Evidence map›Paper›PMID 32542357›Full record

ArticleBlood2020

Glucagon-like peptide 2 for intestinal stem cell and Paneth cell repair during graft-versus-host disease in mice and humans.

Johana Norona, Petya Apostolova, Dominik Schmidt, Rebekka Ihlemann, Nadine Reischmann, Gregory Taylor, Natalie Köhler, Jocelyn de Heer, Steffen Heeg, Geoffroy Andrieux and 17 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

65 citing papers in PubMed, 94 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Building and regenerating intestines by manipulating intestinal stem cells.Nature reviews. Gastroenterology & hepatology · 2026
    Review
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  7. The gut-bone-inflammation axis: intestinal barrier disruption as a central driver of osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
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  9. Article
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  16. Loss of GLP-2R signaling in Glp2rMolecular metabolism · 2026
    Article
  17. Review
  18. Review
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 5 institutions in 4 countries.

Johana NoronaDepartment of Medicine I, Faculty of Medicine, Medical Center University of Freiburg (MCUF).
Petya ApostolovaDepartment of Medicine I, Faculty of Medicine, Medical Center University of Freiburg (MCUF).
Dominik SchmidtDepartment of Medicine I, Faculty of Medicine, Medical Center University of Freiburg (MCUF).
Rebekka IhlemannDepartment of Medicine I, Faculty of Medicine, Medical Center University of Freiburg (MCUF).
Nadine ReischmannFaculty of Biology, and.
Gregory TaylorGeriatric Research, Education, and Clinical Center, Durham Veterans Affairs (VA) Medical Center, Durham, NC.
Natalie KöhlerDepartment of Medicine I, Faculty of Medicine, Medical Center University of Freiburg (MCUF).
Jocelyn de HeerDepartment of Interdisciplinary Endoscopy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Steffen HeegDepartment of Medicine II and.
Geoffroy AndrieuxInstitute of Medical Bioinformatics and Systems Medicine, MCUF, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Benjamin A SiranosianHematology and.
Annette Schmitt-GraeffUniversity of Freiburg, Freiburg, Germany.
Dietmar PfeiferDepartment of Medicine I, Faculty of Medicine, Medical Center University of Freiburg (MCUF).
Antonella CatalanoDepartment of Medicine I, Faculty of Medicine, Medical Center University of Freiburg (MCUF).
Ian J FrewDepartment of Medicine I, Faculty of Medicine, Medical Center University of Freiburg (MCUF).
Michele ProiettiInstitute for Immunodeficiency, and.
Bodo GrimbacherInstitute for Immunodeficiency, and.
Alla BulashevskaInstitute for Immunodeficiency, and.
Ami S BhattHematology and.
Tilman BrummerInstitute of Molecular Medicine and Cell Research, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Till ClauditzInstitute of Pathology and.
Tatjana ZabelinaDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; and.
Nicolaus KroegerDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; and.
Bruce R BlazarMasonic Cancer Center and.
Melanie BoerriesInstitute of Medical Bioinformatics and Systems Medicine, MCUF, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Francis AyukDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; and.
Robert ZeiserDepartment of Medicine I, Faculty of Medicine, Medical Center University of Freiburg (MCUF).
University of Freiburg · DEUniversität Hamburg · DEPalmetto Hematology Oncology · USDuke University · USUniversity of Minnesota · US

Funding

Trial Design and Biostatistical Support CoreP01CA065493 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Mark J Osborn · 1995 to 2026
$48.2M
Enhancing Treg Therapeutic Efficacy in GVHDR01HL118979 · NHLBI · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, HIPPEN, KELI L · 2014 to 2025
$6.7M
T-CELL TARGETING FOR GVHDR01HL056067 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BLAZAR, BRUCE R · 1995 to 2022
$5.4M
In Vivo Prevention of Murine GVHDR37AI034495 · NIAID · UNIVERSITY OF MINNESOTA · PI Bruce R Blazar · 2017 to 2026
$5.4M
Nongenotoxic conditioning for gene therapy and allogeneic transplantation in Fanconi anemiaR01HL147324 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Bruce R Blazar, HANS-PETER KIEM · 2020 to 2026
$4.1M
Exploiting the VISTA Pathway to Prevent Acute GVHD and Control Steroid Refractory DiseaseR01HL155114 · NHLBI · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, NOELLE, RANDOLPH J. · 2021 to 2024
$2.7M
NCI NIH HHS P01 CA065493NHLBI NIH HHS R01 HL056067NHLBI NIH HHS R01 HL118979NHLBI NIH HHS R01 HL147324NHLBI NIH HHS R01 HL155114NIAID NIH HHS R37 AI034495
6 · The paper itself

Abstract

Acute graft-versus-host disease (GVHD) is a life-threatening complication after allogeneic hematopoietic cell transplantation (allo-HCT). Although currently used GVHD treatment regimens target the donor immune system, we explored here an approach that aims at protecting and regenerating Paneth cells (PCs) and intestinal stem cells (ISCs). Glucagon-like-peptide-2 (GLP-2) is an enteroendocrine tissue hormone produced by intestinal L cells. We observed that acute GVHD reduced intestinal GLP-2 levels in mice and patients developing GVHD. Treatment with the GLP-2 agonist, teduglutide, reduced de novo acute GVHD and steroid-refractory GVHD, without compromising graft-versus-leukemia (GVL) effects in multiple mouse models. Mechanistically GLP-2 substitution promoted regeneration of PCs and ISCs, which enhanced production of antimicrobial peptides and caused microbiome changes. GLP-2 expanded intestinal organoids and reduced expression of apoptosis-related genes. Low numbers of L cells in intestinal biopsies and high serum levels of GLP-2 were associated with a higher incidence of nonrelapse mortality in patients undergoing allo-HCT. Our findings indicate that L cells are a target of GVHD and that GLP-2-based treatment of acute GVHD restores intestinal homeostasis via an increase of ISCs and PCs without impairing GVL effects. Teduglutide could become a novel combination partner for immunosuppressive GVHD therapy to be tested in clinical trials.

Indexed as

AnimalsFemaleGastrointestinal AgentsGlucagon-Like Peptide 2Graft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansIntestinesMaleMiceMice, Inbred BALB CMice, Inbred C57BLPaneth CellsPeptidesStem CellsTransplantation, HomologousGastrointestinal AgentsGlucagon-Like Peptide 2Peptidesteduglutide

Identifiers

PMID32542357
PMCPMC7498363
OpenAlexW3034460136

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.