Evidence map›Paper›PMID 39901020›Full record

ArticleEMBO molecular medicine2025

An AI-assisted morphoproteomic approach is a supportive tool in esophagitis-related precision medicine.

Sven Mattern, Vanessa Hollfoth, Eyyub Bag, Arslan Ali, Philip Riemenschneider, Mohamed A Jarboui, Karsten Boldt, Mihaly Sulyok, Anabel Dickemann, Julia Luibrand and 10 more

Abstract read
In one paragraph

Article in EMBO molecular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Review
  5. Review
  6. 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

20 authors.

Sven MatternDepartment of Pathology and Neuropathology, University of Tübingen, Tübingen, Germany.
Vanessa HollfothDepartment of Pathology and Neuropathology, University of Tübingen, Tübingen, Germany.
Eyyub BagDepartment of Pathology and Neuropathology, University of Tübingen, Tübingen, Germany.
Arslan AliDepartment of Pathology and Neuropathology, University of Tübingen, Tübingen, Germany.
Philip RiemenschneiderUniversity Cancer Center Frankfurt (UCT), University of Frankfurt, Frankfurt, Germany.
Mohamed A JarbouiCore Facility for Medical Proteomics, Institute for Ophthalmic Research, Center for Ophthalmology, University of Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0002-5203-235X
Karsten BoldtCore Facility for Medical Proteomics, Institute for Ophthalmic Research, Center for Ophthalmology, University of Tübingen, Tübingen, Germany.
Mihaly SulyokDepartment of Pathology and Neuropathology, University of Tübingen, Tübingen, Germany.
Anabel DickemannDepartment of Pathology and Neuropathology, University of Tübingen, Tübingen, Germany.
Julia LuibrandDepartment of Pathology and Neuropathology, University of Tübingen, Tübingen, Germany.
Stefano FuscoCenter for Personalized Medicine (ZPM), Tübingen, Germany.ORCID http://orcid.org/0000-0001-6093-4567
Mirita Franz-WachtelProteome Center Tübingen, University of Tübingen, Tübingen, Germany.
Kerstin SingerDepartment of Pathology and Neuropathology, University of Tübingen, Tübingen, Germany.
Benjamin GoeppertInstitute of Pathology and Neuropathology, Hospital RKH Kliniken Ludwigsburg, Ludwigsburg, Germany.
Oliver SchillingInstitute of Pathology, University Medical Center Freiburg, Faculty of Medicine - University of Freiburg, Freiburg, Germany.
Nisar MalekCenter for Personalized Medicine (ZPM), Tübingen, Germany.
Falko FendDepartment of Pathology and Neuropathology, University of Tübingen, Tübingen, Germany.
Boris MacekProteome Center Tübingen, University of Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0002-1206-2458
Marius UeffingCore Facility for Medical Proteomics, Institute for Ophthalmic Research, Center for Ophthalmology, University of Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0003-2209-2113
Stephan SingerDepartment of Pathology and Neuropathology, University of Tübingen, Tübingen, Germany. Stephan.Singer@med.uni-tuebingen.de.ORCID http://orcid.org/0000-0003-4775-6609

Funding

Center of Personalized Medicine (Baden-Wuerttemberg) Innovation Funding
6 · The paper itself

Abstract

Esophagitis is a frequent, but at the molecular level poorly characterized condition with diverse underlying etiologies and treatments. Correct diagnosis can be challenging due to partially overlapping histological features. By proteomic profiling of routine diagnostic FFPE biopsy specimens (n = 55) representing controls, Reflux- (GERD), Eosinophilic-(EoE), Crohn's-(CD), Herpes simplex (HSV) and Candida (CA)-esophagitis by LC-MS/MS (DIA), we identified distinct signatures and functional networks (e.g. mitochondrial translation (EoE), immunoproteasome, complement and coagulations system (CD), ribosomal biogenesis (GERD)), and pathogen-specific proteins for HSV and CA. Moreover, combining these signatures with histological parameters in a machine learning model achieved high diagnostic accuracy (100% training set, 93.8% test set), and supported diagnostic decisions in borderline/challenging cases. Applied to a young patient representing a use case, the external GERD diagnosis could be revised to CD and ICAM1 was identified as highly abundant therapeutic target. This resulted in CyclosporinA as a personalized treatment recommendation by the local multidisciplinary molecular inflammation board. Our integrated AI-assisted morphoproteomic approach allows deeper insights in disease-specific molecular alterations and represents a promising tool in esophagitis-related precision medicine.

Indexed as

Artificial IntelligenceEsophagitisPrecision MedicineProteomeProteomicsAdultChromatography, LiquidFemaleHumansMaleTandem Mass SpectrometryProteomeEsophagitisFFPE-ProteomicsMass SpectrometryPrecision MedicineTargeted Therapy

Identifiers

PMID39901020
PMCPMC11903792

What OpenQuestion holds

Textmetadata
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.