Evidence map›Paper›PMID 33906066›Full record

ArticleEBioMedicine2021

Crohn's disease-associated ATG16L1 T300A genotype is associated with improved survival in gastric cancer.

Changqing Ma, Chad E Storer, Uma Chandran, William A LaFramboise, Patricia Petrosko, Madison Frank, Douglas J Hartman, Liron Pantanowitz, Talin Haritunians, Richard D Head and 1 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
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  5. Mild Duodenal Mucosal Injury and Increased Type I Interferon Signaling Are Preludes to Celiac Disease.Laboratory investigation; a journal of technical methods and pathology · 2025
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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

11 authors at 4 institutions in 1 country.

Changqing MaDepartment of Pathology, University of Pittsburgh School of Medicine, 200 Lothrop Street, A-610, Pittsburgh, PA 15213, United States. Electronic address: mac2@upmc.edu.
Chad E StorerDepartment of Genetics, Washington University School of Medicine, Saint Louis, MO 63110, United States.
Uma ChandranDepartment of Biomedical Informatics, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, United States.
William A LaFramboiseUPMC Hillman Cancer Center, Cancer Genomics Facility, Pittsburgh, PA 15232, United States.
Patricia PetroskoUPMC Hillman Cancer Center, Cancer Genomics Facility, Pittsburgh, PA 15232, United States.
Madison FrankDepartment of Pathology, University of Pittsburgh School of Medicine, 200 Lothrop Street, A-610, Pittsburgh, PA 15213, United States.
Douglas J HartmanDepartment of Pathology, University of Pittsburgh School of Medicine, 200 Lothrop Street, A-610, Pittsburgh, PA 15213, United States.
Liron PantanowitzDepartment of Pathology, University of Pittsburgh School of Medicine, 200 Lothrop Street, A-610, Pittsburgh, PA 15213, United States.
Talin HarituniansF. Widjaja Family Foundation Inflammatory Bowel and Immunobiology Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States.
Richard D HeadDepartment of Genetics, Washington University School of Medicine, Saint Louis, MO 63110, United States.
Ta-Chiang LiuDepartments of Pathology and Immunology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8118, Saint Louis, MO 63110, United States. Electronic address: tliu27@wustl.edu.
University of Pittsburgh · USWashington University in St. Louis · USUPMC Hillman Cancer Center · USCedars-Sinai Medical Center · US

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD · 1988 to 2026
$158.0M
Paneth cell phenotype as a predictive biomarker for ulcerative colitisR01DK124274 · NIDDK · WASHINGTON UNIVERSITY · PI LIU, TA-CHIANG · 2020 to 2023
$1.5M
Cellular and molecular mechanisms of cigarette smoking-induced Paneth cell abnormalityR01DK125296 · NIDDK · WASHINGTON UNIVERSITY · PI LIU, TA-CHIANG · 2020 to 2023
$1.4M
NCI NIH HHS P30 CA047904NIDDK NIH HHS R01 DK124274NIDDK NIH HHS R01 DK125296
6 · The paper itself

Abstract

backgroundA non-synonymous single nucleotide polymorphism of the ATG16L1 gene, T300A, is a major Crohn's disease (CD) susceptibility allele, and is known to be associated with increased apoptosis induction in the small intestinal crypt base in CD subjects and mouse models. We hypothesized that ATG16L1 T300A genotype also correlates with increased tumor apoptosis and therefore could lead to superior clinical outcome in cancer subjects.

methodsT300A genotyping by Taqman assay was performed for gastric carcinoma subjects who underwent resection from two academic medical centers. Transcriptomic analysis was performed by RNA-seq on formalin-fixed paraffin-embedded cancerous tissue. Tumor apoptosis and autophagy were determined by cleaved caspase-3 and p62 immunohistochemistry, respectively. The subjects' genotypes were correlated with demographics, various histopathologic features, transcriptome, and clinical outcome.

findingsOf the 220 genotyped subjects, 163 (74%) subjects carried the T300A allele(s), including 55 (25%) homozygous and 108 (49%) heterozygous subjects. The T300A/T300A subjects had superior overall survival than the other groups. Their tumors were associated with increased CD-like lymphoid aggregates and increased tumor apoptosis without concurrent increase in tumor mitosis or defective autophagy. Transcriptomic analysis showed upregulation of WNT/β-catenin signaling and downregulation of PPAR, EGFR, and inflammatory chemokine pathways in tumors of T300A/T300A subjects.

interpretationGastric carcinoma of subjects with the T300A/T300A genotype is associated with repressed EGFR and PPAR pathways, increased tumor apoptosis, and improved overall survival. Genotyping gastric cancer subjects may provide additional insight for clinical stratification.

Indexed as

GenotypeAgedAged, 80 and overApoptosisAutophagyAutophagy-Related ProteinsCarcinomaChemokinesCrohn DiseaseErbB ReceptorsFemaleHumansMaleMiddle AgedMutationPPAR gammaATG16L1 protein, humanAutophagy-Related ProteinsChemokinesEGFR protein, humanErbB ReceptorsPPAR gammaApoptosisAutophagyGenotypingStratificationTranscriptomics

Identifiers

PMID33906066
PMCPMC8099593
OpenAlexW3159139521

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.