Evidence map›Paper›PMID 34755129›Full record

ArticleCell reports. Medicine2021

Kynurenine pathway activation and deviation to anthranilic and kynurenic acid in fibrosing chronic graft-versus-host disease.

Laura Orsatti, Thomas Stiehl, Katharina Dischinger, Roberto Speziale, Pamela Di Pasquale, Edith Monteagudo, Carsten Müller-Tidow, Aleksandar Radujkovic, Peter Dreger, Thomas Luft

Open access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.0field-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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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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

10 authors at 3 institutions in 2 countries.

Laura OrsattiADME/DMPK Department, IRBM SpA, Pomezia, Rome, Italy.
Thomas StiehlInstitute for Computational Biomedicine-Disease Modeling, RWTH Aachen University, Aachen, Germany.
Katharina DischingerDepartment of Medicine V, University of Heidelberg, Heidelberg, Germany.
Roberto SpezialeADME/DMPK Department, IRBM SpA, Pomezia, Rome, Italy.
Pamela Di PasqualeADME/DMPK Department, IRBM SpA, Pomezia, Rome, Italy.
Edith MonteagudoADME/DMPK Department, IRBM SpA, Pomezia, Rome, Italy.
Carsten Müller-TidowDepartment of Medicine V, University of Heidelberg, Heidelberg, Germany.
Aleksandar RadujkovicDepartment of Medicine V, University of Heidelberg, Heidelberg, Germany.
Peter DregerDepartment of Medicine V, University of Heidelberg, Heidelberg, Germany.
Thomas LuftDepartment of Medicine V, University of Heidelberg, Heidelberg, Germany.
Heidelberg University · DEIRBM Science Park · ITRWTH Aachen University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fibrosing chronic graft-versus-host disease (cGVHD) is a debilitating complication of allogeneic stem cell transplantation (alloSCT). A driver of fibrosis is the kynurenine (Kyn) pathway, and Kyn metabolism patterns and cytokines may influence cGVHD severity and manifestation (fibrosing versus gastrointestinal [GI] cGVHD). Using a liquid chromatography-tandem mass spectrometry approach on sera obtained from 425 patients with allografts, we identified high CXCL9, high indoleamine-2,3-dioxygenase (IDO) activity, and an activated Kyn pathway as common characteristics in all cGVHD subtypes. Specific Kyn metabolism patterns could be identified for non-severe cGVHD, severe GI cGVHD, and fibrosing cGVHD, respectively. Specifically, fibrosing cGVHD was associated with a distinct pathway shift toward anthranilic and kynurenic acid, correlating with reduced activity of the vitamin-B2-dependent kynurenine monooxygenase, low vitamin B6, and increased interleukin-18. The Kyn metabolite signature is a candidate biomarker for severe fibrosing cGVHD and provides a rationale for translational trials on prophylactic vitamin B2/B6 supplementation for cGVHD prevention.

Indexed as

Stem Cell TransplantationAdolescentAdultAgedChemokine CXCL9FemaleFibrosisGene Expression RegulationGraft vs Host DiseaseHumansIndoleamine-Pyrrole 2,3,-DioxygenaseInterleukin-18Kynurenic AcidKynurenineKynurenine 3-MonooxygenaseLeukemiaanthranilic acidChemokine CXCL9CXCL9 protein, humanIDO1 protein, humanIL18 protein, humanIndoleamine-Pyrrole 2,3,-DioxygenaseInterleukin-18Kynurenic AcidKynurenineKynurenine 3-Monooxygenaseortho-AminobenzoatesRiboflavinTryptophanVitamin B 6anthranilic acidCXCL9fibrosing chronic graft-versus-host diseaseIL-18indoleamine-2,3-dioxygenasekynurenic acidkynureninetryptophanvitamin B2vitamin B6

Identifiers

PMID34755129
PMCPMC8561165
OpenAlexW3205537365

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.