Evidence map›Paper›PMID 40169980›Full record

ArticleMolecular medicine (Cambridge, Mass.)2025

Layer-specific molecular signatures of colon anastomotic healing and leakage in mice.

Hilal Sengul, Vasiliki Bantavi, Laura Gloeck, Andrew Y F Li Yim, Patrick Leven, Patrik Efferz, Bianca Schneiker, Mariola Lysson, Wouter J De Jonge, Sven Wehner

Abstract read
In one paragraph

Article in Molecular medicine (Cambridge, Mass.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Hilal SengulDepartment of Surgery, University Hospital of Bonn, 53105, Bonn, Germany.
Vasiliki BantaviDepartment of Surgery, University Hospital of Bonn, 53105, Bonn, Germany.
Laura GloeckDepartment of Surgery, University Hospital of Bonn, 53105, Bonn, Germany.
Andrew Y F Li YimTytgat Institute for Liver and Intestinal Research, Amsterdam UMC - University of Amsterdam, 1105BK, Amsterdam, The Netherlands.
Patrick LevenDepartment of Surgery, University Hospital of Bonn, 53105, Bonn, Germany.
Patrik EfferzDepartment of Surgery, University Hospital of Bonn, 53105, Bonn, Germany.
Bianca SchneikerDepartment of Surgery, University Hospital of Bonn, 53105, Bonn, Germany.
Mariola LyssonDepartment of Surgery, University Hospital of Bonn, 53105, Bonn, Germany.
Wouter J De JongeDepartment of Surgery, University Hospital of Bonn, 53105, Bonn, Germany.
Sven WehnerDepartment of Surgery, University Hospital of Bonn, 53105, Bonn, Germany. sven.wehner@ukbonn.de.ORCID 0000-0002-8632-7631

Funding

Deutsche Forschungsgemeinschaft WE4204/7-1
6 · The paper itself

Abstract

backgroundColon anastomotic leakage (CAL) is a postoperative complication originating from disturbed colon anastomotic healing (CAH). Wound healing involves several well-coordinated stages, which have not been comprehensively studied for CAH or CAL. This study aims to provide transcriptional profiles of different intestinal layers of anastomotic tissues throughout distinct healing stages and to identify CAL-related genes.

methodsProximal colon anastomosis was constructed with 8 interrupted sutures in mice. Six hours, 24 h and 72 h after surgery, anastomotic complications were assessed. Transcriptional profiles of inner (mucosa and submucosa) and outer (muscularis externa) layer of the anastomotic and naive control tissues were analyzed with 3' bulk mRNA sequencing to identify the layer-specific healing and leakage pathways. Selective target genes differing between CAL and CAH were measured for their protein expression.

resultsOur data indicate that the mucosa/submucosa and muscularis externa enter inflammation stage at 6 h, proliferation stage at 24 h and tissue remodeling stage at 72 h during CAH. We observed that transcription profiles of the mucosa/submucosa, but not the muscularis externa, differ between CAH and CAL. Particularly, genes related to extracellular remodeling (including Col18a1 and Col16a1) and wound healing (Pdpn and Timp1) showed lower expression in the mucosa/submucosa of CAL tissue compared to CAH. Conformingly, protein levels for collagens as well IL-34 were decreased in CAL, while the TGF-β-pseudo-receptor BAMBI was increased in CAL compared to CAH tissues.

conclusionsMucosa/submucosa and muscularis externa are mostly in synchronization during the inflammation, proliferation, and extracellular remodeling stages during CAH. Transcriptional profiles within the anastomotic mucosa/submucosa differ between CAH and CAL in genes related to extracellular modelling and wound healing, indicating that genes of these pathways may contribute to CAL.

Indexed as

Anastomotic LeakColonTranscriptomeWound HealingAnastomosis, SurgicalAnimalsDisease Models, AnimalGene Expression ProfilingGene Expression RegulationIntestinal MucosaMaleMiceAnastomotic leakageColorectal anastomotic healingMucosal healingWound healing

Identifiers

PMID40169980
PMCPMC11959837

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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.