Evidence map›Paper›PMID 31581491›Full record

ReviewNutrients2019

Intestinal Barrier Function in Gluten-Related Disorders.

Danielle Cardoso-Silva, Deborah Delbue, Alice Itzlinger, Renée Moerkens, Sebo Withoff, Federica Branchi, Michael Schumann

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
9.5field-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

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 117 citations in OpenAlex.

  1. Pooled it
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  16. Gluten-related skin disorders: clinical presentation, diagnostic and treatments.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Review
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  19. Nutrients · 2025
    Article
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7 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

7 authors at 2 institutions in 2 countries.

Danielle Cardoso-SilvaDepartment of Gastroenterology, Rheumatology and Infectious diseases, Campus Benjamin Franklin, Charité-University Medicine, 12203 Berlin, Germany. danielle.cardoso-da-silva@charite.de.
Deborah DelbueDepartment of Gastroenterology, Rheumatology and Infectious diseases, Campus Benjamin Franklin, Charité-University Medicine, 12203 Berlin, Germany. deborah.delbue-da-silva@charite.de.
Alice ItzlingerDepartment of Gastroenterology, Rheumatology and Infectious diseases, Campus Benjamin Franklin, Charité-University Medicine, 12203 Berlin, Germany. alice.itzlinger@charite.de.
Renée MoerkensDepartment of Genetics, University of Groningen, University Medical Center Groningen, 9713GZ Groningen, The Netherlands. r.a.m.moerkens@umcg.nl.
Sebo WithoffDepartment of Genetics, University of Groningen, University Medical Center Groningen, 9713GZ Groningen, The Netherlands. s.withoff@umcg.nl.
Federica BranchiDepartment of Gastroenterology, Rheumatology and Infectious diseases, Campus Benjamin Franklin, Charité-University Medicine, 12203 Berlin, Germany. federica.branchi@charite.de.
Michael SchumannDepartment of Gastroenterology, Rheumatology and Infectious diseases, Campus Benjamin Franklin, Charité-University Medicine, 12203 Berlin, Germany. michael.schumann@charite.de.
Charité - Universitätsmedizin Berlin · DEUniversity Medical Center Groningen · NL

Funding

Deutsche Forschungsgemeinschaft GRK 2318Deutsche Forschungsgemeinschaft TRR 241Deutsche Zöliakie Gesellschaft DZG 2017Dr. Schär 2019
6 · The paper itself

Abstract

Gluten-related disorders include distinct disease entities, namely celiac disease, wheat-associated allergy and non-celiac gluten/wheat sensitivity. Despite having in common the contact of the gastrointestinal mucosa with components of wheat and other cereals as a causative factor, these clinical entities have distinct pathophysiological pathways. In celiac disease, a T-cell mediate immune reaction triggered by gluten ingestion is central in the pathogenesis of the enteropathy, while wheat allergy develops as a rapid immunoglobulin E- or non-immunoglobulin E-mediated immune response. In non-celiac wheat sensitivity, classical adaptive immune responses are not involved. Instead, recent research has revealed that an innate immune response to a yet-to-be-defined antigen, as well as the gut microbiota, are pivotal in the development in this disorder. Although impairment of the epithelial barrier has been described in all three clinical conditions, its role as a potential pathogenetic co-factor, specifically in celiac disease and non-celiac wheat sensitivity, is still a matter of investigation. This article gives a short overview of the mucosal barrier of the small intestine, summarizes the aspects of barrier dysfunction observed in all three gluten-related disorders and reviews literature data in favor of a primary involvement of the epithelial barrier in the development of celiac disease and non-celiac wheat sensitivity.

Indexed as

Intestinal AbsorptionAnimalsBacteriaCeliac DiseaseGastrointestinal AgentsGastrointestinal MicrobiomeGlutensHost-Pathogen InteractionsHumansImmunity, InnateIntestinal MucosaIntestine, SmallOligopeptidesPermeabilitySignal TransductionTight Junction ProteinsGastrointestinal AgentsGlutenslarazotide acetateOligopeptidesTight Junction Proteinsceliac diseaseepithelial barriernon-celiac gluten sensitivitynon-celiac wheat sensitivitypermeabilitywheat allergy

Identifiers

PMID31581491
PMCPMC6835310
OpenAlexW2978737916

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.