Evidence map›Paper›PMID 36029471›Full record

ArticleJournal of Crohn's & colitis2023

Analysis of Systemic Epigenetic Alterations in Inflammatory Bowel Disease: Defining Geographical, Genetic and Immune-Inflammatory influences on the Circulating Methylome.

Rahul Kalla, Alex T Adams, Jan K Nowak, Daniel Bergemalm, Simen Vatn, Nicholas T Ventham, Nicholas A Kennedy, Petr Ricanek, Jonas Lindstrom, IBD-Character Consortium and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.4field-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

33 citing papers in PubMed, 41 citations in OpenAlex.

  1. Review
  2. Phenotypic switching of gastrointestinal smooth muscle cells and the regulatory role of macrophages: a literature review.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 13 institutions in 6 countries.

Rahul KallaInstitute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-3276-6751
Alex T AdamsInstitute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK.
Jan K NowakDepartment of Paediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poznan, Poland.
Daniel BergemalmDepartment of Gastroenterology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Simen VatnDepartment of Gastroenterology, Akershus University Hospital, Lørenskog, Norway.
Nicholas T VenthamInstitute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK.
Nicholas A KennedyInstitute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK.
Petr RicanekDepartment of Gastroenterology, Akershus University Hospital, Lørenskog, Norway.
Jonas LindstromHealth Services Research Unit, Akershus University Hospital, Lørenskog, Norway.
IBD-Character Consortium
Johan SöderholmDepartment of Surgery and Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Marie PierikMaastricht University Medical Centre (MUMC), Department of Gastroenterology and Hepatology, Maastricht, Netherlands.ORCID 0000-0001-6981-6516
Mauro D'AmatoCIC bioGUNE - BRTA, Derio, SpainIKERBASQUE, Basque Foundation for Science, Bilbao, Spain.
Fernando GomollónHCU 'Lozano Blesa', IIS Aragón, CIBEREHD, Zaragoza, Spain.ORCID 0000-0003-0076-3529
Christine OlbjørnDepartment of Gastroenterology, Akershus University Hospital, Lørenskog, Norway.
Rebecca RichmondMedical Research Council Integrative Epidemiology Unit (MRC IEU), School of Social and Community Medicine, University of Bristol, Bristol, UK.ORCID 0000-0003-0574-5071
Caroline ReltonMedical Research Council Integrative Epidemiology Unit (MRC IEU), School of Social and Community Medicine, University of Bristol, Bristol, UK.
Jørgen JahnsenDepartment of Gastroenterology, Akershus University Hospital, Lørenskog, Norway.
Morten H VatnInstitute of Clinical Medicine, Campus Ahus, University of Oslo, Oslo, Norway.
Jonas HalfvarsonDepartment of Gastroenterology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID 0000-0003-0122-7234
Jack SatsangiInstitute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK.
University of Oslo · NOMaastricht University Medical Centre · NLJohn Radcliffe Hospital · GBLinköping University · SEIkerbasque · ESInstitute of Genetics and Cancer · GBÖrebro University · SEUniversity of Bristol · GBUniversity of Exeter · GBAkershus University Hospital · NOCentre for Inflammation Research · GBHospital Clínico Universitario Lozano Blesa · ESPoznan University of Medical Sciences · PL

Funding

Medical Research Council MC_UU_00032/4Wellcome TrustWellcome Trust WT097943MA
6 · The paper itself

Abstract

backgroundEpigenetic alterations may provide valuable insights into gene-environment interactions in the pathogenesis of inflammatory bowel disease [IBD].

methodsGenome-wide methylation was measured from peripheral blood using the Illumina 450k platform in a case-control study in an inception cohort (295 controls, 154 Crohn's disease [CD], 161 ulcerative colitis [UC], 28 IBD unclassified [IBD-U)] with covariates of age, sex and cell counts, deconvoluted by the Houseman method. Genotyping was performed using Illumina HumanOmniExpressExome-8 BeadChips and gene expression using the Ion AmpliSeq Human Gene Expression Core Panel. Treatment escalation was characterized by the need for biological agents or surgery after initial disease remission.

resultsA total of 137 differentially methylated positions [DMPs] were identified in IBD, including VMP1/MIR21 [p = 9.11 × 10-15] and RPS6KA2 [6.43 × 10-13], with consistency seen across Scandinavia and the UK. Dysregulated loci demonstrate strong genetic influence, notably VMP1 [p = 1.53 × 10-15]. Age acceleration is seen in IBD [coefficient 0.94, p < 2.2 × 10-16]. Several immuno-active genes demonstrated highly significant correlations between methylation and gene expression in IBD, in particular OSM: IBD r = -0.32, p = 3.64 × 10-7 vs non-IBD r = -0.14, p = 0.77]. Multi-omic integration of the methylome, genome and transcriptome also implicated specific pathways that associate with immune activation, response and regulation at disease inception. At follow-up, a signature of three DMPs [TAP1, TESPA1, RPTOR] were associated with treatment escalation to biological agents or surgery (hazard ratio of 5.19 [CI: 2.14-12.56], logrank p = 9.70 × 10-4).

conclusionThese data demonstrate consistent epigenetic alterations at diagnosis in European patients with IBD, providing insights into the pathogenetic importance and translational potential of epigenetic mapping in complex disease.

Indexed as

Colitis, UlcerativeInflammatory Bowel DiseasesBiological FactorsCase-Control StudiesEpigenesis, GeneticEpigenomeHumansMembrane ProteinsBiological FactorsMembrane ProteinsVMP1 protein, humanDNA methylationepigenetic clockgene expressiongeneticsinflammatory bowel diseases [IBD]Mendelian randomizationmethylationprognosisquantitative trait loci

Identifiers

PMID36029471
PMCPMC10024547
OpenAlexW4293340953

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.