Evidence map›Paper›PMID 40372451›Full record

ArticleJournal of gastroenterology2025

Autoantibodies against endothelial protein C receptor and integrin αvβ6 predict the development of ulcerative colitis.

Motoi Sawahashi, Yoichi Kakuta, Takeo Naito, Soshi Okazaki, Kinuko Ohneda, Masatsugu Orui, Taku Obara, Soichi Ogishima, Kazuki Kumada, Hisaaki Kudo and 11 more

Abstract read
In one paragraph

Article in Journal of gastroenterology, 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. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Motoi SawahashiDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1, Seiryo, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Yoichi KakutaDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1, Seiryo, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan. ykakuta@tohoku.ac.jp.ORCID http://orcid.org/0000-0002-7042-009X
Takeo NaitoDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1, Seiryo, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Soshi OkazakiDepartment of Rheumatology, Tohoku University Hospital, Sendai, Japan.
Kinuko OhnedaTohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Masatsugu OruiTohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Taku ObaraTohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Soichi OgishimaTohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Kazuki KumadaTohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Hisaaki KudoTohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Fuji NagamiTohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Atsushi HozawaTohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Hideya IwakiDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1, Seiryo, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Hiroshi NagaiDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1, Seiryo, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Yusuke ShimoyamaDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1, Seiryo, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Rintaro MoroiDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1, Seiryo, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Hisashi ShigaDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1, Seiryo, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.
Yoshitaka KinouchiStudent Healthcare Center, Institute for Excellence in Higher Education, Tohoku University, Sendai, Japan.
Tsuyoshi ShiraiDepartment of Rheumatology, Tohoku University Hospital, Sendai, Japan.
Hiroshi FujiiDepartment of Rheumatology, Tohoku University Hospital, Sendai, Japan.
Atsushi MasamuneDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1, Seiryo, Aoba-Ku, Sendai, Miyagi, 980-8574, Japan.

Funding

Japan Agency for Medical Research and Development JP21tm0124005Japan Agency for Medical Research and Development JP21tm0424601Ministry of Education, Culture, Sports, Science and Technology JP17km0105001
6 · The paper itself

Abstract

backgroundA method for predicting ulcerative colitis (UC) onset has not been established. Serum autoantibodies have been suggested as potential predictive biomarkers for UC onset. We aimed to validate the risks associated with serological and environmental factors and construct a model for predicting UC development.

methodsUsing the population-based cohort studies (n > 83,000), we identified 42 individuals who were diagnosed with UC later in life and compared them with matched healthy controls. We analyzed serum anti-integrin αvβ6 antibody (anti-αvβ6) and anti-endothelial protein C receptor antibody (anti-EPCR) titers, and lifestyle and dietary habits to explore UC onset predictors. The predictive performance of the models was evaluated based on these predictors.

resultsThe sensitivity and specificity of anti-EPCR for predicting UC onset were 51.4% and 97.8%, respectively, comparable to those of anti-αvβ6 (52.5% and 97.6%, respectively). The proportion of individuals with insomnia was significantly higher in the preclinical UC group (adjusted odds ratio = 2.14, 95% confidence interval [CI] 1.11-4.04, p = 0.019). The predictive performance of anti-EPCR alone was high with an area under the curve (AUC) of 0.89 (95%CI 0.83-0.96), and that of anti-EPCR combined with anti-αvβ6 was even better with an AUC of 0.92 (95%CI 0.87-0.97); the lifestyle model had lower predictive accuracy (AUC = 0.65, 95%CI 0.55-0.74).

conclusionsAnti-EPCR and anti-αvβ6 each strongly predict UC onset. The combined anti-EPCR and anti-αvβ6 model had stronger predictive performance than the single models.

Indexed as

Antigens, CDAutoantibodiesColitis, UlcerativeEndothelial Protein C ReceptorIntegrinsAdultAgedAntigens, NeoplasmBiomarkersCase-Control StudiesCohort StudiesFemaleHumansLife StyleMaleMiddle AgedAntigens, CDAntigens, NeoplasmAutoantibodiesBiomarkersEndothelial Protein C Receptorintegrin alphavbeta6IntegrinsAnti-EPCR antibodyAnti-integrin αvβ6 antibodyUlcerative colitis

Identifiers

PMID40372451
PMCPMC12378132

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.