Evidence map›Paper›PMID 31912883›Full record

ArticleInflammatory bowel diseases2020

Serum Dipeptidyl Peptidase 4: A Predictor of Disease Activity and Prognosis in Inflammatory Bowel Disease.

Pedro Pinto-Lopes, Joana Afonso, Rui Pinto-Lopes, Cátia Rocha, Paula Lago, Raquel Gonçalves, Helena Tavares De Sousa, Guilherme Macedo, Cláudia Camila Dias, Fernando Magro

Erratum issuedAbstract readEvaluation StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in Inflammatory bowel diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Biomarkers in inflammatory bowel disease: a practical guide.Therapeutic advances in gastroenterology · 2024
    Review
  6. Review
  7. Emerging Role of Dipeptidyl Peptidase-4 in Autoimmune Disease.Frontiers in immunology · 2022 · on this map
    Review
  8. Article
  9. Review
  10. Review
  11. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 2 countries.

Pedro Pinto-LopesDepartment of Internal Medicine, Faculty of Medicine, Centro Hospitalar São João, Porto, Portugal.
Joana AfonsoUnit of Pharmacology and Therapeutics, Department of Biomedicine, Faculty of Medicine, University of Porto, Porto, Portugal.
Rui Pinto-LopesDepartment of Gastroenterology, Mid Essex Hospital Services NHS Trust, Broomfield, Essex, United Kingdom.
Cátia RochaUnit of Pharmacology and Therapeutics, Department of Biomedicine, Faculty of Medicine, University of Porto, Porto, Portugal.
Paula LagoDepartment of Gastroenterology, Centro Hospitalar do Porto, Porto, Portugal.
Raquel GonçalvesDepartment of Gastroenterology, Hospital de Braga, Braga, Portugal.
Helena Tavares De SousaDepartment of Gastroenterology, Centro Hospitalar e Universitário do Algarve - Portimão Unit, Portimão, Portugal.
Guilherme MacedoDepartment of Gastroenterology, Faculty of Medicine, Centro Hospitalar São João, Porto, Portugal.
Cláudia Camila DiasDepartment of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal.
Fernando MagroUnit of Pharmacology and Therapeutics, Department of Biomedicine, Faculty of Medicine, University of Porto, Porto, Portugal.
Universidade do Porto · PTAlgarve Biomedical Center · PTCentro Hospitalar do Porto · PTHospital Braga · PTHospital de São João · PTMid Essex Hospital Services NHS Trust · GBUniversity of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSerum dipeptidyl peptidase 4 (DPP-4) has drawn particular interest as a biomarker in inflammatory bowel disease (IBD), as this protease inactivates several peptides that participate in the inflammatory cascade.

methodsTwo prospectively recruited cohorts consisting of 195 patients (101 had Crohn's disease [CD] and 94 had ulcerative colitis [UC]) were evaluated using clinical indexes and followed up to assess for treatment escalation. Sixty-eight patients underwent endoscopic evaluation at baseline. In the second cohort of 46 biologically treated patients, treatment response was assessed. Serum DPP-4, C-reactive protein (CRP), and fecal calprotectin levels were quantified at baseline and during follow-up.

resultsMedian DPP-4 levels were significantly lower in active IBD patients when compared with remitters (CD: 1043 [831-1412] vs 1589 [1255-1956] ng/mL; P < 0.001; UC: 1317 [1058-1718] vs 1798 [1329-2305] ng/mL; P = 0.001) and healthy controls (2175 [1875-3371] ng/mL). In fact, DPP-4 was able to distinguish clinical and endoscopic activity from remission, with areas under the curve (AUC) of 0.81/0.93 (CD) and 0.71/0.79 (UC), along with the need for treatment escalation, with comparable AUCs of 0.79 (CD) and 0.77 (UC). Furthermore, DPP-4 levels were higher in responders to treatment and more pronounced among UC (1467 [1301-1641] vs 1211 [1011-1448] ng/mL; P < 0.001) than CD patients (1385 [1185-1592] vs 1134 [975-1469] ng/mL; P = 0.015).

conclusionsOur results suggest that serum DPP-4 can be used as a noninvasive biomarker of IBD activity and biological treatment response and a predictor of treatment escalation, particularly when combined with other biomarkers.

Indexed as

Severity of Illness IndexAdultBiomarkersColitis, UlcerativeC-Reactive ProteinCrohn DiseaseDipeptidyl Peptidase 4Drug MonitoringFecesFemaleHumansLeukocyte L1 Antigen ComplexMalePredictive Value of TestsPrognosisProspective StudiesBiomarkersC-Reactive ProteinDipeptidyl Peptidase 4DPP4 protein, humanLeukocyte L1 Antigen Complexbiomarkersdipeptidyl peptidase 4inflammatory bowel disease

Identifiers

PMID31912883
OpenAlexW2998972606

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.