Evidence map›Paper›PMID 38914866›Full record

Trial reportNature immunology2024

Transcriptomic analysis of intestine following administration of a transglutaminase 2 inhibitor to prevent gluten-induced intestinal damage in celiac disease.

Valeriia Dotsenko, Bernhard Tewes, Martin Hils, Ralf Pasternack, Jorma Isola, Juha Taavela, Alina Popp, Jani Sarin, Heini Huhtala, Pauliina Hiltunen and 8 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nature immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
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

31 citing papers in PubMed.

  1. Trial
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  10. T cell receptors for antigen on intraepithelial cytolytic T lymphocytes in celiac disease engage enterocyte HLA-E and HLA-B.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  14. Observational
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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

18 authors.

Valeriia DotsenkoCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University and Tampere University Hospital, Tampere, Finland.ORCID http://orcid.org/0000-0002-0336-0533
Bernhard TewesDr. Falk Pharma GmbH, Freiburg, Germany.
Martin HilsZedira GmbH, Darmstadt, Germany.ORCID http://orcid.org/0000-0001-5400-3600
Ralf PasternackZedira GmbH, Darmstadt, Germany.
Jorma IsolaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID http://orcid.org/0000-0002-0849-5939
Juha TaavelaCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University and Tampere University Hospital, Tampere, Finland.ORCID http://orcid.org/0000-0003-3948-9555
Alina PoppCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University and Tampere University Hospital, Tampere, Finland.
Jani SarinJilab Inc, Tampere, Finland.
Heini HuhtalaUnit of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland.
Pauliina HiltunenDepartment of Pediatrics, Tampere University Hospital, Tampere, Finland.
Timo ZimmermannDr. Falk Pharma GmbH, Freiburg, Germany.
Ralf MohrbacherDr. Falk Pharma GmbH, Freiburg, Germany.ORCID http://orcid.org/0000-0002-4976-3629
Roland GreinwaldDr. Falk Pharma GmbH, Freiburg, Germany.
Knut E A LundinNorwegian Coeliac Disease Research Centre, Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0003-1713-5545
Detlef SchuppanInstitute of Translational Immunology and Celiac Center, Medical Center, Johannes-Gutenberg University, Mainz, Germany.ORCID http://orcid.org/0000-0002-4972-1293
Markku MäkiCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University and Tampere University Hospital, Tampere, Finland.ORCID http://orcid.org/0000-0001-5053-3794
Keijo ViiriCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University and Tampere University Hospital, Tampere, Finland. keijo.viiri@tuni.fi.ORCID http://orcid.org/0000-0002-7167-5094
CEC-3 Investigators

Funding

Academy of Finland (Suomen Akatemia) 310011
6 · The paper itself

Abstract

Transglutaminase 2 (TG2) plays a pivotal role in the pathogenesis of celiac disease (CeD) by deamidating dietary gluten peptides, which facilitates antigenic presentation and a strong anti-gluten T cell response. Here, we elucidate the molecular mechanisms underlying the efficacy of the TG2 inhibitor ZED1227 by performing transcriptional analysis of duodenal biopsies from individuals with CeD on a long-term gluten-free diet before and after a 6-week gluten challenge combined with 100 mg per day ZED1227 or placebo. At the transcriptome level, orally administered ZED1227 effectively prevented gluten-induced intestinal damage and inflammation, providing molecular-level evidence that TG2 inhibition is an effective strategy for treating CeD. ZED1227 treatment preserved transcriptome signatures associated with mucosal morphology, inflammation, cell differentiation and nutrient absorption to the level of the gluten-free diet group. Nearly half of the gluten-induced gene expression changes in CeD were associated with the epithelial interferon-γ response. Moreover, data suggest that deamidated gluten-induced adaptive immunity is a sufficient step to set the stage for CeD pathogenesis. Our results, with the limited sample size, also suggest that individuals with CeD might benefit from an HLA-DQ2/HLA-DQ8 stratification based on gene doses to maximally eliminate the interferon-γ-induced mucosal damage triggered by gluten.

Indexed as

Celiac DiseaseDiet, Gluten-FreeGene Expression ProfilingGlutensGTP-Binding ProteinsIntestinal MucosaProtein Glutamine gamma Glutamyltransferase 2TransglutaminasesAdaptive ImmunityAdultDuodenumFemaleHLA-DQ AntigensHumansInterferon-gammaMaleGlutensGTP-Binding ProteinsHLA-DQ AntigensInterferon-gammaProtein Glutamine gamma Glutamyltransferase 2Transglutaminases

Identifiers

PMID38914866
PMCPMC11224021

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.