Evidence map›Paper›PMID 33844987›Full record

ArticleGastroenterology2021

Human Microbiota Flagellins Drive Adaptive Immune Responses in Crohn's Disease.

Katie L Alexander, Qing Zhao, Meagan Reif, Alexander F Rosenberg, Peter J Mannon, Lennard Wayne Duck, Charles O Elson

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Katie L AlexanderDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Qing ZhaoDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Meagan ReifDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Alexander F RosenbergDepartment of Microbiology, University of Alabama at Birmingham, Birmingham, Alabama; Informatics Institute, University of Alabama at Birmingham, Birmingham, Alabama.
Peter J MannonDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama; Birmingham Veterans Affairs Medical Center, Medical Service, Birmingham, Alabama.
Lennard Wayne DuckDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Charles O ElsonDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama; Department of Microbiology, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: coelson@uabmc.edu.
University of Alabama at Birmingham · US

Funding

IMMUNOLOGIC DISEASES AND BASIC IMMUNOLOGYT32AI007051 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Laurie Ellen Harrington · 1985 to 2026
$13.1M
The Role of Microbial Antigen-Specific T Cells in Crohn's diseaseI01CX001530 · VA · OMAHA VA MEDICAL CENTER · PI MANNON, PETER · 2018 to 2022
–
CSRD VA I01 CX001530NIAID NIH HHS T32 AI007051
6 · The paper itself

Abstract

BACKGROUND AND

aimsCrohn's disease and ulcerative colitis are characterized by dysregulated adaptive immune responses to the microbiota in genetically susceptible individuals, but the specificity of these responses remains largely undefined. Therefore, we developed a microbiota antigen microarray to characterize microbial antibody reactivity, particularly to human-derived microbiota flagellins, in inflammatory bowel disease.

methodsSera from healthy volunteers (n = 87) at the University of Alabama at Birmingham and from patients recruited from the Kirklin Clinic of University of Alabama at Birmingham Hospital, including patients with Crohn's disease (n = 152) and ulcerative colitis (n = 170), were individually probed against microbiota bacterial flagellins of both mouse and human origin and analyzed for IgG and IgA antibody responses. Circulating flagellin-reactive T effector (CD4

resultsWe show that patients with IBD express selective patterns of antibody reactivity to microbiota flagellins. Patients with Crohn's disease, but not patients with ulcerative colitis, display augmented serum IgG to human ileal-localized Lachnospiraceae flagellins, with a subset of patients having high responses to more than 10 flagellins. Elevated responses to CBir1, a mouse Lachnospiraceae flagellin used clinically to diagnose CD, correlated with multi-Lachnospiraceae flagellin reactivity. In this subset of patients with CD, multi-flagellin reactivity was associated with elevated flagellin-specific CD154

conclusionsPatients with Crohn's disease display strong adaptive immune response to human-derived Lachnospiraceae flagellins, which may be targeted for prognosis and future personalized therapies.

Indexed as

Adaptive ImmunityAdultAgedAged, 80 and overAntibodies, BacterialAntigens, BacterialB-LymphocytesCase-Control StudiesCD4-Positive T-LymphocytesColitis, UlcerativeCrohn DiseaseCross-Sectional StudiesEubacterialesFemaleFlagellinHumansAntibodies, BacterialAntigens, BacterialFlagellinImmunoglobulin AImmunoglobulin GAdaptive ImmunityCrohn’s DiseaseFlagellinMicrobiota

Identifiers

PMID33844987
PMCPMC8489510
OpenAlexW3153861350

What OpenQuestion holds

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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.