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Fibrosis-related transcriptome unveils a distinctive remodelling matrix pattern in penetrating ileal Crohn’s disease

datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg09:Indústria, Inovação e Infraestruturas
datacite.subject.sdg04:Educação de Qualidade
dc.contributor.authorSousa, Helena Tavares
dc.contributor.authorFerreira, Marta
dc.contributor.authorGullo, Irene
dc.contributor.authorRocha, Ana Mafalda
dc.contributor.authorPedro, Ana
dc.contributor.authorLeitão, Dina
dc.contributor.authorOliveira, Carla
dc.contributor.authorCarneiro, Fátima
dc.contributor.authorMagro, Fernando
dc.date.accessioned2026-03-25T15:16:30Z
dc.date.available2026-03-25T15:16:30Z
dc.date.issued2024-05-03
dc.description.abstractBackground and Aims: Stricturing [B2] and penetrating [B3] ileal Crohn’s disease have been reported to present similar levels of histopathological transmural fibrosis. This study aimed to compare the fibrosis-related transcriptomic profiles of penetrating and stricturing ileal Crohn’s disease. Methods: Using Nanostring technology and comparative bioinformatics, we analysed the expression of 787 fibrosis-related genes in 36 ileal surgical specimens, 12 B2 and 24 B3, the latter including 12 cases with associated stricture[s] [B3s] and 12 without [B3o]. Quality control of extracted RNA was performed according to Nanostring parameters and principal component analysis for the distribution analysis. For the selection of the differentially expressed genes, a p-adjusted Results: We included 34 patients with B2 and B3 phenotypes, balanced for age at diagnosis, age at surgery, gender, Crohn’s disease localisa tion, perianal disease, and therapy. Inflammation and fibrosis histopathological scoring were similar in all cases. B2 and B3 groups showed a very good clustering regarding 30 significantly differentially expressed genes, all being remarkably upregulated in B3. More than half of these genes were involved in Crohn’s disease fibrogenesis, and eight differentially expressed genes were so in other organs. The most significantly active biological processes and pathways in penetrating disease were response to TGFβ and matrix organisation and degradation, as validated by immunohistochemistry. Conclusions: Despite the histopathological similarities in fibrosis between stricturing and penetrating ileal Crohn’s disease, their fibrosis-related transcriptomic profiles are distinct. Penetrating disease exhibits a distinctive transcriptomic landscape related to enhanced matrix remodelling.eng
dc.identifier.doi10.1093/ecco-jcc/jjae064
dc.identifier.eissn1876-4479
dc.identifier.issn1873-9946
dc.identifier.urihttp://hdl.handle.net/10400.1/28541
dc.language.isoeng
dc.peerreviewedyes
dc.publisherOxford University Press (OUP)
dc.relation.ispartofJournal of Crohn's and Colitis
dc.rights.uriN/A
dc.subjectCrohn’s disease
dc.subjectFibrosis
dc.subjectTranscriptome
dc.subjectTGFβ expression
dc.titleFibrosis-related transcriptome unveils a distinctive remodelling matrix pattern in penetrating ileal Crohn’s diseaseeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1752
oaire.citation.issue11
oaire.citation.startPage1741
oaire.citation.titleJournal of Crohn's and Colitis
oaire.citation.volume18
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameSousa
person.givenNameHelena Tavares
person.identifier.ciencia-idCF1F-1163-1C4A
person.identifier.orcid0000-0002-6626-205X
relation.isAuthorOfPublication6b1d11dd-486f-4fb3-b41f-02e1cf6a5c2e
relation.isAuthorOfPublication.latestForDiscovery6b1d11dd-486f-4fb3-b41f-02e1cf6a5c2e

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