Evidence map›Paper›PMID 40669446›Full record

ArticleCell reports. Medicine2025

Endoscopic healing in pediatric IBD perpetuates a persistent signature defined by Th17 cells with molecular and microbial drivers of disease.

Kolja Siebert, Tim Faro, Nikolai Köhler, Hannes Hölz, Sebastian Jarosch, Monica Matchado, Deborah Häcker, Federica De Zen, Mohammad Samer Hajji, Eberhard Lurz and 9 more

Abstract read
In one paragraph

Article in Cell reports. Medicine, 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. Strain-dependent efficacy of pasteurizedFrontiers in nutrition · 2026
    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

19 authors.

Kolja SiebertDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.
Tim FaroDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.
Nikolai KöhlerLipiTUM, Chair of Experimental Bioinformatics, School of Life Sciences, Technical University of Munich, Freising, Germany.
Hannes HölzDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.
Sebastian JaroschInstitute for Medical Microbiology, Immunology and Hygiene, Technical University of Munich, Munich, Germany.
Monica MatchadoData Science in Systems Biology, School of Life Sciences, Technical University of Munich, Freising, Germany.
Deborah HäckerTUMCREATE, 1 CREATE Way, #10-02 CREATE Tower, Singapore 138602, Singapore; Chair of Nutrition and Immunology, Technical University of Munich, Freising, Germany.
Federica De ZenDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.
Mohammad Samer HajjiDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.
Eberhard LurzDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.
Sibylle KoletzkoDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany; Department of Pediatrics, Gastroenterology and Nutrition, School of Medicine Collegium Medicum University of Warmia and Mazury, Olsztyn, Poland.
Josch K PaulingLipiTUM, Chair of Experimental Bioinformatics, School of Life Sciences, Technical University of Munich, Freising, Germany; Computational Integrative Omics in Biomedicine, Institute for Clinical Chemistry and Laboratory Medicine, University Hospital and Faculty of Medicine Carl Gustav Carus, Dresden University of Technology, Dresden, Germany.
Katja SteigerInstitute of Pathology, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
Klaus NeuhausCore Facility Microbiome, ZIEL Institute for Food & Health, Technical University of Munich, Freising, Germany.
Caspar OhnmachtCenter of Allergy and Environment (ZAUM), Technical University and Helmholtz Center Munich, Munich, Germany.
Markus ListData Science in Systems Biology, School of Life Sciences, Technical University of Munich, Freising, Germany; Munich Data Science Institute (MDSI), Technical University of Munich, 85748 Garching, Germany.
Dirk H BuschInstitute for Medical Microbiology, Immunology and Hygiene, Technical University of Munich, Munich, Germany.
Dirk HallerTUMCREATE, 1 CREATE Way, #10-02 CREATE Tower, Singapore 138602, Singapore; Chair of Nutrition and Immunology, Technical University of Munich, Freising, Germany; ZIEL Institute for Food and Health, Technical University of Munich, Freising, Germany.
Tobias SchwerdDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany. Electronic address: tschwerd@med.lmu.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endoscopic healing (EH) is the major long-term treatment target for inflammatory bowel diseases (IBDs), mainly achieved by immune-suppressive therapies. However, the chronic and relapsing nature of the disease indicates a lifelong persistence of unknown tissue-associated IBD residues. Based on longitudinally collected gastrointestinal biopsies (n = 217) from pediatric patients with IBD (N = 32) and pediatric non-IBD controls (N = 5), we describe cellular, molecular, and microbial drivers of IBD that persist under EH in the terminal ileum and sigmoid colon. Whole biopsy transcriptomics in combination with single T cell analysis (72,026 cells) characterizes an inflammatory bowel residual disease (IBrD) signature, connecting stress- and inflammation-related tissue markers (e.g., DUOX2, SAA2, and NOS2) with pathogenic interleukin-17 (IL-17)-producing T helper cells. 16S rRNA gene sequencing reveals individual microbial composition with persistently low diversity, irrespective of disease location and activity. Overall, our study identifies a persisting IBD signature that reflects ongoing mucosal alterations despite EH. These markers may provide targets for future or sequential therapies.

Indexed as

EndoscopyInflammatory Bowel DiseasesTh17 CellsAdolescentBiopsyChildFemaleGastrointestinal MicrobiomeHumansIleumInterleukin-17Intestinal MucosaMaleRNA, Ribosomal, 16SInterleukin-17RNA, Ribosomal, 16Sbulk RNADUOX2endoscopic healingIBD signaturemucosal 16S rRNANOS2pediatric IBDSAA2single cellTH17

Identifiers

PMID40669446
PMCPMC12281438

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.