4.6 Article

Remission of Inflammatory Bowel Disease in Glucose-6-Phosphatase 3 Deficiency by Allogeneic Haematopoietic Stem Cell Transplantation

Journal

JOURNAL OF CROHNS & COLITIS
Volume 14, Issue 1, Pages 142-147

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/ecco-jcc/jjz112

Keywords

Exome sequencing; inflammatory bowel disease; genomics; immunodeficiency

Funding

  1. NIHR Oxford Biomedical Research Centre [11/YH/0020, 16/YH/0247]
  2. BRC
  3. Wellcome Trust [090532/Z/09/Z, R6-388 / WT 100127]
  4. Leona M. and Harry B. Helmsley Charitable Trust
  5. Department of Health [R6-388 / WT 100127]
  6. MRC [MC_UU_00008/7, MC_UU_12010/7, MR/S036377/1] Funding Source: UKRI

Ask authors/readers for more resources

Mendelian disorders in glucose-6-phosphate metabolism can present with inflammatory bowel disease [IBD]. Using whole genome sequencing we identified a homozygous variant in the glucose-6-phosphatase G6PC3 gene [c.911dupC; p.Q305fs*82] in an adult patient with congenital neutropenia, lymphopenia and childhood-onset, therapy-refractory Crohn's disease. Because G6PC3 is expressed in several haematopoietic and non-haematopoietic cells it was unclear whether allogeneic stem cell transplantation [HSCT] would benefit this patient with intestinal inflammation. We show that HSCT resolves G6PC3-associated immunodeficiency and the Crohn's disease phenotype. It illustrates how even in adulthood, next-generation sequencing can have a significant impact on clinical practice and healthcare utilization in patients with immunodeficiency and monogenic IBD.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Gastroenterology & Hepatology

Defining the key intrahepatic gene networks in HCV infection driven by sex

Emanuele Marchi, Narayan Ramamurthy, M. Azim Ansari, Caroline E. Harrer, Eleanor Barnes, Paul Klenerman

Summary: This study aimed to profile the transcriptomics of HCV-infected livers and assess the effect of major predictors of clinical outcome such as IFNL4 host genotype and sex. The results showed that underlying cirrhotic state had the most substantial impact on transcriptional responses, and sex and IL28B/IFNL4 genotype also played important roles in antiviral responses.
Article Gastroenterology & Hepatology

Genetic variation in TERT modifies the risk of hepatocellular carcinoma in alcohol-related cirrhosis: results from a genome-wide case-control study

Stephan Buch, Hamish Innes, Philipp Ludwig Lutz, Hans Dieter Nischalke, Jens U. Marquardt, Janett Fischer, Karl Heinz Weiss, Jonas Rosendahl, Astrid Marot, Marcin Krawczyk, Markus Casper, Frank Lammert, Florian Eyer, Arndt Vogel, Silke Marhenke, Johann von Felden, Rohini Sharma, Stephen Rahul Atkinson, Andrew McQuillin, Jacob Nattermann, Clemens Schafmayer, Andre Franke, Christian Strassburg, Marcella Rietschel, Heidi Altmann, Stefan Sulk, Veera Raghavan Thangapandi, Mario Brosch, Carolin Lackner, Rudolf E. Stauber, Ali Canbay, Alexander Link, Thomas Reiberger, Mattias Mandorfer, Georg Semmler, Bernhard Scheiner, Christian Datz, Stefano Romeo, Stefano Ginanni Corradini, William Lucien Irving, Joanne R. Morling, Indra Neil Guha, Eleanor Barnes, M. Azim Ansari, Jocelyn Quistrebert, Luca Valenti, Sacha A. Mueller, Marsha Yvonne Morgan, Jean-Francois Dufour, Jonel Trebicka, Thomas Berg, Pierre Deltenre, Sebastian Mueller, Jochen Hampe, Felix Stickel

Summary: This study identifies rs2242652 in TERT as a novel protective factor for HCC in patients with alcohol-related cirrhosis.
Review Gastroenterology & Hepatology

Implementation of a controlled human infection model for evaluation of HCV vaccine candidates

Eleanor Barnes, Graham S. Cooke, Georg M. Lauer, Raymond T. Chung

Summary: This article discusses the global health concern of hepatitis C virus (HCV) and the limitations of using directly acting antiviral (DAA) drugs for treatment. Without an effective HCV vaccine, the authors argue that the development of a controlled human infection model (CHIM) for HCV is crucial. They propose a study design for the HCV CHIM, including the selection of volunteers, development of an infectious inoculum, evaluation of immune and viral parameters, etc. The authors conclude that an HCV CHIM is realistic and can address safety and ethical concerns, and it is difficult to envision the development of an HCV vaccine without it.

HEPATOLOGY (2023)

Article Immunology

Booster Vaccination Against SARS-CoV-2 Induces Potent Immune Responses in People With Human Immunodeficiency Virus (HIV)

Sarah Fidler, Julie Fox, Timothy Tipoe, Stephanie Longet, Tom Tipton, Movin Abeywickrema, Sandra Adele, Jasmini Alagaratnam, Mohammad Ali, Parvinder K. Aley, Suhail Aslam, Anbhu Balasubramanian, Anna Bara, Tanveer Bawa, Anthony Brown, Helen Brown, Federica Cappuccini, Sophie Davies, Jamie Fowler, Leila Godfrey, Anna L. Goodman, Kathrine Hilario, Carl-Philipp Hackstein, Moncy Mathew, Yama F. Mujadidi, Alice Packham, Claire Petersen, Emma Plested, Katrina M. Pollock, Maheshi N. Ramasamy, Hannah Robinson, Nicola Robinson, Patpong Rongkard, Helen Sanders, Teona Serafimova, Niamh Spence, Anele Waters, Danielle Woods, Panagiota Zacharopoulou, Eleanor Barnes, Susanna Dunachie, Philip Goulder, Paul Klenerman, Alan Winston, Adrian V. S. Hill, Sarah C. Gilbert, Miles Carroll, Andrew J. Pollard, Teresa Lambe, Ane Ogbe, John Frater

Summary: People with HIV on antiretroviral therapy and good CD4 T-cell counts can generate effective immune responses against SARS-CoV-2 after vaccination. A third vaccine dose can significantly enhance B- and T-cell immunity, including responses to known variants of concern.

CLINICAL INFECTIOUS DISEASES (2023)

Review Gastroenterology & Hepatology

Pathogenesis of Fistulating Crohn's Disease: A Review

Colleen Georgette Chantelle McGregor, Ruchi Tandon, Alison Simmons

Summary: Sustained, transmural inflammation of the bowel wall can lead to the development of a fistula in Crohn's disease (CD), a recognized complication observed in 40% of CD patients. Despite advanced treatment, one-third of patients experience recurrent fistulae. Understanding the pathogenesis of CD-associated fistulae is crucial for developing targeted treatments, but currently, the pathogenesis remains poorly defined due to the lack of accepted in vitro and in vivo models. This review summarizes the existing knowledge of histopathological, immune, cellular, genetic, and microbial factors contributing to CD-associated fistulae and explores the potential of advancing technologies in verifying and expanding our understanding and identifying novel therapeutic targets.

CELLULAR AND MOLECULAR GASTROENTEROLOGY AND HEPATOLOGY (2023)

Article Immunology

Transcriptomic response and immunological responses to chimpanzee adenovirus- and MVA viral-vectored vaccines for RSV in healthy adults

C. Green, J. McGinley, C. Sande, S. Capone, S. Makvandi-Nejad, A. Vitelli, L. Silva-Reyes, S. Bibi, C. Otasowie, D. Sheerin, A. Thompson, C. Dold, P. Klenerman, E. Barnes, L. Dorrell, C. Rollier, A. Pollard, D. O'Connor

Summary: In this immunological study, cohorts of healthy younger and older adults were immunized with an adenovirus-vectored RSV vaccine either intramuscularly or intranasally. Differential gene expression was observed in blood samples after intramuscular prime vaccination, but not after intranasal prime vaccination. Intranasally primed participants showed more gene expression changes upon boosting. The gene expression changes mainly involved immune-related biological processes.

CLINICAL AND EXPERIMENTAL IMMUNOLOGY (2023)

Article Gastroenterology & Hepatology

Delivery of biannual ultrasound surveillance for individuals with cirrhosis and cured hepatitis C in the UK

Victoria Hamill, Will Gelson, Douglas MacDonald, Paul Richardson, Stephen D. D. Ryder, Mark Aldersley, Stuart McPherson, Sumita Verma, Rohini Sharma, Sharon Hutchinson, Jennifer Benselin, Eleanor Barnes, Indra Neil Guha, William L. L. Irving, Hamish Innes

Summary: This study found that the uptake of biannual ultrasound surveillance in cured hepatitis C cirrhosis patients in the UK is low and there is inequity in its delivery. Only 19% of patients received biannual ultrasound in the first three years after achieving a sustained viral response, and this proportion decreased further to 9% during the follow-up years. The uptake of biannual ultrasound was associated with the hospital attended by the patient, as well as age and cirrhosis decompensation.

LIVER INTERNATIONAL (2023)

Article Multidisciplinary Sciences

Utility of a buccal swab point-of-care test for the IFNL4 genotype in the era of direct acting antivirals for hepatitis C virus

Aminata Sy, Leanne McCabe, Emma Hudson, Azim M. Ansari, Vincent Pedergnana, Shang-Kuan Lin, S. Santana, Marzia Fiorino, Aftab Ala, Ben Stone, M. Smith, Mark Nelson, Stephen T. Barclay, Stuart McPherson, Stephen D. Ryder, Jane Collier, Eleanor Barnes, Ann Sarah Walker, Sarah L. Pett, Graham Cooke

Summary: The CC genotype of the IFNL4 gene is associated with increased Hepatitis C cure rates. The Genedrive (R) IFNL4 is a CE marked Point of Care molecular diagnostic test for rapid detection of IFNL4 genotype status. Comparing buccal swab PoC testing with genetic sequencing, the buccal swab test showed better accuracy in identifying non-CC genotypes than CC genotypes.

PLOS ONE (2023)

Article Biology

Efficacy of ultra-short, response-guided sofosbuvir and daclatasvir therapy for hepatitis C in a single-arm mechanistic pilot study

Barnaby Flower, Le Manh Hung, Leanne Mccabe, M. Azim Ansari, Chau Le Ngoc, Thu Vo Thi, Hang Vu Thi Kim, Phuong Nguyen Thi Ngoc, Le Thanh Phuong, Vo Minh Quang, Thuan Dang Trong, Thao Le Thi, Tran Nguyen Bao, Cherry Kingsley, David Smith, Richard M. Hoglund, Joel Tarning, Evelyne Kestelyn, Sarah L. Pett, Rogier van Doorn, Jennifer Ilo Van Nuil, Hugo Turner, Guy E. Thwaites, Eleanor Barnes, Motiur Rahman, Ann Sarah Walker, Jeremy N. Day, Nguyen V. V. Chau, Graham S. Cooke, Harel Dahari

Summary: This study evaluated the use of early virological response to shorten the duration of SOF/DCV therapy for hepatitis C. It found that 4-week therapy with retreatment if necessary can achieve high cure rates for patients with mild liver disease. The study also found no evidence that treatment failure was associated with host IFNL4 genotype, viral subtype, baseline resistance-associated substitutions, or drug levels.

ELIFE (2023)

Article Immunology

Evaluation of QuantiFERON SARS-CoV-2 interferon-γ release assay following SARS-CoV-2 infection and vaccination

Sile A. Johnson, Eloise Phillips, Sandra Adele, Stephanie Longet, Tom Malone, Chris Mason, Lizzie Stafford, Anni Jamsen, Siobhan Gardiner, Alexandra Deeks, Janice Neo, Emily J. Blurton, Jemima White, Muhammed Ali, Barbara Kronsteiner, Joseph D. Wilson, Donal T. Skelly, Katie Jeffery, Christopher P. Conlon, Philip Goulder, Eleanor PITCH Consortium, Miles Carroll, Eleanor Barnes, Paul Klenerman, Susanna J. Dunachie

Summary: PITCH ELISpot S1 + S2 had greater sensitivity for SARS-CoV-2 specific T-cell responses compared with the QuantiFERON SARS-CoV-2 assay tube Ag3, except for the acute infection group. The QuantiFERON SARS-CoV-2 assay showed potential as a T-cell evaluation tool soon after SARS-CoV-2 infection but has lower sensitivity for use in reliable evaluation of vaccination or more distant infection.

CLINICAL AND EXPERIMENTAL IMMUNOLOGY (2023)

Article Medicine, General & Internal

Disparities in care and outcomes for primary liver cancer in England during 2008-2018: a cohort study of 8.52 million primary care population using the QResearch database

Weiqi Liao, Carol A. C. Coupland, Hamish Innes, Peter Jepsen, Philippa C. Matthews, Cori Campbell, The DeLIVER consortium DeLIVER consortium, Eleanor Barnes, Julia Hippisley-Cox

Summary: This study aims to understand the disparities in epidemiology and clinical pathways of primary liver cancer in England. The findings show that age, sex, socioeconomic deprivation, ethnicity, and geographical regions are all significantly associated with liver cancer incidence. Patients aged 80 years and above have a higher risk of being diagnosed at late stages and have poorer survival rates. Men are at a higher risk of liver cancer than women, and survival rates are generally poor.

ECLINICALMEDICINE (2023)

Article Medicine, Research & Experimental

Evolution of long-term vaccine-induced and hybrid immunity in healthcare workers after different COVID-19 vaccine regimens

Shona C. Moore, Barbara Kronsteiner, Stephanie Longet, Sandra Adele, Alexandra S. Deeks, Chang Liu, Wanwisa Dejnirattisai, Laura Silva Reyes, Naomi Meardon, Sian Faustini, Saly Al-Taei, Tom Tipton, Luisa M. Hering, Adrienn Angyal, Rebecca Brown, Alexander R. Nicols, Susan L. Dobson, Piyada Supasa, Aekkachai Tuekprakhon, Andrew Cross, Jessica K. Tyerman, Hailey Hornsby, Irina Grouneva, Megan Plowright, Peijun Zhang, Thomas A. H. Newman, Jeremy M. Nell, Priyanka Abraham, Mohammad Ali, Tom Malone, Isabel Neale, Eloise Phillips, Joseph D. Wilson, Sam M. Murray, Martha Zewdie, Adrian Shields, Emily C. Horner, Lucy H. Booth, Lizzie Stafford, Sagida Bibi, Daniel G. Wootton, Alexander J. Mentzer, Christopher P. Conlon, Katie Jeffery, Philippa C. Matthews, Andrew J. Pollard, Anthony Brown, Sarah L. Rowland-Jones, Juthathip Mongkolsapaya, Rebecca P. Payne, Christina Dold, Teresa Lambe, James E. D. Thaventhiran, Gavin Screaton, Eleanor Barnes, Susan Hopkins, Victoria Hall, Christopher J. A. Ducan, Alex Richter, Miles Carroll, Thushan I. de Silva, Paul Klenerman, Susann Dunachie, Lance Turtle, PITCH Consortium

Summary: In this study, the researchers observed the immune response changes in 684 UK healthcare workers after receiving two doses of BNT162b2 or AZD1222 vaccines during a follow-up period of 6-9 months. The study found that the antibody and memory B cell responses were relatively stable, while the levels of binding and neutralizing antibodies declined. The study also found that individuals with prior infection had stronger and broader T cell responses to the vaccine, especially after receiving the third dose.
Article Biochemistry & Molecular Biology

SARS-CoV-2-specific immune responses and clinical outcomes after COVID-19 vaccination in patients with immune-suppressive disease

Eleanor Barnes, Carl S. Goodyear, Michelle Willicombe, Charlotte Gaskell, Stefan Siebert, Thushan I. de Silva, Sam M. Murray, Daniel Rea, John A. Snowden, Miles Carroll, Sarah Pirrie, Sarah J. Bowden, Susanna J. Dunachie, Alex Richter, Zixiang Lim, Jack Satsangi, Gordon Cook, Ann Pope, Ana Hughes, Molly Harrison, Sean H. Lim, Paul Miller, Paul Klenerman, Pitch Consortium, Neil Basu, Ashley Gilmour, Sophie Irwin, Georgina Meacham, Thomas Marjot, Stavros Dimitriadis, Peter Kelleher, Maria Prendecki, Candice Clarke, Paige Mortimer, Stacey McIntyre, Rachael Selby, Naomi Meardon, Dung Nguyen, Tom Tipton, Stephanie Longet, Stephen Laidlaw, Kim Orchard, Georgina Ireland, David Thomas, Pamela Kearns, Amanda Kirkham, Iain B. McInnes

Summary: Serological analysis and infection outcomes of 2,686 participants with immune-suppressive diseases who received two COVID-19 vaccines revealed specific clinical phenotypes that might benefit from targeted COVID-19 therapeutic strategies. Some patients failed to develop anti-SARS-CoV-2 antibodies, with the highest vaccine failure rates observed in ANCA-associated vasculitis, hemodialysis, and solid organ transplant recipients. Decreased serological and T cell responses were associated with severe COVID-19. In summary, we identified clinical phenotypes that may benefit from targeted COVID-19 therapeutic strategies.

NATURE MEDICINE (2023)

Article Genetics & Heredity

A robust deep learning workflow to predict CD8+T-cell epitopes

Chloe H. Lee, Jaesung Huh, Paul R. Buckley, Myeongjun Jang, Mariana Pereira Pinho, Ricardo A. Fernandes, Agne Antanaviciute, Alison Simmons, Hashem Koohy

Summary: The study presents a novel computational workflow, TRAP, for accurately predicting CD8 + T-cell epitopes. It outperformed other algorithms in both cancer and pathogenic settings. Additionally, a new metric called RSAT was developed to estimate the immunogenicity of pathogenic peptides.

GENOME MEDICINE (2023)

Letter Gastroenterology & Hepatology

Joint statement in support of hepatitis C human challenge studies

Harvey J. Alter, Eleanor Barnes, Mia J. Biondi, Andrea L. Cox, Jake D. Eberts, Jordan J. Feld, T. Jake Liang, Josh Morrison, Charles M. Rice, Naglaa H. Shoukry, David L. Thomas, Jennifer Van Gennip, Charles Weijer

LANCET GASTROENTEROLOGY & HEPATOLOGY (2023)

No Data Available