Evidence map›Paper›PMID 31261370›Full record

ArticlePediatric research2020

Patterns of mucosal inflammation in pediatric inflammatory bowel disease: striking overexpression of IL-17A in children with ulcerative colitis.

Meike A Busch, Britta Gröndahl, Rebecca L Knoll, Leah Pretsch, Aysefa Doganci, Isabell Hoffmann, Ulrike Kullmer, Viola Bähner, Fred Zepp, Claudius U Meyer and 1 more

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In one paragraph

Article in Pediatric research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Methylation ofGenes · 2022
    Article
  6. Review
  7. Review
  8. Combined effect of vitamin C and vitamin DNutrition & metabolism · 2021
    Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Meike A BuschChildren's Hospital, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
Britta GröndahlChildren's Hospital, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
Rebecca L KnollChildren's Hospital, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
Leah PretschChildren's Hospital, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
Aysefa DoganciChildren's Hospital, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
Isabell HoffmannInstitute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
Ulrike KullmerChildren's Hospital, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
Viola BähnerChildren's Hospital, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
Fred ZeppChildren's Hospital, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
Claudius U MeyerChildren's Hospital, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
Stephan GehringChildren's Hospital, University Medical Center, Johannes Gutenberg-University, Mainz, Germany. stephan.gehring@uni-mainz.de.
University Medical Center of the Johannes Gutenberg University Mainz · DEJohannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAberrant immune responses play a key role in the pathogenesis of inflammatory bowel disease (IBD). Most studies conducted to delineate the underlying molecular mechanisms focus on adults; an understanding of these mechanisms in children remains to be determined. Here, cytokines and transcription factors produced by immune cells within the intestinal mucosa of pediatric patients stricken with ulcerative colitis (UC) and Crohn's disease (CD) are characterized; potential diagnostic and therapeutic targets are identified.

methodsFifty-two pediatric IBD and non-IBD patients were enrolled in the study. Specimens were taken during ileocolonoscopy. Expression of 16 genes that encode cytokines or transcription molecules was determined by quantitative polymerase chain reaction. Clinical data were collected via retrospective chart review.

resultsOverexpression of interleukin-17A (IL-17A) was evident in children with UC compared to both non-IBD and CD patients. IL-22 was strongly increased in UC patients only. Typical proinflammatory and immunoregulatory cytokines were pronounced in IBD patients, although to a lower extent in the latter case. Clustered gene expression enabled differentiation between UC and non-IBD patients.

conclusionOur findings highlight the crucial involvement of IL-17A immunity in the early course of IBD, particularly UC, and the potential value of gene panels in diagnosing pediatric IBD.

Indexed as

AdolescentBiopsyChildChild, PreschoolCluster AnalysisColitis, UlcerativeCrohn DiseaseCytokinesFemaleGene Expression ProfilingHumansInflammationInterleukin-17Intestinal MucosaMaleRetrospective StudiesCytokinesIL17A protein, humanInterleukin-17Transcription Factors

Identifiers

PMID31261370
OpenAlexW2955072568

What OpenQuestion holds

Textmetadata
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.