Evidence map›Paper›PMID 37041419›Full record

ArticlePediatric surgery international2023

Single-cell RNA sequencing of intestinal immune cells in neonatal necrotizing enterocolitis.

Kazuo Oshima, Akinari Hinoki, Hiroo Uchida, Yujiro Tanaka, Yusuke Okuno, Yasuhiro Go, Chiyoe Shirota, Takahisa Tainaka, Wataru Sumida, Kazuki Yokota and 4 more

Abstract read
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In one paragraph

Article in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Necrotizing enterocolitis.Nature reviews. Disease primers · 2026
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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

14 authors at 5 institutions in 1 country.

Kazuo OshimaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Akinari HinokiDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hiroo UchidaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Yujiro TanakaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Yusuke OkunoDepartment of Virology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Yasuhiro GoCognitive Genomics Research Group, Exploratory Research Center on Life and Living Systems (ExCELLS), National Institutes of Natural Sciences, Okazaki, Japan.
Chiyoe ShirotaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Takahisa TainakaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Wataru SumidaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Kazuki YokotaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Satoshi MakitaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Aitaro TakimotoDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Yoko KanoDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Shinichiro SawaDivision of Mucosal Immunology, Research Center for Systems Immunology, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. sawa@bioreg.kyushu-u.ac.jp.
Nagoya University · JPKyushu University · JPNagoya City University · JPNational Institutes of Natural Sciences · JPSaitama Medical University · JP

Funding

ExCELLS 19-308JSPS KAKENHI 17H04235JSPS KAKENHI 18K19503
6 · The paper itself

Abstract

purposeNecrotizing enterocolitis (NEC) causes fatal intestinal necrosis in neonates, but its etiology is unknown. We analyzed the intestinal immune response to NEC.

methodsUsing single-cell RNA sequencing (scRNA-seq), we analyzed the gene expression profiles of intestinal immune cells from four neonates with intestinal perforation (two with NEC and two without NEC). Target mononuclear cells were extracted from the lamina propria of the resected intestines.

resultsIn all four cases, major immune cells, such as T cells (15.1-47.7%), B cells (3.1-19.0%), monocytes (16.5-31.2%), macrophages (1.6-17.4%), dendritic cells (2.4-12.2%), and natural killer cells (7.5-12.8%), were present in similar proportions to those in the neonatal cord blood. Gene set enrichment analysis showed that the MTOR, TNF-α, and MYC signaling pathways were enriched in T cells of the NEC patients, suggesting upregulated immune responses related to inflammation and cell proliferation. In addition, all four cases exhibited a bias toward cell-mediated inflammation, based on the predominance of T helper 1 cells.

conclusionIntestinal immunity in NEC subjects exhibited stronger inflammatory responses compared to non-NEC subjects. Further scRNA-seq and cellular analysis may improve our understanding of the pathogenesis of NEC.

Indexed as

Enterocolitis, NecrotizingSignal TransductionHumansInfant, NewbornInflammationIntestinesProto-Oncogene Proteins c-mycSequence Analysis, RNAProto-Oncogene Proteins c-mycGene expressionIntestinal immune cellsNecrotizing enterocolitisSingle-cell sequencing

Identifiers

PMID37041419
OpenAlexW4364379346

What OpenQuestion holds

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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.