Evidence map›Paper›PMID 33575854›Full record

ArticleJournal of molecular medicine (Berlin, Germany)2021

Corticosteroid enhances epithelial barrier function in intestinal organoids derived from patients with Crohn's disease.

Pan Xu, Montserrat Elizalde, Ad Masclee, Marieke Pierik, Daisy Jonkers

Open access · hybridAbstract read
In one paragraph

Article in Journal of molecular medicine (Berlin, Germany), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Review
  3. Ion transport and epithelial barrier dysfunction in experimental models of ulcerative colitis.American journal of physiology. Gastrointestinal and liver physiology · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Challenges and opportunities in inflammatory bowel disease: from current therapeutic strategies to organoid-based models.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Review
  12. Article
  13. Listen to Your Gut: Key Concepts for Bioengineering Advanced Models of the Intestine.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Review
  14. The epithelium takes the stage in asthma and inflammatory bowel diseases.Frontiers in cell and developmental biology · 2024
    Review
  15. Review
  16. Review
  17. Cinnamon (Food science and biotechnology · 2023
    Article
  18. Review
  19. Article
  20. Observational
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

5 authors at 1 institution in 1 country.

Pan XuDivision of Gastroenterology-Hepatology, Department of Internal Medicine, Maastricht University Medical Centre+, P. Debyelaan 25 6229 HX, Maastricht, the Netherlands.
Montserrat ElizaldeDivision of Gastroenterology-Hepatology, Department of Internal Medicine, Maastricht University Medical Centre+, P. Debyelaan 25 6229 HX, Maastricht, the Netherlands.
Ad MascleeDivision of Gastroenterology-Hepatology, Department of Internal Medicine, Maastricht University Medical Centre+, P. Debyelaan 25 6229 HX, Maastricht, the Netherlands.
Marieke PierikDivision of Gastroenterology-Hepatology, Department of Internal Medicine, Maastricht University Medical Centre+, P. Debyelaan 25 6229 HX, Maastricht, the Netherlands.
Daisy JonkersDivision of Gastroenterology-Hepatology, Department of Internal Medicine, Maastricht University Medical Centre+, P. Debyelaan 25 6229 HX, Maastricht, the Netherlands. d.jonkers@maastrichtuniversity.nl.ORCID 0000-0003-4254-0577
Maastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Corticosteroids (CS), first-line therapeutics for Crohn's disease (CD) with moderate or severe disease activity, were found to restore intestinal permeability in CD patients, whereas the underlying molecular events are still largely unknown. This study aimed to investigate the effect and mechanisms of CS prednisolone on epithelial barrier using CD patient-derived intestinal organoids. 3D intestinal organoids were generated from colon biopsies of inactive CD patients. To mimic the inflammatory microenvironment, a mixture of cytokines containing TNF-α, IFN-γ, and IL-1β were added to the organoid culture with or without pre-incubation of prednisolone or mifepristone. Epithelial permeability of the organoids was assessed by FITC-D4 flux from the basal to luminal compartment using confocal microscopy. Expression of junctional components were analyzed by qRT-PCR, immunofluorescence staining, and western blot. Activity of signaling pathways were analyzed using western blot. Exposure of the cytokines significantly disrupted epithelial barrier of the intestinal organoids, which was partially restored by prednisolone. On the molecular level, the cytokine mixture resulted in a significant reduction in E-cadherin and ILDR-1, an increase in CLDN-2, MLCK, and STAT1 phosphorylation, whereas prednisolone ameliorated the abovementioned effects induced by the cytokine mixture. This study demonstrates that prednisolone confers a direct effect in tightening the epithelial barrier, identifies novel junctional targets regulated by prednisolone, and underscores intestinal barrier restoration as a potential mechanism that contributes to the clinical efficacy of prednisolone in CD patients. KEY MESSAGES: Prednisolone confers a direct preventive effect against cytokine-induced barrier dysfunction. Prednisolone regulates the expression of CLDN-2, E-cadherin, and ILDR-1. The effect of prednisolone is GR-, MLCK-, and STAT1-dependent.

Indexed as

Adrenal Cortex HormonesBiomarkersCadherinsCell LineCell Membrane PermeabilityClaudinsCrohn DiseaseCytokinesHumansInflammation MediatorsIntercellular JunctionsIntestinal MucosaOrganoidsPrednisoloneSignal TransductionAdrenal Cortex HormonesBiomarkersCadherinsClaudinsCLDN2 protein, humanCytokinesInflammation MediatorsPrednisoloneBarrier functionCorticosteroidsIntestinal organoids

Identifiers

PMID33575854
PMCPMC8164603
OpenAlexW3127992942

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.