Evidence map›Paper›PMID 41693471›Full record

Observational studyJournal of pediatric gastroenterology and nutrition2026

A novel diagnostic serum protein signature for pediatric inflammatory bowel disease.

Charlotte Bache-Wiig Mathisen, Niklas Nyström, Igor Bazov, Ove Øyås, Manuela Zucknick, Svend Andersen, Christine Olbjørn, Gøri Perminow, Vendel A Kristensen, Randi Opheim and 13 more

Registry-linked trialAbstract readObservational StudyValidation Study
In one paragraph

Observational study in Journal of pediatric gastroenterology and nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02727959 (Inflammatory Bowel Disease in South Eastern Norway), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT02727959 completednot on this map

Inflammatory Bowel Disease in South Eastern Norway (IBSEN III). Clinical Epidemiology, Diagnostic and Prognostic Factors in Inflammatory Bowel Disease.

TypeobservationalSponsorOslo University HospitalRan2017 to 2019Enrolled2,286ConditionsColitis, Ulcerative, Crohn Disease, Inflammatory Bowel Disease
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. A novel diagnostic serum protein signature for pediatric inflammatory bowel disease.Journal of pediatric gastroenterology and nutrition · 2026
    Observational
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

23 authors.

Charlotte Bache-Wiig MathisenDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0009-0006-4093-3712
Niklas NyströmDepartment of Women's and Children's Health, Uppsala University hospital, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-2487-8104
Igor BazovSchool of Bioscience, Skövde University, Skövde, Sweden.ORCID https://orcid.org/0000-0003-4388-1656
Ove ØyåsOslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0001-6990-0339
Manuela ZucknickOslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-1317-7422
Svend AndersenDepartment of Pediatrics, Vestfold Hospital trust, Tønsberg, Norway.ORCID https://orcid.org/0000-0002-0283-2789
Christine OlbjørnDepartment of Pediatrics, Akershus University Hospital, Lørenskog, Norway.ORCID https://orcid.org/0000-0001-5680-4313
Gøri PerminowDepartment of Pediatric Medicine, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-4158-372X
Vendel A KristensenDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-0876-8634
Randi OpheimDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-0513-1435
Mauro D'AmatoDepartment of Medicine Solna, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-2743-5197
Marie CarlsonDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0009-0005-0214-6251
Charlotte R H HedinDepartment of Medicine Solna, Karolinska Institute, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-4921-8516
Åsa V KeitaDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0002-6820-0215
Carl Mårten LindqvistSchool of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0003-3887-9519
Maria K MagnussonDepartment of Microbiology and Immunology, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-3141-8544
Samira SalihovicSchool of Medical Sciences, Inflammatory Response and Infection Susceptibility Centre, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0001-5752-4196
Johan D SöderholmDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0002-3250-5367
Lena ÖhmanDepartment of Microbiology and Immunology, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-8142-2106
Robert KruseDepartment of Clinical Research Laboratory, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0003-1785-8540
Dirk RepsilberSchool of Medical Sciences, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0002-7173-5579
Jonas HalfvarsonDepartment of Gastroenterology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0003-0122-7234
Marte Lie HøivikDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-0104-465X

Funding

Nordforsk 90569Norges Forskningsråd 298803Nyckelfonden 1001470Nyckelfonden OLL-986849Stiftelsen för Strategisk Forskning RB13-0160Vetenskapsrådet 2020-02021VINNOVA 2019-01185
6 · The paper itself

Abstract

objectivesDiagnostic delay is common in pediatric inflammatory bowel disease (PIBD), and fecal calprotectin (FCP) is often limited by challenges with sample collection. Therefore, we aimed to identify and validate a blood-based diagnostic protein signature of PIBD.

methodsProteins were analyzed using proximity extension assay in plasma samples from treatment-naïve pediatric patients in a Swedish inception cohort referred for suspected inflammatory bowel disease (IBD) and validated in an independent Norwegian population-based pediatric inception cohort. Diagnostic performance was estimated by the area under the curve (AUC) with 95% confidence intervals (CIs).

resultsThe discovery cohort included 58 patients with PIBD and 36 symptomatic controls without evidence of IBD, while the validation cohort consisted of 79 patients with PIBD and 37 symptomatic controls. In total, 154 proteins were examined. Univariable analyses identified 26 differentially regulated proteins for PIBD versus symptomatic controls in the discovery cohort (q < 0.05), whereas 29 proteins were differentially regulated in the validation cohort. Using regularized logistic regression, we identified a diagnostic model of 31 proteins that differentiated PIBD from symptomatic controls in the discovery cohort (AUC = 0.83; 95% CI: 0.74-0.90). The protein signature was further reduced to a clinically relevant biomarker consisting of high-sensitivity C-reactive protein (hsCRP) and seven other proteins with diagnostic capacity (AUC = 0.85, 95% CI: 0.78-0.92) outperforming hsCRP in the validation cohort (p = 0.006).

conclusionsWe identified and validated a blood-based protein signature for PIBD with superior diagnostic performance compared to hsCRP. Given the challenges of fecal sample collection, further assay development may enable integration of these biomarkers into diagnostic pathways for PIBD.

trial registrationClinicalTrials.gov identifier: NCT02727959.

Indexed as

Blood ProteinsInflammatory Bowel DiseasesAdolescentBiomarkersCase-Control StudiesChildChild, PreschoolCohort StudiesColitis, UlcerativeFecesFemaleHumansLeukocyte L1 Antigen ComplexMaleNorwaySwedenBiomarkersBlood ProteinsLeukocyte L1 Antigen ComplexbiomarkerCrohn's diseaseprecision medicineulcerative colitis

Identifiers

PMID41693471
PMCPMC13150795

What OpenQuestion holds

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Registered trials

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.