Evidence map›Paper›PMID 42278192›Full record

ArticleInternational journal of molecular sciences2026

Unraveling the Role of Zonulin in Allogeneic Hematopoietic Stem Cell Transplantation: A Multicenter Study.

Alexandre Soares Ferreira Junior, Nathalia Linares Silva, Danielle Amanda Niz Alvarez, Larissa da Silva Souza, Luiza Dias Machado, Bianca Fernanda Rodrigues da Silva, Welinton Yoshio Hirai, Rozana Mesquita Ciconelli, Joao Victor Piccolo Feliciano, Iago Colturato and 3 more

Abstract readMulticenter Study
In one paragraph

Article in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

13 authors.

Alexandre Soares Ferreira JuniorDepartment of Genetics, Microbiology and Immunology, Institute of Biosciences (IBB), Sao Paulo State University (UNESP), Botucatu 18618-970, Sao Paulo, Brazil.ORCID 0000-0002-1256-1249
Nathalia Linares SilvaDepartment of Genetics, Microbiology and Immunology, Institute of Biosciences (IBB), Sao Paulo State University (UNESP), Botucatu 18618-970, Sao Paulo, Brazil.
Danielle Amanda Niz AlvarezDepartment of Genetics, Microbiology and Immunology, Institute of Biosciences (IBB), Sao Paulo State University (UNESP), Botucatu 18618-970, Sao Paulo, Brazil.ORCID 0009-0007-1490-3699
Larissa da Silva SouzaDepartment of Genetics, Microbiology and Immunology, Institute of Biosciences (IBB), Sao Paulo State University (UNESP), Botucatu 18618-970, Sao Paulo, Brazil.ORCID 0009-0002-8627-0513
Luiza Dias MachadoDepartment of Genetics, Microbiology and Immunology, Institute of Biosciences (IBB), Sao Paulo State University (UNESP), Botucatu 18618-970, Sao Paulo, Brazil.
Bianca Fernanda Rodrigues da SilvaDepartment of Genetics, Microbiology and Immunology, Institute of Biosciences (IBB), Sao Paulo State University (UNESP), Botucatu 18618-970, Sao Paulo, Brazil.ORCID 0009-0002-0141-5948
Welinton Yoshio HiraiDepartment of Epidemiology and Biostatistics, Hospital de Amor de Barretos, Barretos 14784-400, Sao Paulo, Brazil.
Rozana Mesquita CiconelliDepartamento de Pesquisa da BP-A Beneficência Portuguesa de São Paulo, São Paulo 01323-001, Sao Paulo, Brazil.
Joao Victor Piccolo FelicianoFundação Faculdade Regional de Medicina de São José do Rio Preto (FUNFARME), São José do Rio Preto 15090-000, Sao Paulo, Brazil.ORCID 0000-0002-2034-7015
Iago ColturatoHospital Amaral Carvalho, Jaú 17210-070, Sao Paulo, Brazil.ORCID 0009-0008-9243-2324
George Maurício Navarro BarrosFundação Pio XII-Hospital de Câncer de Barretos, Barretos 14784-400, Sao Paulo, Brazil.
Phillip ScheinbergDepartamento de Pesquisa da BP-A Beneficência Portuguesa de São Paulo, São Paulo 01323-001, Sao Paulo, Brazil.
Gislane Lelis Vilela de OliveiraDepartment of Genetics, Microbiology and Immunology, Institute of Biosciences (IBB), Sao Paulo State University (UNESP), Botucatu 18618-970, Sao Paulo, Brazil.ORCID 0000-0002-8883-5541

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 313190/2021-6Coordenação de Aperfeicoamento de Pessoal de Nível Superior Finance Code 001Fundação de Amparo à Pesquisa do Estado de São Paulo 2022/12989-6Fundação de Amparo à Pesquisa do Estado de São Paulo 2023/08142-0Fundação de Amparo à Pesquisa do Estado de São Paulo 2023/12271-0Fundação de Amparo à Pesquisa do Estado de São Paulo 2024/02936-8
6 · The paper itself

Abstract

The role of zonulin as a biomarker of intestinal permeability in the allogeneic hematopoietic stem cell transplantation (allo-HSCT) setting remains poorly understood. In this study, we aimed to evaluate serum zonulin dynamics, identify its predictors, and assess its prognostic significance in patients undergoing allo-HSCT. This multicenter, prospective cohort study was conducted across four Brazilian hospitals. Eligible participants were patients aged ≥12 years who provided at least one blood sample during the allo-HSCT course. A control group of 15 healthy adult individuals was also included. Serum zonulin levels were quantified using enzyme-linked immunosorbent assay multiple times over the allo-HSCT course. Outcomes included acute graft-versus-host disease, overall survival, and bloodstream infections. A total of 477 blood samples were collected from 140 patients. Compared with the control group, zonulin levels were persistently elevated at all evaluated time points throughout the allo-HSCT course. However, no significant differences were observed among the different time points assessed during transplantation. No clinical or transplantation-related characteristics were identified as significant predictors of elevated zonulin levels. Finally, zonulin did not demonstrate prognostic value for allo-HSCT-related outcomes. Future studies should investigate whether other intestinal permeability biomarkers have prognostic relevance in the allo-HSCT setting.

Indexed as

Cholera ToxinHematopoietic Stem Cell TransplantationProtein PrecursorsAdolescentAdultBiomarkersFemaleGraft vs Host DiseaseHaptoglobinsHumansIntestinal Barrier FunctionMaleMiddle AgedPrognosisProspective StudiesTransplantation, HomologousBiomarkersCholera ToxinHaptoglobinsProtein Precursorszonulingastrointestinal microbiomegraft-versus-host-diseaseintestinal barrier functionintestinal mucosastem cell transplantationzonulin

Identifiers

PMID42278192
PMCPMC13256533

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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.