Evidence map›Paper›PMID 33332729›Full record

ArticleEMBO molecular medicine2021

A novel P2X2-dependent purinergic mechanism of enteric gliosis in intestinal inflammation.

Reiner Schneider, Patrick Leven, Tim Glowka, Ivan Kuzmanov, Mariola Lysson, Bianca Schneiker, Anna Miesen, Younis Baqi, Claudia Spanier, Iveta Grants and 6 more

Open access · goldAbstract read
In one paragraph

Article in EMBO molecular medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
4.7field-weighted citation impact, top 4% of its field
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

55 citing papers in PubMed, 79 citations in OpenAlex.

  1. P2X7R+CD8αβiScience · 2026
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  13. Subtype-specific structural features of the hearing loss-associated human P2X2 receptor.Proceedings of the National Academy of Sciences of the United States of America · 2025
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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

16 authors at 2 institutions in 3 countries.

Reiner SchneiderDepartment of Surgery, University of Bonn, Bonn, Germany.ORCID 0000-0002-7194-2703
Patrick LevenDepartment of Surgery, University of Bonn, Bonn, Germany.
Tim GlowkaDepartment of Surgery, University of Bonn, Bonn, Germany.
Ivan KuzmanovDepartment of Surgery, University of Bonn, Bonn, Germany.
Mariola LyssonDepartment of Surgery, University of Bonn, Bonn, Germany.
Bianca SchneikerDepartment of Surgery, University of Bonn, Bonn, Germany.
Anna MiesenDepartment of Surgery, University of Bonn, Bonn, Germany.
Younis BaqiFaculty of Science, Department of Chemistry, Sultan Qaboos University, Muscat, Oman.
Claudia SpanierPharmaceutical Institute, Pharmaceutical & Medical Chemistry, University of Bonn, Bonn, Germany.
Iveta GrantsDepartment of Anesthesiology, Wexner Medical Center, The Ohio State University, Columbus, OH, USA.
Elvio MazzottaDepartment of Anesthesiology, Wexner Medical Center, The Ohio State University, Columbus, OH, USA.
Egina Villalobos-HernandezDepartment of Anesthesiology, Wexner Medical Center, The Ohio State University, Columbus, OH, USA.
Jörg C KalffDepartment of Surgery, University of Bonn, Bonn, Germany.
Christa E MüllerPharmaceutical Institute, Pharmaceutical & Medical Chemistry, University of Bonn, Bonn, Germany.
Fedias L ChristofiDepartment of Anesthesiology, Wexner Medical Center, The Ohio State University, Columbus, OH, USA.
Sven WehnerDepartment of Surgery, University of Bonn, Bonn, Germany.ORCID 0000-0002-8632-7631
University of Bonn · DEThe Ohio State University Wexner Medical Center · US

Funding

Enteric glial ETBR signaling in postoperative ileusR01DK125809 · NIDDK · OHIO STATE UNIVERSITY · PI CHRISTOFI, FEDIAS LEONTIOU · 2020 to 2023
$1.6M
Human enteric glia: A novel target for motility and postoperative ileusR01DK113943 · NIDDK · OHIO STATE UNIVERSITY · PI CHRISTOFI, FEDIAS LEONTIOU, GRIDER, JOHN R · 2017 to 2019
$1.4M
NIDDK NIH HHS R01 DK113943NIDDK NIH HHS R01 DK125809
6 · The paper itself

Abstract

Enteric glial cells (EGC) modulate motility, maintain gut homeostasis, and contribute to neuroinflammation in intestinal diseases and motility disorders. Damage induces a reactive glial phenotype known as "gliosis", but the molecular identity of the inducing mechanism and triggers of "enteric gliosis" are poorly understood. We tested the hypothesis that surgical trauma during intestinal surgery triggers ATP release that drives enteric gliosis and inflammation leading to impaired motility in postoperative ileus (POI). ATP activation of a p38-dependent MAPK pathway triggers cytokine release and a gliosis phenotype in murine (and human) EGCs. Receptor antagonism and genetic depletion studies revealed P2X2 as the relevant ATP receptor and pharmacological screenings identified ambroxol as a novel P2X2 antagonist. Ambroxol prevented ATP-induced enteric gliosis, inflammation, and protected against dysmotility, while abrogating enteric gliosis in human intestine exposed to surgical trauma. We identified a novel pathogenic P2X2-dependent pathway of ATP-induced enteric gliosis, inflammation and dysmotility in humans and mice. Interventions that block enteric glial P2X2 receptors during trauma may represent a novel therapy in treating POI and immune-driven intestinal motility disorders.

Indexed as

GliosisNeurogliaAnimalsCytokinesInflammationIntestine, SmallMicePurinergic P2X Receptor AntagonistsCytokinesPurinergic P2X Receptor Antagonistsenteric nervous systemgut inflammationmotility disorderspostoperative ileuspurinergic signaling

Identifiers

PMID33332729
PMCPMC7799361
OpenAlexW3112408220

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.