Evidence map›Paper›PMID 33506194›Full record

ArticleJournal of translational autoimmunity2021

Increased intestinal permeability in primary Sjögren's syndrome and multiple sclerosis.

Bitte Sjöström, Anders Bredberg, Thomas Mandl, Lucía Alonso-Magdalena, Bodil Ohlsson, Shahram Lavasani, Mehrnaz Nouri, Gunnel Henriksson

Open access · goldAbstract read
In one paragraph

Article in Journal of translational autoimmunity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 25% 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

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. The Gut Microbiome in Multiple Sclerosis.Neurology(R) neuroimmunology & neuroinflammation · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Impaired intestinal permeability in patients with multiple sclerosis.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. 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

8 authors at 3 institutions in 1 country.

Bitte SjöströmDepartment of Laboratory Medicine, Medical Microbiology, Lund University, Lund, Sweden.
Anders BredbergDepartment of Laboratory Medicine, Medical Microbiology, Lund University, Lund, Sweden.
Thomas MandlDepartment of Rheumatology, Skåne University Hospital, Malmö, Lund University, Lund, Sweden.
Lucía Alonso-MagdalenaDepartment of Neurology, Skåne University Hospital, Malmö/Lund, Lund University, Sweden.
Bodil OhlssonDepartment of Internal Medicine, Skåne University Hospital, Malmö, Sweden.
Shahram LavasaniDepartment of Biology, Lund University, Lund, Sweden.
Mehrnaz NouriDepartment of Biology, Lund University, Lund, Sweden.
Gunnel HenrikssonDepartment of Laboratory Medicine, Medical Microbiology, Lund University, Lund, Sweden.
Lund University · SESkåne University Hospital · SEMedicon Village · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is increasing evidence suggesting a role of intestinal dysfunction in a number of autoimmune diseases. Primary Sjögren's syndrome (pSS) is a systemic autoimmune disease with a documented increased level of intestinal inflammation, whereas multiple sclerosis (MS) is an organ-specific autoimmune disease known to exhibit increased intestinal permeability. In this study we determine to what extent intestinal inflammation, analysed by a faecal calprotectin ELISA, is accompanied by altered intestinal wall permeability, as measured by a lactulose and mannitol intestinal absorption assay. Intestinal permeability was increased in both pSS and MS patients, while faecal calprotectin was elevated in pSS but normal in MS. Our findings suggest different mechanisms mediating a leaky gut in these two diseases: in pSS there is autoimmune attack directly on the intestinal wall; in MS, with autoimmunity being limited to the CNS, it may be due to a disturbed CNS regulation of enteric nerve function.

Indexed as

Faecal calprotectinIntestinal permeabilityLactulose/mannitol ratioMultiple sclerosisPrimary Sjögren’s syndrome

Identifiers

PMID33506194
PMCPMC7815467
OpenAlexW3120404879

What OpenQuestion holds

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LicenceCC BY
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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.