Evidence map›Paper›PMID 33308304›Full record

ArticleClinical epigenetics2020

Global hypermethylation of intestinal epithelial cells is a hallmark feature of neonatal surgical necrotizing enterocolitis.

Misty Good, Tianjiao Chu, Patricia Shaw, Lora McClain, Austin Chamberlain, Carlos Castro, Jamie M Rimer, Belgacem Mihi, Qingqing Gong, Lila S Nolan and 5 more

Open access · goldAbstract read
In one paragraph

Article in Clinical epigenetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

22 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Necrotizing enterocolitis.Nature reviews. Disease primers · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Necrotizing Enterocolitis: What's New and What's Next?International journal of molecular sciences · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. DNA methylation in necrotizing enterocolitis.Expert reviews in molecular medicine · 2024
    Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
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

15 authors at 3 institutions in 1 country.

Misty GoodDepartment of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine/St. Louis Children's Hospital, 660 S. Euclid Ave. Campus, Box 8208, St. Louis, MO, 63110, USA. mistygood@wustl.edu.ORCID 0000-0002-0264-5721
Tianjiao ChuDepartments of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, 204 Craft Avenue, Pittsburgh, PA, 15213, USA.
Patricia ShawMagee-Womens Research Institute, Pittsburgh, PA, USA.
Lora McClainPsychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Austin ChamberlainMagee-Womens Research Institute, Pittsburgh, PA, USA.
Carlos CastroMagee-Womens Research Institute, Pittsburgh, PA, USA.
Jamie M RimerDepartment of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine/St. Louis Children's Hospital, 660 S. Euclid Ave. Campus, Box 8208, St. Louis, MO, 63110, USA.
Belgacem MihiDepartment of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine/St. Louis Children's Hospital, 660 S. Euclid Ave. Campus, Box 8208, St. Louis, MO, 63110, USA.
Qingqing GongDepartment of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine/St. Louis Children's Hospital, 660 S. Euclid Ave. Campus, Box 8208, St. Louis, MO, 63110, USA.
Lila S NolanDepartment of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine/St. Louis Children's Hospital, 660 S. Euclid Ave. Campus, Box 8208, St. Louis, MO, 63110, USA.
Krista CookseyDepartment of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine/St. Louis Children's Hospital, 660 S. Euclid Ave. Campus, Box 8208, St. Louis, MO, 63110, USA.
Laura LinnemanDepartment of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine/St. Louis Children's Hospital, 660 S. Euclid Ave. Campus, Box 8208, St. Louis, MO, 63110, USA.
Pranjal AgrawalDepartment of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine/St. Louis Children's Hospital, 660 S. Euclid Ave. Campus, Box 8208, St. Louis, MO, 63110, USA.
David N FinegoldHuman Genetics, University of Pittsburgh, Pittsburgh, PA, USA.
David PetersDepartments of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, 204 Craft Avenue, Pittsburgh, PA, 15213, USA. dgp6@pitt.edu.
St. Louis Children's Hospital · USUniversity of Pittsburgh · USMagee-Womens Research Institute · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Training of the Pediatric Physician-ScientistT32HD043010 · NICHD · WASHINGTON UNIVERSITY · PI MARK E. LOWE · 2002 to 2026
$6.4M
Neonatal gut-on-a-chip platform for high content drug testing and precision medicineR01HD105301 · NICHD · WASHINGTON UNIVERSITY · PI GOOD, MISTY L, MAGNESS, SCOTT T · 2021 to 2024
$2.4M
Modulation of the Intestinal Immune Response in Necrotizing EnterocolitisR01DK118568 · NIDDK · WASHINGTON UNIVERSITY · PI GOOD, MISTY L · 2018 to 2022
$1.8M
Novel Anti-Inflammatory Properties of Breast Milk in Necrotizing EnterocolitisK08DK101608 · NIDDK · WASHINGTON UNIVERSITY · PI GOOD, MISTY L · 2014 to 2017
$584k
Aryl hydrocarbon receptor signaling in the pathogenesis of necrotizing enterocolitisR03DK111473 · NIDDK · WASHINGTON UNIVERSITY · PI GOOD, MISTY L · 2017 to 2018
$153k
NCATS NIH HHS UL1 TR000448NCI NIH HHS P30 CA091842NICHD NIH HHS R01 HD105301NICHD NIH HHS T32 HD043010NIDDK NIH HHS K08 DK101608NIDDK NIH HHS R01 DK118568NIDDK NIH HHS R03 DK111473
6 · The paper itself

Abstract

backgroundNecrotizing enterocolitis (NEC) remains one of the overall leading causes of death in premature infants, and the pathogenesis is unpredictable and not well characterized. The aim of our study was to determine the molecular phenotype of NEC via transcriptomic and epithelial cell-specific epigenomic analysis, with a specific focus on DNA methylation.

methodsUsing laser capture microdissection, epithelial cell-specific methylation signatures were characterized by whole-genome bisulfite sequencing of ileal and colonic samples at the time of surgery for NEC and after NEC had healed at reanastomosis (n = 40). RNA sequencing was also performed to determine the transcriptomic profile of these samples, and a comparison was made to the methylome data.

resultsWe found that surgical NEC has a considerable impact on the epigenome by broadly increasing DNA methylation levels, although these effects are less pronounced in genomic regions associated with the regulation of gene expression. Furthermore, NEC-related DNA methylation signatures were influenced by tissue of origin, with significant differences being noted between colon and ileum. We also identified numerous transcriptional changes in NEC and clear associations between gene expression and DNA methylation.

conclusionsWe have defined the intestinal epigenomic and transcriptomic signatures during surgical NEC, which will advance our understanding of disease pathogenesis and may enable the development of novel precision medicine approaches for NEC prediction, diagnosis and phenotyping.

Indexed as

AnimalsCase-Control StudiesColonCpG IslandsDNA MethylationEnterocolitis, NecrotizingEpigenomicsEpithelial CellsGenome-Wide Association StudyHumansIleumInfant, NewbornIntestinesLaser Capture MicrodissectionModels, AnimalSequence Analysis, RNADNA methylationEpigeneticsIntestinal epitheliumNecrotizing enterocolitisNeonatal

Identifiers

PMID33308304
PMCPMC7730811
OpenAlexW3111203934

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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.