Evidence map›Paper›PMID 42220489›Full record

ArticleFrontiers in immunology2026

Sex-related peripheral immune profile in ulcerative colitis: links to fatigue.

Thyra Albrecht, Elisa Wider-Eberspächer, Alejandra P Garza, Lorena Morton, Sabrina Sulzer, Verena Keitel-Anselmino, Rosa Rosania, Ildiko R Dunay

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Thyra Albrecht *Institute of Inflammation and Neurodegeneration, Medical Faculty, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Elisa Wider-Eberspächer *Institute of Inflammation and Neurodegeneration, Medical Faculty, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Alejandra P Garza *Institute of Inflammation and Neurodegeneration, Medical Faculty, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Lorena MortonInstitute of Inflammation and Neurodegeneration, Medical Faculty, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Sabrina SulzerDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center, Goettingen, Germany.
Verena Keitel-AnselminoDepartment of Gastroenterology, Hepatology and Infectious Diseases, University Hospital Magdeburg, Magdeburg, Germany.
Rosa RosaniaDepartment of Gastroenterology, Hepatology and Infectious Diseases, University Hospital Magdeburg, Magdeburg, Germany.
Ildiko R DunayInstitute of Inflammation and Neurodegeneration, Medical Faculty, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ulcerative colitis (UC) is a chronic inflammatory disease marked by mucosal and systemic immune dysregulation. Fatigue is a common, burdensome extraintestinal symptom that often persists beyond active inflammation and affects quality of life. Sex-based differences in immune response and fatigue severity have been reported, but their mechanistic basis remain unclear. This study aimed to characterize peripheral immune profiles across UC disease stages and explore links between immunity, fatigue, and sex. Methods: Eighty-nine individuals were enrolled: active UC (A; n=29), remission (R; n=30), and healthy controls (C; n=30). Flow cytometry assessed peripheral neutrophils, monocytes, dendritic cells (DCs), and T cell subsets, alongside plasma cytokines (BDNF, TNF, IL-6, IL-18, sTREM-2). Fatigue was evaluated using the validated Inflammatory Bowel Disease Fatigue (IBD-F) questionnaire, with sex-stratified correlation analyses. Results: Active UC was associated with increased neutrophils and classical monocyte, alongside elevated TNF, BDNF, and sTREM-2. Upregulated CD62L expression and CCR2 expression in neutrophils and monocyte subsets indicated ongoing immune cell trafficking. During remission, increased plasmacytoid and CD141 Discussion: Peripheral immune dysregulation in UC correlates with fatigue severity in a sex-specific manner. Our findings underscore the relevance of gut-brain axis signaling and highlight immune biomarkers with potential for stratified fatigue management in UC.

Indexed as

Colitis, UlcerativeFatigueAdultBiomarkersCytokinesDendritic CellsFemaleHumansMaleMiddle AgedMonocytesSex FactorsBiomarkersCytokinesadaptive immunitydendritic cellsfatigueinflammatory cytokinesinnate immunitymonocytesneuroinflammationsex differences

Identifiers

PMID42220489
PMCPMC13215802

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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.