Evidence map›Paper›PMID 40244207›Full record

ArticleInternational journal of molecular sciences2025

Changes in T Lymphocytes and Cytokines After Anti-TNF Treatment in Pediatric Inflammatory Bowel Disease: Association with Response to Pharmacologic Therapy.

Paula Zapata-Cobo, Sara Salvador-Martín, Sergio Gil-Manso, Marta Velasco Rodríguez-Belvís, Laura M Palomino, Ana Moreno-Álvarez, Begoña Pérez-Moneo, Ruth García-Romero, María J Fobelo, Diana García-Tirado and 9 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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.

Paula Zapata-CoboServicio de Farmacia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, 28007 Madrid, Spain.ORCID 0000-0003-1907-1709
Sara Salvador-MartínServicio de Farmacia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, 28007 Madrid, Spain.
Sergio Gil-MansoLaboratory of Immuno-Regulation, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, 28007 Madrid, Spain.ORCID 0000-0003-2480-3628
Marta Velasco Rodríguez-BelvísSección de Gastroenterología y Nutrición Pediátrica, Hospital Infantil Universitario Niño Jesús, 28007 Madrid, Spain.
Laura M PalominoSección de Gastroenterología y Nutrición Pediátrica, Hospital Infantil Universitario Niño Jesús, 28007 Madrid, Spain.ORCID 0000-0002-2441-9311
Ana Moreno-ÁlvarezComplejo Hospitalario Universitario A Coruña, 15006 A Coruña, Spain.ORCID 0000-0002-7211-1821
Begoña Pérez-MoneoHospital Universitario Infanta Leonor, 28031 Madrid, Spain.ORCID 0000-0002-7335-848X
Ruth García-RomeroHospital Universitario Miguel Servet, 50009 Zaragoza, Spain.
María J FobeloHospital Universitario Virgen de Valme, Universidad de Sevilla, 41014 Sevilla, Spain.ORCID 0000-0002-0546-3966
Diana García-TiradoHospital Universitario Parc Taulí, 08208 Sabadell, Spain.ORCID 0000-0001-9809-1868
César SánchezSección de Gastroenterología, Hepatología y Nutrición Infantil, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, 28009 Madrid, Spain.
Gemma Pujol-MuncunillServicio de Gastroenterología, Hepatología y Nutrición Pediátrica, Hospital Sant Joan de Déu, 08950 Barcelona, Spain.
Oscar SegarraHospital Vall d'Hebrón, 08035 Barcelona, Spain.ORCID 0000-0003-2162-1474
Montserrat MontravetaHospital Universitario Germans Trias i Pujol, 08916 Barcelona, Spain.
Lorena MagallaresHospital Universitario La Paz, 28046 Madrid, Spain.
Rafael Correa-RochaLaboratory of Immuno-Regulation, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, 28007 Madrid, Spain.ORCID 0000-0003-3456-9986
María Sanjurjo-SáezServicio de Farmacia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, 28007 Madrid, Spain.
Marjorie PionAdvanced ImmunoRegulation Group, Instituto de Investigación Sanitaria Gregorio Marañón, 28007 Madrid, Spain.ORCID 0000-0002-6406-747X
Luis A López-FernándezServicio de Farmacia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, 28007 Madrid, Spain.ORCID 0000-0003-3964-5837

Funding

Comunidad de Madrid PIPF-2022/SAL-GL-24790Instituto de Salud Carlos III DTS23/00037Instituto de Salud Carlos III PI19/00792Instituto de Salud Carlos III PI22/00473Instituto de Salud Carlos III PI22/00584
6 · The paper itself

Abstract

Failure of anti-TNF therapy is a real concern in children with inflammatory bowel disease (IBD) owing to the limited therapeutic arsenal. Anti-TNF drugs modulate the immune response, a key driver of chronic inflammation in IBD. Accordingly, we analyzed changes in the frequency of T-lymphocyte and cytokine levels after 6 weeks of treatment to identify potential biomarkers of response to anti-TNF drugs. We recruited 77 patients under 18 years of age diagnosed with IBD and treated with an anti-TNF drug. Using flow cytometry and multiplex ELISA, we analyzed 31 T-lymphocyte populations and four cytokines. We identified changes in 10 populations of T lymphocytes after 6 weeks of treatment. Naïve Tregs were associated with a primary response to anti-TNF drugs, while activated Tregs were associated with long-term response. Serum INF-γ levels were decreased after anti-TNF treatment in children with Crohn's disease (CD), but not in those with ulcerative colitis (UC). The memory CD8+ Type 2 Cytotoxic T (Tc2) subset increased in non-responders with CD and the CD4+ memory Th17 cells increased in non-responders with UC. These findings could help us to understand the cellular regulation of anti-TNF therapy, to identify children at a higher risk of treatment failure, and, potentially, to develop more personalized therapeutic strategies.

Indexed as

Crohn DiseaseCytokinesInflammatory Bowel DiseasesT-LymphocytesTumor Necrosis Factor-alphaTumor Necrosis Factor InhibitorsAdolescentBiomarkersChildChild, PreschoolColitis, UlcerativeFemaleHumansMaleT-Lymphocytes, RegulatoryBiomarkersCytokinesTumor Necrosis Factor-alphaTumor Necrosis Factor Inhibitorsadalimumabcytokinesinflammatory bowel diseaseinfliximabpediatricresponse biomarkersT-lymphocytesTreg

Identifiers

PMID40244207
PMCPMC11989384

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.