Evidence map›Paper›PMID 36153599›Full record

ArticleGenome medicine2022

Longitudinal multi-omics analysis identifies early blood-based predictors of anti-TNF therapy response in inflammatory bowel disease.

Neha Mishra, Konrad Aden, Johanna I Blase, Nathan Baran, Dora Bordoni, Florian Tran, Claudio Conrad, Diana Avalos, Charlot Jaeckel, Michael Scherer and 14 more

Open access · goldAbstract read
In one paragraph

Article in Genome medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
9.5field-weighted citation impact, top 1% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Review
  9. Artificial intelligence in the management of inflammatory bowel disease: What's next?World journal of gastrointestinal pharmacology and therapeutics · 2026
    Review
  10. Review
  11. Article
  12. Article
  13. Longitudinal omics data analysis: approaches and applications.Computational and structural biotechnology journal · 2026
    Review
  14. Review
  15. Observational
  16. Article
  17. Article
  18. Article
  19. How "Sure" Are We About Precision Medicine in IBD?United European gastroenterology journal · 2025
    Article
  20. 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 7 institutions in 5 countries.

Neha MishraInstitute of Clinical Molecular Biology, Christian-Albrechts-University Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany.
Konrad AdenInstitute of Clinical Molecular Biology, Christian-Albrechts-University Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany.
Johanna I BlaseInstitute of Clinical Molecular Biology, Christian-Albrechts-University Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany.
Nathan BaranInstitute of Clinical Molecular Biology, Christian-Albrechts-University Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany.
Dora BordoniInstitute of Clinical Molecular Biology, Christian-Albrechts-University Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany.
Florian TranInstitute of Clinical Molecular Biology, Christian-Albrechts-University Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany.
Claudio ConradDepartment of Internal Medicine I, University Medical Center Schleswig-Holstein, Kiel, Germany.
Diana AvalosInstitute of Genetics and Genomics of Geneva (iGE3), University of Geneva, Geneva, Switzerland.
Charlot JaeckelDepartment of Internal Medicine I, University Medical Center Schleswig-Holstein, Kiel, Germany.
Michael SchererDepartment of Genetics, University of Saarland, Saarbrücken, Germany.
Signe B SørensenThe Molecular Diagnostics and Clinical Research Unit, University Hospital of Southern Denmark, Aabenraa, Denmark.
Silja H OvergaardThe Molecular Diagnostics and Clinical Research Unit, University Hospital of Southern Denmark, Aabenraa, Denmark.
Berenice SchulteDepartment of Internal Medicine I, University Medical Center Schleswig-Holstein, Kiel, Germany.
Susanna NikolausDepartment of Internal Medicine I, University Medical Center Schleswig-Holstein, Kiel, Germany.
Guillaume ReyInstitute of Genetics and Genomics of Geneva (iGE3), University of Geneva, Geneva, Switzerland.
Gilles GasparoniDepartment of Genetics, University of Saarland, Saarbrücken, Germany.
Paul A LyonsCambridge Institute of Therapeutic Immunology and Infectious Disease, Jeffrey Cheah Biomedical Centre, Cambridge Biomedical Campus, Cambridge, CB 0AW, UK.
Joachim L SchultzeLife & Medical Sciences (LIMES) Institute, University of Bonn, Bonn, Germany.
Jörn WalterDepartment of Genetics, University of Saarland, Saarbrücken, Germany.
Vibeke AndersenThe Molecular Diagnostics and Clinical Research Unit, University Hospital of Southern Denmark, Aabenraa, Denmark.
SYSCID Consortium
Emmanouil T DermitzakisInstitute of Genetics and Genomics of Geneva (iGE3), University of Geneva, Geneva, Switzerland.
Stefan Schreiber *Institute of Clinical Molecular Biology, Christian-Albrechts-University Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany. s.schreiber@mucosa.de.
Philip Rosenstiel *Institute of Clinical Molecular Biology, Christian-Albrechts-University Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany. p.rosenstiel@mucosa.de.ORCID 0000-0002-9692-8828
Christian-Albrechts-Universität zu Kiel · DEUniversity of Geneva · CHUniversity of Southern Denmark · DKSaarland University · DECentre for Genomic Regulation · ESUniversity of Bonn · DEUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsTreatment with tumor necrosis factor α (TNFα) antagonists in IBD patients suffers from primary non-response rates of up to 40%. Biomarkers for early prediction of therapy success are missing. We investigated the dynamics of gene expression and DNA methylation in blood samples of IBD patients treated with the TNF antagonist infliximab and analyzed the predictive potential regarding therapy outcome.

methodsWe performed a longitudinal, blood-based multi-omics study in two prospective IBD patient cohorts receiving first-time infliximab therapy (discovery: 14 patients, replication: 23 patients). Samples were collected at up to 7 time points (from baseline to 14 weeks after therapy induction). RNA-sequencing and genome-wide DNA methylation data were analyzed and correlated with clinical remission at week 14 as a primary endpoint.

resultsWe found no consistent ex ante predictive signature across the two cohorts. Longitudinally upregulated transcripts in the non-remitter group comprised TH2- and eosinophil-related genes including ALOX15, FCER1A, and OLIG2. Network construction identified transcript modules that were coherently expressed at baseline and in non-remitting patients but were disrupted at early time points in remitting patients. These modules reflected processes such as interferon signaling, erythropoiesis, and platelet aggregation. DNA methylation analysis identified remission-specific temporal changes, which partially overlapped with transcriptomic signals. Machine learning approaches identified features from differentially expressed genes cis-linked to DNA methylation changes at week 2 as a robust predictor of therapy outcome at week 14, which was validated in a publicly available dataset of 20 infliximab-treated CD patients.

conclusionsIntegrative multi-omics analysis reveals early shifts of gene expression and DNA methylation as predictors for efficient response to anti-TNF treatment. Lack of such signatures might be used to identify patients with IBD unlikely to benefit from TNF antagonists at an early time point.

Indexed as

Inflammatory Bowel DiseasesTumor Necrosis Factor InhibitorsBiomarkersHumansInfliximabInterferonsProspective StudiesRNATumor Necrosis Factor-alphaBiomarkersInfliximabInterferonsRNATumor Necrosis Factor-alphaTumor Necrosis Factor InhibitorsBiologicsBiomarkerIntestinal inflammationPersonalized medicineTherapy response

Identifiers

PMID36153599
PMCPMC9509553
OpenAlexW4297184259

What OpenQuestion holds

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LicenceCC BY
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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.