Evidence map›Paper›PMID 33232439›Full record

ArticleJournal of Crohn's & colitis2021

Ileal Transcriptomic Analysis in Paediatric Crohn's Disease Reveals IL17- and NOD-signalling Expression Signatures in Treatment-naïve Patients and Identifies Epithelial Cells Driving Differentially Expressed Genes.

James J Ashton, Konstantinos Boukas, James Davies, Imogen S Stafford, Andres F Vallejo, Rachel Haggarty, Tracy A F Coelho, Akshay Batra, Nadeem A Afzal, Bhumita Vadgama and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Cytokine expression in subjects withFrontiers in cellular and infection microbiology · 2024
    Pooled it
  2. Disulfidptosis: molecular mechanisms and therapeutic targets.Signal transduction and targeted therapy · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Identification of Potential Functional Modules and Diagnostic Genes for Crohn's Disease Based on Weighted Gene Co-expression Network Analysis and LASSO Algorithm.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Article
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  10. Article
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  12. Article
  13. Review
  14. Article
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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

14 authors at 4 institutions in 1 country.

James J AshtonDepartment of Human Genetics and Genomic Medicine, University of Southampton, Southampton, UK.
Konstantinos BoukasWessex Investigational Sciences Hub, University of Southampton Faculty of Medicine, Southampton General Hospital, Southampton, UK.
James DaviesClinical and Experimental Sciences, Sir Henry Wellcome Laboratories, Faculty of Medicine, University of Southampton, Southampton, UK.
Imogen S StaffordDepartment of Human Genetics and Genomic Medicine, University of Southampton, Southampton, UK.
Andres F VallejoClinical and Experimental Sciences, Sir Henry Wellcome Laboratories, Faculty of Medicine, University of Southampton, Southampton, UK.
Rachel HaggartyNIHR Southampton Biomedical Research Centre, University Hospital Southampton, Southampton, UK.
Tracy A F CoelhoDepartment of Paediatric Gastroenterology, Southampton Children's Hospital, Southampton, UK.
Akshay BatraDepartment of Paediatric Gastroenterology, Southampton Children's Hospital, Southampton, UK.
Nadeem A AfzalDepartment of Paediatric Gastroenterology, Southampton Children's Hospital, Southampton, UK.
Bhumita VadgamaDepartment of Paediatric Histopathology, Southampton Children's Hospital, Southampton, UK.
Anthony P WilliamsWessex Investigational Sciences Hub, University of Southampton Faculty of Medicine, Southampton General Hospital, Southampton, UK.
R Mark BeattieDepartment of Paediatric Gastroenterology, Southampton Children's Hospital, Southampton, UK.
Marta E PolakDepartment of Human Genetics and Genomic Medicine, University of Southampton, Southampton, UK.
Sarah EnnisDepartment of Human Genetics and Genomic Medicine, University of Southampton, Southampton, UK.
Southampton Children's Hospital · GBUniversity of Southampton · GBNIHR Southampton Biomedical Research Centre · GBSouthampton General Hospital · GB

Funding

Medical Research Council MC_PC_15078Wellcome Trust
6 · The paper itself

Abstract

BACKGROUND AND

aimsCrohn's disease [CD] arises through host-environment interaction. Abnormal gene expression results from disturbed pathway activation or response to bacteria. We aimed to determine activated pathways and driving cell types in paediatric CD.

methodsWe employed contemporary targeted autoimmune RNA sequencing, in parallel to single-cell sequencing, to ileal tissue derived from paediatric CD and controls. Weighted gene co-expression network analysis [WGCNA] was performed and differentially expressed genes [DEGs] were determined. We integrated clinical data to determine co-expression modules associated with outcomes.

resultsIn all, 27 treatment-naive CD [TN-CD], 26 established CD patients and 17 controls were included. WGCNA revealed a 31-gene signature characterising TN-CD patients, but not established CD, nor controls. The CSF3R gene is a hub within this module and is key in neutrophil expansion and differentiation. Antimicrobial genes, including S100A12 and the calprotectin subunit S100A9, were significantly upregulated in TN CD compared with controls [p = 2.61 x 10-15 and p = 9.13 x 10-14, respectively] and established CD [both p = 0.0055]. Gene-enrichment analysis confirmed upregulation of the IL17-, NOD- and Oncostatin-M-signalling pathways in TN-CD patients, identified in both WGCNA and DEG analyses. An upregulated gene signature was enriched for transcripts promoting Th17-cell differentiation and correlated with prolonged time to relapse [correlation-coefficient-0.36, p = 0.07]. Single-cell sequencing of TN-CD patients identified specialised epithelial cells driving differential expression of S100A9. Cell groups, determined by single-cell gene expression, demonstrated enrichment of IL17-signalling in monocytes and epithelial cells.

conclusionsIleal tissue from treatment-naïve paediatric patients is significantly upregulated for genes driving IL17-, NOD- and Oncostatin-M-signalling. This signal is driven by a distinct subset of epithelial cells expressing antimicrobial gene transcripts.

Indexed as

AdolescentBiopsyChildCrohn DiseaseEpithelial CellsFemaleGastrointestinal AgentsGene Expression ProfilingHumansIleumInterleukin-17MaleNod2 Signaling Adaptor ProteinSignal TransductionTh17 CellsGastrointestinal AgentsInterleukin-17NOD2 protein, humanNod2 Signaling Adaptor Proteincrohn’s diseaseIBDpaediatrictranscriptomics

Identifiers

PMID33232439
PMCPMC8095388
OpenAlexW3109250549

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.