Evidence map›Paper›PMID 40170592›Full record

ArticleAlimentary pharmacology & therapeutics2025

Limitations of Faecal Calprotectin in Detecting Histological Changes and Persistent Villous Atrophy in Patients With Coeliac Disease on a Gluten-Free Diet.

Verónica Segura, Ángela Ruiz-Carnicer, Ángeles Pizarro, Carmen González-Naranjo, Jacobo Díaz, Cristóbal Coronel-Rodríguez, Federico Argüelles-Arias, Marta Garzón-Benavides, Carolina Sousa, Isabel Comino

Abstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

10 authors.

Verónica SeguraDepartment of Microbiology and Parasitology, Faculty of Pharmacy, University of Seville, Seville, Spain.ORCID https://orcid.org/0000-0001-9600-8979
Ángela Ruiz-CarnicerDepartment of Microbiology and Parasitology, Faculty of Pharmacy, University of Seville, Seville, Spain.ORCID https://orcid.org/0000-0002-7100-846X
Ángeles PizarroDigestive Disease Clinical Unit and CIBERehd, Institute of Biomedicine of Seville (IBiS), SeLiver Group, Virgen del Rocío Hospital/CSIC/US, Seville, Spain.ORCID https://orcid.org/0009-0005-6317-1135
Carmen González-NaranjoDigestive Disease Clinical Unit and CIBERehd, Institute of Biomedicine of Seville (IBiS), SeLiver Group, Virgen del Rocío Hospital/CSIC/US, Seville, Spain.
Jacobo DíazClinical Analysis Service, Hospital Universitario INGESA, Ceuta, Spain.
Cristóbal Coronel-RodríguezCentro de Salud Amante Laffón, Seville, Spain.ORCID https://orcid.org/0000-0001-5598-0833
Federico Argüelles-AriasDigestive Diseases Clinical Unit, Department of Medicine, Faculty of Medicine, Virgen Macarena Hospital, University of Seville, Seville, Spain.ORCID https://orcid.org/0000-0003-3646-8919
Marta Garzón-BenavidesDigestive Disease Clinical Unit and CIBERehd, Institute of Biomedicine of Seville (IBiS), SeLiver Group, Virgen del Rocío Hospital/CSIC/US, Seville, Spain.ORCID https://orcid.org/0000-0003-3522-3696
Carolina SousaDepartment of Microbiology and Parasitology, Faculty of Pharmacy, University of Seville, Seville, Spain.ORCID https://orcid.org/0000-0002-9235-9496
Isabel CominoDepartment of Microbiology and Parasitology, Faculty of Pharmacy, University of Seville, Seville, Spain.ORCID https://orcid.org/0000-0002-4982-273X

Funding

Junta de Andalucía (Fundación Pública Andaluza Progreso y Salud, Spain) PI-0053-2018
6 · The paper itself

Abstract

Faecal calprotectin is used to assess intestinal inflammation, but its role in monitoring mucosal healing in coeliac disease is unclear. This study followed 48 adults with coeliac disease on a gluten-free diet over 12 months, evaluating faecal calprotectin levels in correlation with anti-transglutaminase antibodies, gluten-free diet adherence by dietary questionnaires and histology. Although significant histological lesions (Marsh II-III) decreased from 24% to 10%, faecal calprotectin levels fluctuated without correlation to anti-transglutaminase, adherence or histological remission, and did not differentiate between lesion grades. Our findings underscore faecal calprotectin's unreliability in monitoring mucosal healing in adults with coeliac disease, highlighting the urgent need for alternative biomarkers.

Indexed as

Celiac DiseaseDiet, Gluten-FreeFecesIntestinal MucosaLeukocyte L1 Antigen ComplexAdultAgedAtrophyBiomarkersFemaleHumansMaleMiddle AgedTransglutaminasesYoung AdultBiomarkersLeukocyte L1 Antigen ComplexTransglutaminasescoeliac diseasefaecal calprotectinhistological changesvillous atrophy

Identifiers

PMID40170592
PMCPMC12074556

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.