Evidence map›Paper›PMID 33905577›Full record

ArticleAllergy2021

Noninvasive biomarkers identify eosinophilic esophagitis: A prospective longitudinal study in children.

Joshua B Wechsler, Steven J Ackerman, Mirna Chehade, Katie Amsden, Mary E Riffle, Ming-Yu Wang, Jian Du, Matt L Kleinjan, Preeth Alumkal, Elizabeth Gray and 3 more

Open access · greenAbstract read
In one paragraph

Article in Allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Shifting the scope: Moving toward less invasive diagnosis and monitoring of eosinophilic esophagitis.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Review
  5. Emerging Tissue and Blood Biomarkers for Eosinophilic Esophagitis.Gastroenterology clinics of North America · 2026
    Review
  6. Article
  7. Review
  8. Article
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  11. Article
  12. Article
  13. Article
  14. Article
  15. A clinical predictive model identifies pediatric patients at risk for eosinophilic esophagitis.Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver · 2024
    Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Eosinophil-Associated Gastrointestinal Manifestations During OIT.Clinical reviews in allergy & immunology · 2023
    Review
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

13 authors at 4 institutions in 1 country.

Joshua B WechslerNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0002-1275-3275
Steven J AckermanDepartment of Biochemistry and Molecular Genetics, University of Illinois-Chicago, Chicago, IL, USA.ORCID 0000-0002-8183-4693
Mirna ChehadeMount Sinai Center for Eosinophilic Disorders, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-7177-2791
Katie AmsdenDepartment of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, Eosinophilic Gastrointestinal Diseases Program, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Mary E RiffleMount Sinai Center for Eosinophilic Disorders, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ming-Yu WangDepartment of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, Eosinophilic Gastrointestinal Diseases Program, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Jian DuDepartment of Biochemistry and Molecular Genetics, University of Illinois-Chicago, Chicago, IL, USA.
Matt L KleinjanDepartment of Biochemistry and Molecular Genetics, University of Illinois-Chicago, Chicago, IL, USA.
Preeth AlumkalDepartment of Biochemistry and Molecular Genetics, University of Illinois-Chicago, Chicago, IL, USA.
Elizabeth GrayNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0001-9298-6927
Kwang-Youn A KimNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0002-4168-757X
Barry K WershilNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Amir F KagalwallaNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0002-5401-2571
Northwestern University · USUniversity of Illinois Chicago · USIcahn School of Medicine at Mount Sinai · USLurie Children's Hospital · US

Funding

TRAINING (CAREER DEVELOPMENT) COMPONENTU54AI117804 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI GLENN T FURUTA, Marc E. Rothenberg · 2014 to 2026
$18.5M
Regulation of Ulcerative Colitis by mast cells and histamineK08DK097721 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WECHSLER, JOSHUA BRIAN · 2015 to 2019
$792k
NIAID NIH HHS U54 AI117804NIDDK NIH HHS K08 DK097721
6 · The paper itself

Abstract

backgroundEsophageal histology is critical for diagnosis and surveillance of disease activity in eosinophilic esophagitis (EoE). A validated noninvasive biomarker has not been identified. We aimed to determine the utility of blood and urine eosinophil-associated proteins to diagnose EoE and predict esophageal eosinophilia.

methodsBlood and urine were collected from children undergoing endoscopy with biopsy. Absolute eosinophil count (AEC), plasma eosinophil-derived neurotoxin (EDN), eosinophil cationic protein (ECP), major basic protein-1 (MBP-1), galectin-10 (CLC/GAL-10), Eotaxin-2 and Eotaxin-3, and urine osteopontin (OPN) and matrix metalloproteinase-9 (MMP-9) were determined. Differences were assessed between EoE and control, and with treatment response. The capacity to predict EoE diagnosis and esophageal eosinophil counts was assessed.

resultsOf 183 specimens were collected from 56 EoE patients and 15 non-EoE controls with symptoms of esophageal dysfunction; 33 EoE patients had paired pre- and post-treatment specimens. Plasma (CLC/GAL-10, ECP, EDN, Eotaxin-3, MBP-1) and urine (OPN) biomarkers were increased in EoE compared to control. A panel comprising CLC/GAL-10, Eotaxin-3, ECP, EDN, MBP-1, and AEC was superior to AEC alone in distinguishing EoE from control. AEC, CLC/GAL-10, ECP, and MBP-1 were significantly decreased in patients with esophageal eosinophil counts <15/hpf in response to treatment. AEC, CLC/GAL-10, ECP, EDN, OPN, and MBP-1 each predicted esophageal eosinophil counts utilizing mixed models controlled for age, gender, treatment, and atopy; AEC combined with MBP-1 best predicted the counts.

conclusionsWe identified novel panels of eosinophil-associated proteins that along with AEC are superior to AEC alone in distinguishing EoE from controls and predicting esophageal eosinophil counts.

Indexed as

Eosinophilic EsophagitisBiomarkersChildEosinophil-Derived NeurotoxinEosinophilsHumansLongitudinal StudiesProspective StudiesBiomarkersEosinophil-Derived Neurotoxinbiomarkerbloodeosinophileosinophilic esophagitisnoninvasive

Identifiers

PMID33905577
PMCPMC9017580
OpenAlexW3157494245

What OpenQuestion holds

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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.