOs were also infected with H. pylori and treated with GANT61 to study the role of Hedgehog signaling as a mediator of induced PD-1 expression. A patient-derived organoid/autologous immune cell co-culture system infected with H. pylori and treated with PD-1 inhibitor (PD-1Inh) was developed to study the protective mechanism of PD-L1 in response to bacterial infection. H. pylori significantly increased PD-L1 expression in organoid cultures 48 hours post-infection when compared to uninfected controls. The mechanism was cytotoxic associated gene A (CagA) dependent. This response was blocked by pretreatment with GANT61. Anti-PD-L1 treatment of H. pylori infected huFGOs, co-cultured with autologous patient cytotoxic T lymphocytes and dendritic cells, induced organoid death. H. pylori-induced PD-L1 expression is mediated by the Shh signaling pathway within the gastric epithelium. Cells infected with H. pylori that express PD-L1 may be protected from the immune response, creating premalignant lesions progressing to gastric cancer.

Indexed as

AdolescentAntigens, BacterialB7-H1 AntigenEpithelial CellsGastric MucosaGastritisGene Expression RegulationHedgehog ProteinsHelicobacter InfectionsHelicobacter pyloriHumansOrganoidsPyridinesPyrimidinesSignal TransductionStomachAntigens, BacterialB7-H1 AntigenGANT 61Hedgehog ProteinsPyridinesPyrimidines

Identifiers

PMID30703170
PMCPMC6380601
OpenAlexW2914337884

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.