Evidence map›Paper›PMID 30744559›Full record

ArticleBMC gastroenterology2019

Plasma levels of TNF-α, IL-6, IFN-γ, IL-12, IL-17, IL-22, and IL-23 in achalasia, eosinophilic esophagitis (EoE), and gastroesophageal reflux disease (GERD).

Steven Clayton, Elliot Cauble, Ambuj Kumar, Nirav Patil, Dennis Ledford, Narasaiah Kolliputi, Maria F Lopes-Virella, Donald Castell, Joel Richter

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Focus on Achalasia in the Omics Era.International journal of molecular sciences · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Highlighted role of "IL17 signaling pathway" in gastroesophageal reflux disease.Gastroenterology and hepatology from bed to bench · 2020
    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

9 authors at 4 institutions in 1 country.

Steven ClaytonWake Forest Baptist Medical Center, Winston-Salem, NC, USA. sbclayto@wakehealth.edu.ORCID http://orcid.org/0000-0002-0492-6201
Elliot CaubleUniversity of South Florida, Division of Gastroenterology, Florida, USA.
Ambuj KumarUniversity of South Florida, Division of Gastroenterology, Florida, USA.
Nirav PatilGreenville Health System, Greenville, SC, USA.
Dennis LedfordUniversity of South Florida, Division of Allergy Immunology, Florida, USA.
Narasaiah KolliputiUniversity of South Florida, Division of Allergy Immunology, Florida, USA.
Maria F Lopes-VirellaMedical University of South Carolina, Division of Endocrinology, Charleston, SC, USA.
Donald CastellMedical University of South Carolina, Division of Gastroenterology, Charleston, SC, USA.
Joel RichterUniversity of South Florida, Division of Gastroenterology, Florida, USA.
University of South Florida · USMedical University of South Carolina · USAtrium Health Wake Forest Baptist · USPrisma Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An elevation of serum inflammatory biomarkers in achalasia patients compared with controls recently was demonstrated. It has not been determined whether the elevation of inflammatory cytokines is unique to achalasia or occurs with other diseases involving the esophagus. The primary aim of our study was to compare the differences in plasma immunological profiles (TNF- α receptor, IL-6, IFN-γ, IL-12, IL-17, IL-22, and IL-23) of patients with achalasia, eosinophilic esophagitis (EoE), and gastroesophageal reflux disease (GERD). A secondary aim of this study was to classify these same plasma cytokine profiles in the three achalasia subtypes.

methodsPlasma from 53 patients with achalasia, 22 with EoE, and 20 with GERD (symptoms plus esophagitis or + reflux study) were analyzed. EXCLUSION CRITERIA: malignancy, autoimmune condition, immunodeficiency disorder, and treatment with steroids/immune modulating drugs. Cytokine levels were assayed via multiplex enzyme-linked immunosorbent assay (ELISA).

resultsOur key finding revealed significant elevations in IL- 6 (p = 0.0158) in achalasia patients compared with EoE patients. Overall, plasma inflammatory biomarker patterns were not different in the three subtypes of achalasia.

conclusionThere were no differences between the cytokine levels of any of the measured biomarkers between the achalasia and GERD groups suggesting that luminal stasis does increase biomarker levels for any of the cytokines examined in our study. While these results are an early first step towards clarifying some aspects of the pathogenesis of achalasia, they bring about many more questions that require further investigation and expansion. Further investigation with a larger cohort and a broader panel of biomarkers is needed.

Indexed as

BiomarkersCytokinesEosinophilic EsophagitisEsophageal AchalasiaFemaleGastroesophageal RefluxHumansInterferon-gammaInterleukin-12Interleukin-17Interleukin-22Interleukin-23Interleukin-6InterleukinsMaleMiddle AgedBiomarkersCytokinesInterferon-gammaInterleukin-12Interleukin-17Interleukin-22Interleukin-23Interleukin-6InterleukinsTumor Necrosis Factor-alphaAchalasiaEosinophilic esophagitisGERDIL-6Inflammatory cytokines

Identifiers

PMID30744559
PMCPMC6371504
OpenAlexW2918868344

What OpenQuestion holds

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Registered trials

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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.