Evidence map›Paper›PMID 35665804›Full record

ArticleJournal of Crohn's & colitis2022

Targeted Assessment of Mucosal Immune Gene Expression Predicts Clinical Outcomes in Children with Ulcerative Colitis.

Kathryn Clarkston, Rebekah Karns, Anil G Jegga, Mihika Sharma, Sejal Fox, Babajide A Ojo, Phillip Minar, Thomas D Walters, Anne M Griffiths, David R Mack and 14 more

Open access · greenAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. 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

24 authors at 17 institutions in 3 countries.

Kathryn ClarkstonDivision of Gastroenterology, Hepatology and Nutrition.ORCID 0000-0003-3990-6814
Rebekah KarnsDivision of Gastroenterology, Hepatology and Nutrition.
Anil G JeggaDivision of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Mihika SharmaDivision of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Sejal FoxDivision of Gastroenterology, Hepatology and Nutrition.
Babajide A OjoDivision of Pediatric Gastroenterology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Phillip MinarDivision of Gastroenterology, Hepatology and Nutrition.
Thomas D WaltersDivision of Pediatric Gastroenterology, Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0002-4184-4600
Anne M GriffithsDivision of Pediatric Gastroenterology, Hospital for Sick Children, Toronto, ON, Canada.
David R MackDivision of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, ON, Canada.
Brendan BoyleDivision of Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, Columbus, OH, USA.
Neal S LeLeikoDepartment of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA.
James MarkowitzDivision of Gastroenterology, Hepatology, and Nutrition, Cohen Children's Medical Center of New York, New Hyde Park, NY, USA.
Joel R RoshDivision of Gastroenterology, Hepatology, and Nutrition, Goryeb Children's Hospital, Atlantic Health, Morristown, NJ, USA.
Ashish S PatelDivision of Gastroenterology, Phoenix Children's Hospital, Phoenix, AZ, USA.
Sapana ShahDivision of Gastroenterology, Hepatology and Nutrition, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Robert N BaldassanoDivision of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Marian PfefferkornDivision of Gastroenterology, Hepatology, and Nutrition, Riley Children's Hospital, Indianapolis, IN, USA.
Cary SauerDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Emory University and Children's Healthcare of Atlanta, Atlanta, GA, USA.
Subra KugathasanDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Emory University and Children's Healthcare of Atlanta, Atlanta, GA, USA.ORCID 0000-0002-7337-2257
Yael HabermanDivision of Gastroenterology, Hepatology and Nutrition.
Jeffrey S HyamsDivision of Digestive Diseases, Hepatology, and Nutrition, Connecticut Children's Medical Center, Hartford, CT, USA.
Lee A DensonDivision of Gastroenterology, Hepatology and Nutrition.ORCID 0000-0001-8045-7198
Michael J RosenDivision of Pediatric Gastroenterology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0002-5149-718X
University of Cincinnati Medical Center · USCincinnati Children's Hospital Medical Center · USEmory University · USHospital for Sick Children · CAChildren's Hospital of Philadelphia · USChildren's Hospital of Pittsburgh · USChildren's Mercy Hospital · USCohen Children's Medical Center · USConnecticut Children's Medical Center · USGoryeb Children's Hospital · USMorgan Stanley Children's Hospital · USNationwide Children's Hospital · USPhoenix Children's Hospital · USRiley Hospital for Children · USSheba Medical Center · ILStanford University · USUniversity of Ottawa · CA

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI James M Wells · 2007 to 2026
$24.4M
PEDIATRIC GASTROENTEROLOGY AND NUTRITION TRAINING GRANTT32DK007727 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Phillip P Minar · 1995 to 2026
$11.3M
Type 2 cytokines and innate lymphoid cells in pediatric ulcerative colitisR01DK117119 · NIDDK · STANFORD UNIVERSITY · PI ROSEN, MICHAEL J · 2018 to 2022
$2.5M
Therapeutic Monitoring and Targeting of Neutrophil Activation in Pediatric IBDK23DK105229 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI MINAR, PHILLIP P · 2015 to 2018
$734k
NCATS NIH HHS 2UL1TR001425NCATS NIH HHS UL1 TR001425NIDDK NIH HHS K23 DK105229NIDDK NIH HHS P30 DK078392NIDDK NIH HHS R01 DK117119NIDDK NIH HHS R01DK117119NIDDK NIH HHS T32 DK007727NIH HHS P30 DK078392
6 · The paper itself

Abstract

BACKGROUND AND

aimsWe aimed to determine whether a targeted gene expression panel could predict clinical outcomes in paediatric ulcerative colitis [UC] and investigated putative pathogenic roles of predictive genes.

methodsIn total, 313 rectal RNA samples from a cohort of newly diagnosed paediatric UC patients (PROTECT) were analysed by a real-time PCR microfluidic array for expression of type 1, 2 and 17 inflammation genes. Associations between expression and clinical outcomes were assessed by logistic regression. Identified prognostic markers were further analysed using existing RNA sequencing (RNA-seq) data sets and tissue immunostaining.

resultsIL13RA2 was associated with a lower likelihood of corticosteroid-free remission (CSFR) on mesalamine at week 52 (p = .002). A model including IL13RA2 and only baseline clinical parameters was as accurate as an established clinical model, which requires week 4 remission status. RORC was associated with a lower likelihood of colectomy by week 52. A model including RORC and PUCAI predicted colectomy by 52 weeks (area under the receiver operating characteristic curve 0.71). Bulk RNA-seq identified IL13RA2 and RORC as hub genes within UC outcome-associated expression networks related to extracellular matrix and innate immune response, and lipid metabolism and microvillus assembly, respectively. Adult UC single-cell RNA-seq data revealed IL13RA2 and RORC co-expressed genes were localized to inflammatory fibroblasts and undifferentiated epithelial cells, respectively, which was supported by protein immunostaining.

conclusionTargeted assessment of rectal mucosal immune gene expression predicts 52-week CSFR in treatment-naïve paediatric UC patients. Further exploration of IL-13Rɑ2 as a therapeutic target in UC and future studies of the epithelial-specific role of RORC in UC pathogenesis are warranted.

Indexed as

Colitis, UlcerativeAdrenal Cortex HormonesAdultChildGene ExpressionHumansMesalamineMucous MembraneAdrenal Cortex HormonesMesalaminegene expression arrayPaediatric inflammatory bowel diseaseweighted gene co-expression network analysis

Identifiers

PMID35665804
PMCPMC9683081
OpenAlexW4281768665

What OpenQuestion holds

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Registered trials

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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.