Evidence map›Paper›PMID 34412659›Full record

ArticleGenome medicine2021

Multi-omics of the esophageal microenvironment identifies signatures associated with progression of Barrett's esophagus.

Nandan P Deshpande, Stephen M Riordan, Claire J Gorman, Shaun Nielsen, Tonia L Russell, Carolina Correa-Ospina, Bentotage S M Fernando, Shafagh A Waters, Natalia Castaño-Rodríguez, Si Ming Man and 3 more

Open access · goldAbstract read
In one paragraph

Article in Genome medicine, 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
4.0field-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

13 citing papers in PubMed, 30 citations in OpenAlex.

  1. Therapeutic Evaluation ofNutrients · 2024
    Trial
  2. Article
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  4. The Potential Role ofMicroorganisms · 2025
    Review
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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

13 authors at 3 institutions in 1 country.

Nandan P DeshpandeSchool of Biotechnology and Biomolecular Sciences, UNSW Sydney, Sydney, NSW, 2052, Australia.
Stephen M RiordanGastrointestinal and Liver Unit, The Prince of Wales Hospital, Randwick, NSW, 2031, Australia.
Claire J GormanSchool of Medical Sciences, Faculty of Medicine, UNSW Sydney, Sydney, NSW, 2052, Australia.
Shaun NielsenSchool of Medical Sciences, Faculty of Medicine, UNSW Sydney, Sydney, NSW, 2052, Australia.
Tonia L RussellRamaciotti Centre for Genomics, UNSW Sydney, Sydney, NSW, 2052, Australia.
Carolina Correa-OspinaRamaciotti Centre for Genomics, UNSW Sydney, Sydney, NSW, 2052, Australia.
Bentotage S M FernandoSchool of Medical Sciences, Faculty of Medicine, UNSW Sydney, Sydney, NSW, 2052, Australia.
Shafagh A WatersSchool of Women's and Children's Health, UNSW Sydney, Sydney, NSW, 2052, Australia.
Natalia Castaño-RodríguezSchool of Biotechnology and Biomolecular Sciences, UNSW Sydney, Sydney, NSW, 2052, Australia.
Si Ming ManThe John Curtin School of Medical Research, The Australian National University, Canberra, ACT, 2601, Australia.
Nicodemus TedlaSchool of Medical Sciences, Faculty of Medicine, UNSW Sydney, Sydney, NSW, 2052, Australia.
Marc R WilkinsSchool of Biotechnology and Biomolecular Sciences, UNSW Sydney, Sydney, NSW, 2052, Australia.
Nadeem O KaakoushSchool of Medical Sciences, Faculty of Medicine, UNSW Sydney, Sydney, NSW, 2052, Australia. n.kaakoush@unsw.edu.au.ORCID 0000-0003-4017-1077
UNSW Sydney · AUAustralian National University · AUPrince of Wales Hospital · AU

Funding

NCI CLINICAL INVESTIGATOR AWARD PROGRAMK08CA001082 · NCI · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI KIM, SINIL · 1985 to 1987
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6 · The paper itself

Abstract

backgroundThe enrichment of Gram-negative bacteria of oral origin in the esophageal microbiome has been associated with the development of metaplasia. However, to date, no study has comprehensively assessed the relationships between the esophageal microbiome and the host.

methodsHere, we examine the esophageal microenvironment in gastro-esophageal reflux disease and metaplasia using multi-omics strategies targeting the microbiome and host transcriptome, followed by targeted culture, comparative genomics, and host-microbial interaction studies of bacterial signatures of interest.

resultsProfiling of the host transcriptome from esophageal mucosal biopsies revealed profound changes during metaplasia. Importantly, five biomarkers showed consistent longitudinal changes with disease progression from reflux disease to metaplasia. We showed for the first time that the esophageal microbiome is distinct from the salivary microbiome and the enrichment of Campylobacter species as a consistent signature in disease across two independent cohorts. Shape fitting and matrix correlation identified associations between the microbiome and host transcriptome profiles, with a novel co-exclusion relationship found between Campylobacter and napsin B aspartic peptidase. Targeted culture of Campylobacter species from the same cohort revealed a subset of isolates to have a higher capacity to survive within primary human macrophages. Comparative genomic analyses showed these isolates could be differentiated by specific genomic features, one of which was validated to be associated with intracellular fitness. Screening for these Campylobacter strain-specific signatures in shotgun metagenomics data from another cohort showed an increase in prevalence with disease progression. Comparative transcriptomic analyses of primary esophageal epithelial cells exposed to the Campylobacter isolates revealed expression changes within those infected with strains with high intracellular fitness that could explain the increased likelihood of disease progression.

conclusionsWe provide a comprehensive assessment of the esophageal microenvironment, identifying bacterial strain-specific signatures with high relevance to progression of metaplasia.

Indexed as

BiomarkersCellular MicroenvironmentDisease SusceptibilityAdultBarrett EsophagusEpithelial CellsEsophagusFemaleGastroesophageal RefluxGene Expression ProfilingGram-Negative Bacterial InfectionsHost-Pathogen InteractionsHumansMacrophagesMaleMast CellsBiomarkersRNA, Ribosomal, 16SAdenocarcinomaCampylobacterEsophagusintracellular survivalMetaplasiaMicrobiomeTranscriptome

Identifiers

PMID34412659
PMCPMC8375061
OpenAlexW3194909284

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.