Evidence map›Paper›PMID 40664773›Full record

ArticleScientific reports2025

Disrupted mucosal vascular barrier in eosinophilic esophagitis.

Marco Vincenzo Lenti, Carlo Maria Rossi, Renato Cannizzaro, Giovanni Santacroce, Michela Lizier, Giulia Fornasa, Stefania Merli, Alessandra Pasini, Edoardo Vincenzo Savarino, Paola Spessotto and 8 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Eosinophilic gastrointestinal diseases.Nature reviews. Disease primers · 2026
    Review
  3. Article
  4. Review
  5. 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

18 authors.

Marco Vincenzo Lenti *Department of Internal Medicine and Medical Therapeutics, University of Pavia, Pavia, Italy.
Carlo Maria Rossi *Department of Internal Medicine and Medical Therapeutics, University of Pavia, Pavia, Italy.
Renato CannizzaroOncological Gastroenterology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Aviano, Italy.
Giovanni SantacroceDepartment of Internal Medicine and Medical Therapeutics, University of Pavia, Pavia, Italy.
Michela LizierIRCCS Humanitas Research Hospital, Via Manzoni 56, 20089, Rozzano, Milan, Italy.
Giulia FornasaIRCCS Humanitas Research Hospital, Via Manzoni 56, 20089, Rozzano, Milan, Italy.
Stefania MerliFirst Department of Internal Medicine, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Alessandra PasiniFirst Department of Internal Medicine, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Edoardo Vincenzo SavarinoDepartment of Surgery, Oncology and Gastroenterology, University Hospital of Padua, Padua, Italy.
Paola SpessottoOncological Gastroenterology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Aviano, Italy.
Michele Di StefanoFirst Department of Internal Medicine, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Aurelio MauroGastroenterology and Digestive Endoscopy, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Alessandro VanoliAnatomic Pathology Unit, Department of Molecular Medicine, University of Pavia, Pavia, Italy.
Fabiana ZingoneDepartment of Surgery, Oncology and Gastroenterology, University Hospital of Padua, Padua, Italy.
Andrea AnderloniFirst Department of Internal Medicine, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Marietta IacucciAPC Microbiome Ireland, College of Medicine and Health, University College of Cork, Cork, Ireland.
Maria RescignoIRCCS Humanitas Research Hospital, Via Manzoni 56, 20089, Rozzano, Milan, Italy.
Antonio Di SabatinoDepartment of Internal Medicine and Medical Therapeutics, University of Pavia, Pavia, Italy. a.disabatino@smatteo.pv.it.

Funding

Fondazione IRCCS Policlinico San Matteo NA
6 · The paper itself

Abstract

Esophageal barrier has been investigated until now on the epithelial side only. Gut vascular barrier dysfunction has been recently implicated in a number of immune-mediated gastrointestinal disorders. We here characterized the esophageal vascular barrier (EVB) in eosinophilic esophagitis (EoE). Probe-based confocal laser endomicroscopy (pCLE) was performed in two EoE and two reflux esophagitis (RE) patients. The vascular barrier marker plasmalemma vesicle-1 (PV-1) was investigated as a measure of barrier disruption, by both immunohistochemistry and qPCR, in esophageal biopsies of 16 patients with EoE, 15 with RE, and 15 healthy controls (HC). In EoE, but not RE, pCLE revealed leakage of the EVB, which was restored in one patient after dupilumab treatment. PV-1 was significantly increased in EoE in comparison to RE and HC, both in terms of protein and transcript levels, supporting vascular leakage. EVB is disrupted in active EoE. Further studies are needed to understand the diagnostic and pathogenic implications of this finding.

Indexed as

Eosinophilic EsophagitisEsophageal MucosaAdultEsophagitis, PepticEsophagusFemaleHumansMaleMicroscopy, ConfocalMiddle AgedYoung AdultConfocal laser endomicroscopyDupilumabEsophageal mucosaPlasmalemma vesicle-1Reflux esophagitis

Identifiers

PMID40664773
PMCPMC12263993

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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.