Evidence map›Paper›PMID 41390174›Full record

ArticleGut2026

Fibroblast pentose phosphate pathway activation upon decreased circPLCE1 exacerbates intestinal fibrosis in Crohn's disease.

Longyuan Zhou, Jing Nie, Zhiyin Feng, Rongchang Li, Pingxin Zhang, Sinan Lin, Yao Zhang, Florian Rieder, Changhao Chen, Minhu Chen and 1 more

Abstract read
In one paragraph

Article in Gut, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

11 authors.

Longyuan Zhou *Sun Yat-sen University First Affiliated Hospital Department of Gastroenterology, Guangzhou, Guangdong, China.ORCID 0000-0002-3057-2566
Jing Nie *Sun Yat-sen University First Affiliated Hospital Department of Gastroenterology, Guangzhou, Guangdong, China.
Zhiyin Feng *Sun Yat-sen University First Affiliated Hospital Department of Gastroenterology, Guangzhou, Guangdong, China.
Rongchang Li *Sun Yat-sen University First Affiliated Hospital Department of Gastroenterology, Guangzhou, Guangdong, China.
Pingxin ZhangShenzhen Qianhai Taikang Hospital, Shenzhen, Guangdong, China.
Sinan LinSun Yat-sen University First Affiliated Hospital Department of Gastroenterology, Guangzhou, Guangdong, China.ORCID 0000-0002-0977-9036
Yao ZhangDepartment of Gastroenterology, Shanghai Jiao Tong University Medical School Affiliated Ruijin Hospital, Shanghai, China.
Florian RiederInflammation and Immunity NC22, Cleveland Clinic Foundation, Cleveland, Ohio, USA.ORCID 0000-0002-9087-1568
Changhao ChenSun Yat-Sen Memorial Hospital Department of Urology, Guangzhou, Guangdong, China.ORCID 0000-0002-9924-9054
Minhu ChenSun Yat-sen University First Affiliated Hospital Department of Gastroenterology, Guangzhou, Guangdong, China maor5@mail.sysu.edu.cn chenminhu@mail.sysu.edu.cn.ORCID 0000-0003-2421-9966
Ren MaoSun Yat-sen University First Affiliated Hospital Department of Gastroenterology, Guangzhou, Guangdong, China maor5@mail.sysu.edu.cn chenminhu@mail.sysu.edu.cn.

Funding

The Cleveland Digestive Diseases Research Core Center (DDRCC)P30DK097948 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI Fabio Cominelli · 2015 to 2026
$15.6M
NIDDK NIH HHS P30 DK097948
6 · The paper itself

Abstract

backgroundIntestinal fibrosis, a hallmark complication of Crohn's disease (CD), frequently progresses to stricture formation and surgical intervention. Fibroblast metabolic reprogramming is important in organ fibrosis. However, its role in intestinal fibrogenesis of CD remains elusive.

objectiveWe aim to explore the metabolic reprogramming of fibroblasts and its upstream regulators during intestinal fibrosis of CD.

designWe performed metabolome, single-cell RNA sequencing and spatial transcriptome on paired mucosal and submucosal tissue from the strictured and adjacent non-strictured intestinal segments. The candidate metabolite and metabolic enzymes were verified in primary human intestinal myofibroblasts (HIMFs) and dextran sulfate sodium-induced intestinal fibrotic mice. Next, we identified fibrosis-associated circPLCE1 to regulate the pentose phosphate pathway (PPP) using the circRNA transcriptome. Finally, we studied the functions and mechanisms of circPLCE1 using metabolome, transcriptome, metabolic flux, seahorse assay and RNA pull-down assay in HIMFs and fibroblast-specific circPLCE1 knockdown mice.

resultsMultilayer integrated analysis identified activation of PPP in fibroblasts during intestinal fibrosis of CD. Specifically, xylulokinase (XYLB)-generated xylulose-5-phosphate (Xu5P) promoted extracellular matrix synthesis by epigenetic upregulation of collagen transcription. Moreover, downregulation of circPLCE1 in fibroblasts activated PPP, resulting in increased glycolysis, nicotinamide adenine dinucleotide phosphate production and aggravated intestinal fibrosis in vitro and in vivo. Mechanistically, circPLCE1 directly bound the domain-I of XYLB and competitively inhibited its enzymatic activity. Decreased circPLCE1 restored XYLB activity and accumulation of Xu5P in intestinal fibrosis.

conclusionOur findings delineate a circPLCE1/XYLB/Xu5P axis in fibroblasts which orchestrates PPP and fibrogenesis, unveiling a novel therapeutic target for intestinal fibrosis of CD.

Indexed as

Crohn DiseaseFibroblastsPentose Phosphate PathwayRNA, CircularAnimalsFibrosisHumansIntestinal MucosaIntestinesMaleMiceMyofibroblastsRNA, CircularCROHN'S DISEASE

Identifiers

PMID41390174
PMCPMC13151532

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.