Evidence map›Paper›PMID 39173722›Full record

ArticleGastroenterology2024

Crohn's Patients and Healthy Infants Share Immunodominant B Cell Response to Commensal Flagellin Peptide Epitopes.

Qing Zhao, Lennard Wayne Duck, John T Killian, Alexander F Rosenberg, Peter J Mannon, R Glenn King, Lee A Denson, Subra Kugathasan, Edward N Janoff, Maria C Jenmalm and 1 more

Abstract read
In one paragraph

Article in Gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Qing ZhaoDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: qingzhao@uabmc.edu.
Lennard Wayne DuckDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
John T KillianDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Alexander F RosenbergDepartment of Microbiology, University of Alabama at Birmingham, Birmingham, Alabama; Informatics Institute, University of Alabama at Birmingham, Birmingham, Alabama.
Peter J MannonDepartment of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska.
R Glenn KingDepartment of Microbiology, University of Alabama at Birmingham, Birmingham, Alabama.
Lee A DensonSchubert-Martin Inflammatory Bowel Disease Center, Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio.
Subra KugathasanDivision of Pediatric Gastroenterology, Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, Georgia.
Edward N JanoffDepartment of Medicine, University of Colorado Denver, Denver Veterans Affairs Medical Center, Aurora, Colorado.
Maria C JenmalmDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Charles O ElsonDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: coelson@uabmc.edu.

Funding

Tissue and organ specific human B cell immunity: Supplement - Metabolic Risk Factors and Inflammation in PASC DevelopmentU19AI142737 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI TECTOR, A JOSEPH · 2019 to 2023
$19.7M
IMMUNOLOGIC DISEASES AND BASIC IMMUNOLOGYT32AI007051 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Laurie Ellen Harrington · 1985 to 2026
$13.1M
TRAINING IN CELLULAR PHYSIOLOGY MEMBRANE TRANSPORTT32DK007545 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUTIERREZ, ORLANDO M · 1987 to 2023
$4.5M
Mucosal Determinants of HIV Infection of Infants by Breast MilkR01HD059527 · NICHD · UNIVERSITY OF COLORADO DENVER · PI JANOFF, EDWARD N · 2009 to 2012
$2.2M
The Role of Microbial Antigen-Specific T Cells in Crohn's diseaseI01CX001530 · VA · OMAHA VA MEDICAL CENTER · PI MANNON, PETER · 2018 to 2022
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CSRD VA I01 CX001530NIAID NIH HHS T32 AI007051NIAID NIH HHS U19 AI142737NICHD NIH HHS R01 HD059527NIDDK NIH HHS T32 DK007545
6 · The paper itself

Abstract

BACKGROUND &

aimsInflammatory bowel disease (IBD) is a chronic manifestation of dysregulated immune response to the gut microbiota in genetically predisposed hosts. Nearly half of patients with Crohn's disease (CD) develop selective serum immunoglobulin (Ig)G response to flagellin proteins expressed by bacteria in the Lachnospiraceae family. This study aimed to identify the binding epitopes of these IgG antibodies and assess their relevance in CD and in homeostasis.

methodsSera from an adult CD cohort, a treatment-naïve pediatric CD cohort, and 3 independent non-IBD infant cohorts were analyzed using novel techniques including a flagellin peptide microarray and a flagellin peptide cytometric bead array.

resultsA dominant B cell peptide epitope in patients with CD was identified, located in the highly conserved "hinge region" between the D0 and D1 domains at the amino-terminus of Lachnospiraceae flagellins. Elevated serum IgG reactivity to the hinge peptide was strongly associated with incidence of CD and the development of disease complications in children with CD up to 5 years in advance. Notably, high levels of serum IgG to the hinge epitope were also found in most infants from 3 different geographic regions (Uganda, Sweden, and the United States) at 1 year of age, which decrements rapidly afterward.

conclusionsThese findings identified a distinct subset of patients with CD, united by a shared reactivity to a dominant commensal bacterial flagellin epitope, that may represent failure of a homeostatic response to the gut microbiota beginning in infancy.

Indexed as

Crohn DiseaseFlagellinImmunoglobulin GAdolescentAdultAntibodies, BacterialB-LymphocytesCase-Control StudiesChildChild, PreschoolEpitopes, B-LymphocyteFemaleGastrointestinal MicrobiomeHumansImmunodominant EpitopesInfantAntibodies, BacterialEpitopes, B-LymphocyteFlagellinImmunodominant EpitopesImmunoglobulin GB Cell EpitopeCrohn’s DiseaseFlagellinHomeostasisIgGMicrobiota

Identifiers

PMID39173722
PMCPMC11581912

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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.