Evidence map›Paper›PMID 32844174›Full record

ArticleInflammatory bowel diseases2020

Serum Serotonin Differentiates Between Disease Activity States in Crohn's Patients.

Christopher R Manzella, Dulari Jayawardena, Wilfredo Pagani, Ye Li, Waddah A Alrefai, Jessica Bauer, Barbara Jung, Christopher R Weber, Ravinder K Gill

Open access · bronzeAbstract read
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. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

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  7. Modulation of the Mechanosensory Matrisome by Serotonergic Signaling.Results and problems in cell differentiation · 2026
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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 3 institutions in 1 country.

Christopher R ManzellaDepartment of Physiology & Biophysics, University of Illinois at Chicago, Chicago, IL, USA.
Dulari JayawardenaDivision of Gastroenterology & Hepatology, Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Wilfredo PaganiDepartment of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Ye LiDepartment of Pathology, University of Chicago, Chicago, IL, USA.
Waddah A AlrefaiDepartment of Physiology & Biophysics, University of Illinois at Chicago, Chicago, IL, USA.
Jessica BauerDepartment of Medicine, University of Washington, WA, USA.
Barbara JungDepartment of Medicine, University of Washington, WA, USA.
Christopher R WeberDepartment of Pathology, University of Chicago, Chicago, IL, USA.
Ravinder K GillDepartment of Physiology & Biophysics, University of Illinois at Chicago, Chicago, IL, USA.
University of Illinois Chicago · USUniversity of Chicago · USUniversity of Washington · US

Funding

Intestinal 5-HT Transporter: A novel therapeutic target for GI disordersR01DK098170 · NIDDK · UNIVERSITY OF ILLINOIS AT CHICAGO · PI GILL, RAVINDER K · 2014 to 2022
$3.0M
Gut-liver crosstalk in bile-acid induced diarrheaR01DK109709 · NIDDK · UNIVERSITY OF ILLINOIS AT CHICAGO · PI ALREFAI, WADDAH A. · 2016 to 2019
$1.1M
Novel role of serotonin in AhR dependent pathways in intestineF30DK113703 · NIDDK · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MANZELLA, CHRISTOPHER ROBERT · 2017 to 2020
$199k
BLRD VA I01 BX000152BLRD VA IK6 BX005243NIDDK NIH HHS F30 DK113703NIDDK NIH HHS R01 DK098170NIDDK NIH HHS R01 DK109709
6 · The paper itself

Abstract

backgroundDiagnosis and monitoring of inflammatory bowel diseases (IBDs) utilize invasive methods including endoscopy and tissue biopsy, with blood tests being less specific for IBDs. Substantial evidence has implicated involvement of the neurohormone serotonin (5-hydroxytryptamine, 5-HT) in the pathophysiology of IBDs. The current study investigated whether serum 5-HT is elevated in patients with active ulcerative colitis (UC) or Crohn's disease (CD).

methodsSerum samples were obtained from a German cohort of 96 CD and UC patients with active disease, refractory disease, or remission of disease based upon their disease activity index (DAI) and disease history. High pressure liquid chromatography with tandemmass spectrometry was used to measure 5-HT, tryptophan (TRP), and kynurenine (KYN) levels in the serum samples, and Luminex Multiplex ELISA was used to measure cytokine levels. Intestinal mucosal biopsies were obtained from a separate cohort of healthy and CD patients, and the immunoreactivity of the serotonin transporter (SERT) was determined.

resultsThere was no statistically significant difference in TRP or KYN levels between disease categories in either UC or CD. Interestingly, 5-HT levels were significantly elevated in patients with active CD but not active UC when compared with the levels in remission or refractory disease. Serum 5-HT was superior to C-reactive protein and circulating cytokines in differentiating between disease categories in CD. Additionally, SERT immunoreactivity was decreased in the ileum and colon of patients with CD compared to healthy controls.

conclusionWe have shown that the serum 5-HT can differentiate between active disease and refractory disease or remission among CD patients, emphasizing the potential suitability of serum 5-HT as an auxiliary measure in diagnosing active CD.

Indexed as

Severity of Illness IndexAdolescentAdultBiopsyColitis, UlcerativeColonC-Reactive ProteinCrohn DiseaseCytokinesEnzyme-Linked Immunosorbent AssayFemaleHumansIleumIntestinal MucosaKynurenineMaleC-Reactive ProteinCytokinesKynurenineSerotoninTryptophan5-hydroxytryptaminekynurenineserotoninserotonin transporterSERTtryptophan

Identifiers

PMID32844174
PMCPMC7500525
OpenAlexW3080689053

What OpenQuestion holds

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LicenceCC BY-NC
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.