Jack Satsangi

Translational Gastroenterology Unit, Nuffield Department of Experimental Medicine, University of Oxford, Oxford, United Kingdom.

49 publications 2023 – 2026 ORCID

What does Jack Satsangi research?

Dr. Satsangi studies the factors that contribute to the development and treatment response of inflammatory bowel diseases (IBD) like Crohn's disease and ulcerative colitis. He examines how nutrition, specifically the consumption of ultra-processed foods, can increase the risk of Crohn's disease by over two and a half times, and highlights the importance of a healthy diet in preventing these diseases. Additionally, he investigates how environmental exposures, like tobacco smoke and air pollution, can influence a child's risk of developing IBD. His research also includes exploring how genetic changes in the body can help predict which treatments are likely to be effective for individual patients.

Key findings

  • Patients with higher diversity in gut bacteria before starting treatment had a 90% accuracy in predicting response to anti-TNFα therapies for Crohn's disease.
  • Individuals consuming ultra-processed foods had 2.65 times the risk of developing Crohn's disease, with deficiencies in docosahexaenoic acid (DHA) identified as a key factor.
  • DNA markers in blood samples from pediatric IBD patients provided a diagnostic accuracy of 90-94%, aiding in early identification of Crohn's disease and ulcerative colitis.

Frequently asked questions

Does Dr. Satsangi study Crohn's disease?
Yes, Dr. Satsangi focuses heavily on Crohn's disease and other inflammatory bowel diseases, researching their causes and treatments.
What effect does diet have on inflammatory bowel disease according to Dr. Satsangi's work?
His research shows that a healthy diet can significantly reduce the risk of developing inflammatory bowel disease, while diets high in ultra-processed foods increase this risk.
How does smoking impact the risk of developing IBD?
Dr. Satsangi found that exposure to tobacco smoke during pregnancy and adolescence increases the risk of developing inflammatory bowel disease in children.
Can genetic factors help predict treatment responses in Crohn's disease?
Yes, Dr. Satsangi's studies indicate that specific genetic changes can predict how well patients with Crohn's disease will respond to different treatments.
Is Dr. Satsangi's research relevant to children with inflammatory bowel disease?
Absolutely, his work includes significant findings related to pediatric patients, improving diagnosis and understanding of IBD in children.

Publications in plain English

Tobacco Smoke Exposure From Prenatal To Adolescent Periods Drives IBD Pathogenesis: Dynamic DNA Methylation Signatures Across Lifespan Stages.

2026

Advanced science (Weinheim, Baden-Wurttemberg, Germany)

Zhang H, Zhao J, Chen J, Ma X, Zhou S +7 more

Plain English
This study looked at how exposure to tobacco smoke during pregnancy and adolescence affects the risk of inflammatory bowel disease (IBD) in children. It found that children whose mothers smoked during pregnancy had a significantly higher risk of developing IBD, with specific warning signs identified through changes in their DNA. Additionally, teenagers who started smoking were also more likely to develop Crohn's disease and IBD. Understanding these links is important because it highlights the long-term health risks of smoking, not just for the smokers themselves but also for their children. Who this helps: This research helps patients, especially those at risk of IBD, and health care providers focusing on prevention strategies.

PubMed

Integrated metabolomics and genetic analyses reveal loss of protective docosahexaenoic acid as a key driver linking ultra-processed food to Crohn's disease risk.

2026

medRxiv : the preprint server for health sciences

Wang S, Dan L, Ruan X, Wellens J, Sun Y +13 more

Plain English
This study looked at how eating ultra-processed foods (UPF) is linked to the risk of developing Crohn's disease, a type of inflammatory bowel disease. Researchers analyzed data from nearly 110,000 people and found that those with higher levels of a specific metabolic signature related to UPF had 2.65 times the risk of developing Crohn's disease. They identified docosahexaenoic acid (DHA), a fatty acid, as particularly important, as a deficiency in DHA was shown to be a significant factor in this increased risk. Who this helps: This research benefits patients at risk of Crohn's disease by highlighting the importance of diet in disease prevention.

PubMed

Colonic biopsy-associated microbial signatures are predictive of response to anti-TNFα biological therapy in Crohn's disease.

2026

Frontiers in cellular and infection microbiology

Zafeiropoulou K, Hageman IL, Mu T, Davids M, Li Yim AYF +9 more

Plain English
This study looked at how the gut bacteria in patients with Crohn's disease could predict whether they would respond to common treatments like anti-TNFα therapies. Out of 125 patients studied, those who responded well to anti-TNFα treatments had higher diversity in their gut bacteria before starting treatment, allowing researchers to successfully predict treatment response with an accuracy of 90%. This is important because it could lead to more personalized treatments for patients, helping doctors choose the best therapy for each individual. Who this helps: Patients with Crohn's disease.

PubMed

Prenatal cannabis exposure is associated with alterations in offspring DNA methylation at genes involved in neurodevelopment, across the life course.

2025

Molecular psychiatry

Noble AJ, Adams AT, Satsangi J, Boden JM, Osborne AJ

Plain English
This study looked at how exposure to cannabis during pregnancy affects the DNA of children as they grow up, especially in genes that are important for brain development. The researchers found significant changes in DNA markers related to neurodevelopment at ages 0, 7, 15-17, and 27 years in children who were exposed to cannabis, both alone and with tobacco. This matters because understanding these changes can help us grasp the full impact of prenatal cannabis exposure on a child's brain and may guide future research and healthcare practices. Who this helps: This helps parents, healthcare providers, and researchers focused on child development.

PubMed

The Circulating Methylome in Childhood-Onset Inflammatory Bowel Disease.

2025

Journal of Crohn's & colitis

Noble A, Adams A, Nowak J, Cheng G, Nayak K +17 more

Plain English
This study looked at how genes and environmental factors influence inflammatory bowel disease (IBD) in children, specifically Crohn's disease and ulcerative colitis. Researchers found a reliable way to identify pediatric IBD by testing epigenetic markers in blood samples from 86 affected patients and 30 healthy controls, achieving a diagnostic accuracy of 90-94%. They also discovered that early signs of aging in the DNA of patients were more pronounced in those with Crohn's disease and noted that exposure to passive smoking increased the risk of developing ulcerative colitis. Who this helps: This research benefits pediatric patients and their doctors by providing insights for better diagnosis and understanding of IBD.

PubMed

Association of the HLA-DQA1*05 Allelic Gene Variants with Immunogenicity to Anti-TNF therapeutics-Important Differences Between Infliximab and Adalimumab.

2025

Journal of Crohn's & colitis

Ternette N, Liao H, Satsangi J

PubMed

Evaluation of intestinal biopsy tissue preservation methods to facilitate large-scale mucosal microbiota research.

2025

EBioMedicine

Wyatt NJ, Watson H, Young GR, Doona M, Tilling N +29 more

Plain English
This study examined different ways to preserve gut tissue samples from patients with inflammatory bowel disease to better understand the gut microbiota—tiny organisms living in our intestines that affect health. Researchers compared three preservation methods: the gold standard of flash freezing and two chemical preservative methods. They found that the chemical methods performed comparably to flash freezing in maintaining the microbiota's diversity, while tissue samples preserved with formalin showed significant differences in bacterial types. This is important because using simpler preservation methods could make it easier to conduct large studies on gut health. Who this helps: This helps researchers and doctors who study gut health and microbiota.

PubMed

Epigenetic age acceleration and methylation differences in IgG4-related cholangitis and primary sclerosing cholangitis.

2025

Clinical epigenetics

Noble A, Motta R, Cabras S, Flores BM, Nowak J +4 more

Plain English
This study looked at two liver conditions, IgG4-related cholangitis and primary sclerosing cholangitis, to see how changes in DNA methylation (a process that affects gene activity) are linked to these diseases. Researchers found 19 notable differences in DNA methylation between people with IgG4-related cholangitis and healthy individuals, while there were 38 differences for primary sclerosing cholangitis, and 8 patterns were shared between the two diseases. Interestingly, patients with IgG4-related cholangitis showed signs of accelerated biological aging, which was not seen in those with the other conditions, indicating possible unique disease pathways. Who this helps: This research benefits patients with IgG4-related cholangitis and doctors specializing in treating liver diseases.

PubMed

Composition of plant-based diets and the incidence and prognosis of inflammatory bowel disease: a multinational retrospective cohort study.

2025

The Lancet regional health. Europe

Chen J, Sun Y, Dan L, Wellens J, Yuan S +17 more

Plain English
This study looked at how different types of plant-based diets affect the risk of developing inflammatory bowel disease (IBD) and the severity of the disease in those who already have it. Researchers found that people who followed a healthy plant-based diet had a 25% lower risk of developing IBD, while those who followed an unhealthy plant-based diet had a 48% higher risk. For individuals with IBD, a healthy diet reduced the need for related surgery by 50%, whereas an unhealthy diet increased the likelihood of needing surgery by 112%. Who this helps: This research benefits patients with IBD and healthcare providers by providing dietary guidance.

PubMed

Age-related impairment of intestinal inflammation resolution through an eicosanoid-immune-microbiota axis.

2025

Cell host & microbe

Goepp M, Milburn JV, Zhang B, Dong Y, Tyrrell V +21 more

Plain English
This study looked at how aging affects the body's ability to resolve intestinal inflammation. Researchers found that older adults have a harder time healing from inflammation due to changes in their gut bacteria and immune responses, specifically because of a substance called eicosanoids. They discovered that blocking the action of eicosanoids can improve this inflammation problem, showing that targeting these mechanisms might be a way to support gut health in older people. Who this helps: Older patients who experience intestinal inflammation.

PubMed

Microbial Patterns in Newly Diagnosed Inflammatory Bowel Disease Revealed by Presence and Transcriptional Activity - Relationship to Diagnosis and Outcome.

2025

Clinical and experimental gastroenterology

Vatn SS, Hansen SH, Tannæs TM, Brackmann S, Olbjørn C +13 more

Plain English
This study looked at the gut bacteria in 237 people newly diagnosed with inflammatory bowel disease (IBD) to understand how these microbes relate to different types of IBD and patient outcomes. Researchers found that certain bacteria differed significantly in numbers and activity levels between IBD patients and those without the disease; specifically, six bacteria distinguished IBD patients from symptomatic non-IBD controls, and 14 bacteria showed differences when comparing Crohn's disease patients with symptomatic controls. These findings matter because they suggest that gut bacteria could aid in diagnosing IBD and predicting treatment needs, but clinical markers like certain proteins in the blood were more useful. Who this helps: This helps patients with inflammatory bowel disease and their doctors.

PubMed

Development and validation of peripheral blood DNA methylation signatures to predict response to biological therapy in adults with Crohn's disease (EPIC-CD): an epigenome-wide association study.

2025

The lancet. Gastroenterology & hepatology

Joustra VW, Li Yim AYF, Henneman P, Hageman I, de Waard T +12 more

Plain English
This study looked at whether changes in DNA markers in the blood could predict how well adults with Crohn's disease would respond to three medications: adalimumab, vedolizumab, and ustekinumab. The researchers found that for vedolizumab and ustekinumab, they could identify specific DNA changes that suggested these drugs would be effective, with accuracy rates (measured by area under the curve) up to 0.89 for ustekinumab. However, they could not accurately predict responses to adalimumab, and the prediction models worked best for patients who had not used other treatments before. Who this helps: This helps patients with Crohn's disease and their doctors in choosing the most effective treatment.

PubMed

An exploratory single-cell analysis of peripheral blood mononuclear cells from vedolizumab-treated Crohn's disease patients identifies response-associated differences among the plasmacytoid dendritic cells and classical monocytes.

2025

Frontiers in immunology

Li Yim AYF, Hageman I, Joustra VW, Elfiky AMIM, Ghiboub M +14 more

Plain English
This study looked at how the immune cells in the blood of Crohn's disease patients respond to a treatment called vedolizumab (VDZ). It found that patients who did not improve after treatment had more T cells but fewer myeloid cells, particularly a type called plasmacytoid dendritic cells. Specifically, non-responders showed reduced activity in genes related to important immune pathways. Understanding these differences helps doctors identify why some patients don’t respond to VDZ, which can lead to better treatment strategies. Who this helps: This helps Crohn's disease patients who are not responding to current treatments.

PubMed

Gut microbiome comparability between DNA extraction kits.

2025

Gut

Young GR, Noor N, Khirwadkar A, Beck LC, Sharip MT +10 more

PubMed

Peripheral blood DNA methylation signatures to predict treatment response in Crohn's disease - Authors' reply.

2025

The lancet. Gastroenterology & hepatology

Li Yim AYF, Levin E, de Jonge WJ, Henneman P, Satsangi JJ +1 more

PubMed

Psychological Resilience and Mental Wellbeing Mitigate the Risk of Irritable Bowel Syndrome.

2025

The American journal of gastroenterology

Zhang M, Wellens J, Zhao J, Ji H, Sun J +6 more

Plain English
This study looked at how mental wellbeing impacts the risk of developing irritable bowel syndrome (IBS) by following 75,842 people over 12.4 years. It found that those with better mental health had a significantly lower chance of getting IBS; for example, people with high life satisfaction were 59% less likely to develop IBS compared to those with low life satisfaction. This is important because it suggests that improving mental health can help prevent IBS and highlights the potential for using psychological strategies as preventive measures. Who this helps: This helps patients dealing with IBS and mental health professionals.

PubMed

Considerations for peripheral blood transport and storage during large-scale multicentre metabolome research.

2024

Gut

Alexander JL, Wyatt NJ, Camuzeaux S, Chekmeneva E, Jimenez B +21 more

PubMed

Defining gene-lifestyle interactions in inflammatory bowel disease: progress towards understanding disease pathogenesis.

2024

Gut

Zhao J, Chen J, Sun Y, Yuan S, Wellens J +4 more

PubMed

Dietary Inflammatory Indices Are Not Associated With Inflammatory Bowel Disease Incidence and Progression.

2024

Inflammatory bowel diseases

Wellens J, Chen J, Fu T, Zhang Y, Kalla R +3 more

PubMed

Antibody, not Cellular, Immune Responses to SARS-CoV-2 Vaccination Outperform Infection in Inflammatory Bowel Disease Patients.

2024

Inflammatory bowel diseases

González Cueto E, Edmans M, Wellens J, Cadwell K, Thompson C +3 more

PubMed

Cytokine signature in convalescent SARS-CoV-2 patients with inflammatory bowel disease receiving vedolizumab.

2024

Scientific reports

Dallari S, Martinez Pazos V, Munoz Eusse J, Wellens J, Thompson C +5 more

Plain English
This study looked at how patients with inflammatory bowel disease (IBD) responded to the coronavirus, specifically comparing those treated with two different drugs: vedolizumab and infliximab. Researchers found that patients on vedolizumab who tested positive for antibodies to the virus had a unique pattern of immune signals, while those on infliximab did not show any significant differences based on antibody status. This is important because it helps us understand how these treatments affect the immune system's response to infections, which could impact future care for IBD patients. Who this helps: This helps patients with inflammatory bowel disease and their doctors in understanding treatment responses during viral infections.

PubMed

Sodium fluoride preserves blood metabolite integrity for biomarker discovery in large-scale, multi-site metabolomics investigations.

2024

The Analyst

Xiong W, Anthony DC, Anthony S, Ho TBT, Louis E +2 more

Plain English
Researchers studied different types of blood collection tubes to see how they affect the stability of blood metabolites, which are important for discovering health markers in large population studies. They found that using sodium fluoride/potassium oxalate tubes helped keep glucose and lactate levels consistent for up to 24 hours, whether the samples were stored in the fridge or at room temperature. This is significant because it means that blood samples can be processed later without losing important information about biomarkers, making research more reliable. Who this helps: This benefits researchers and doctors involved in biomarker studies and patient testing.

PubMed

Altered DNA methylation within DNMT3A, AHRR, LTA/TNF loci mediates the effect of smoking on inflammatory bowel disease.

2024

Nature communications

Zhang H, Kalla R, Chen J, Zhao J, Zhou X +12 more

Plain English
This study looked at how smoking affects the risk of developing inflammatory bowel disease (IBD), which includes conditions like Crohn's disease (CD) and ulcerative colitis (UC). Researchers found that both current and former smokers have a higher risk of developing these diseases, with significant findings showing a risk increase (P values of 7.09x10 and <2x10 for CD and UC, respectively). Changes in specific DNA regions related to smoking were linked to higher risks for both conditions, highlighting the harmful impact of smoking on gut health. Who this helps: This information helps patients and healthcare providers understand the risks of smoking related to inflammatory bowel disease.

PubMed

Safety and efficacy of autologous haematopoietic stem-cell transplantation with low-dose cyclophosphamide mobilisation and reduced intensity conditioning versus standard of care in refractory Crohn's disease (ASTIClite): an open-label, multicentre, randomised controlled trial.

2024

The lancet. Gastroenterology & hepatology

Lindsay JO, Hind D, Swaby L, Berntsson H, Bradburn M +28 more

Plain English
This study looked at whether a type of stem cell treatment combined with a lower dose of chemotherapy is safer and more effective for people with severe Crohn's disease compared to standard treatment. Researchers found that while the stem cell treatment helped reduce disease activity in 43% of patients, it came with serious side effects, including two deaths, making it not a good option for future use. This is important because it sheds light on the risks of experimental treatments in challenging cases of Crohn's disease. Who this helps: This helps doctors and healthcare providers understand the risks and benefits of advanced treatments for severe Crohn's disease.

PubMed

Use of immunomodulators in combination with infliximab in Crohn's disease: time for a reappraisal?

2024

The lancet. Gastroenterology & hepatology

Chapman TP, Ahmad T, Satsangi J

PubMed

Intestinal Inflammation and Extraintestinal Disease: Understanding Dynamic Risk.

2024

Gastroenterology

Ashton JJ, Satsangi J, Uhlig HH

PubMed

Defining predictors of responsiveness to advanced therapies in Crohn's disease and ulcerative colitis: protocol for the IBD-RESPONSE and nested CD-metaRESPONSE prospective, multicentre, observational cohort study in precision medicine.

2024

BMJ open

Wyatt NJ, Watson H, Anderson CA, Kennedy NA, Raine T +45 more

Plain English
This study is looking at how well advanced treatments for inflammatory bowel disease (IBD), like Crohn's disease and ulcerative colitis, work for patients. Researchers will track 1,325 patients starting these treatments at about 40 sites in the UK to create a tool that predicts which patients will benefit from these therapies. They hope that by understanding the relationship between genetics, gut bacteria, and patient characteristics, they can provide better treatment options and improve patients' quality of life. Who this helps: This helps patients suffering from inflammatory bowel disease.

PubMed

Immunogenicity of third dose COVID-19 vaccine strategies in patients who are immunocompromised with suboptimal immunity following two doses (OCTAVE-DUO): an open-label, multicentre, randomised, controlled, phase 3 trial.

2024

The Lancet. Rheumatology

Goodyear CS, Patel A, Barnes E, Willicombe M, Siebert S +43 more

Plain English
This research studied how well a third COVID-19 vaccine dose works for people with weakened immune systems who didn’t respond well to the first two doses. After receiving the third dose, most participants showed a significant increase in antibodies—specifically, the average level jumped from 11.5 to 1384 arbitrary units per milliliter, and 90% of previously low responders boosted their antibody levels to above 400 units. These findings matter because they demonstrate that a third vaccine can substantially enhance immunity in many immunocompromised patients, helping to protect a vulnerable group from COVID-19. Who this helps: This research helps immunocompromised patients and their healthcare providers.

PubMed

Challenges in IBD Research 2024: Precision Medicine.

2024

Inflammatory bowel diseases

Syed S, Boland BS, Bourke LT, Chen LA, Churchill L +13 more

Plain English
The study analyzed the current challenges in research related to inflammatory bowel diseases (IBDs), particularly focusing on how to provide personalized care to patients. Researchers found significant gaps in areas like identifying reliable biomarkers, which are needed to predict disease progression and select the right treatments for individuals. Addressing these gaps is crucial for improving patient care and advancing treatment options in IBD. Who this helps: This benefits patients with inflammatory bowel diseases.

PubMed

Identification and validation of a blood- based diagnostic lipidomic signature of pediatric inflammatory bowel disease.

2024

Nature communications

Salihovic S, Nyström N, Mathisen CB, Kruse R, Olbjørn C +25 more

Plain English
This study looked at blood samples from children with inflammatory bowel disease (IBD) to find a new way to diagnose the condition more accurately. Researchers identified a specific combination of two lipids, lactosyl ceramide and phosphatidylcholine, that improved diagnosis compared to a common test called C-reactive protein. Having this new blood test could help doctors diagnose pediatric IBD more effectively. Who this helps: This benefits patients, especially children with inflammatory bowel disease, and their doctors.

PubMed

Treatment strategies and biomarkers in Crohn's disease: the PROFILE trial.

2024

The lancet. Gastroenterology & hepatology

Satsangi J, Nowak J, Kalla R, Colombel JF

PubMed

Arthritis complicating inflammatory bowel disease- the future is now.

2024

The Lancet. Rheumatology

Song K, Satsangi J, Coates LC

Plain English
This study looks at how arthritis related to inflammatory bowel disease (IBD) is currently managed and finds that there hasn't been much progress in understanding or treating it. While other conditions like psoriatic arthritis have clear guidelines and treatments, IBD-related arthritis lacks specific diagnostic criteria and licensed treatments, which makes effective management difficult. It's important to create a focused approach for this type of arthritis, similar to what is done for other inflammatory diseases, to improve care for patients. Who this helps: This helps patients with inflammatory bowel disease who also suffer from arthritis.

PubMed

External validation of serum biomarkers predicting short-term and mid/long-term relapse in patients with Crohn's disease stopping infliximab.

2024

Gut

Pierre N, Huynh-Thu VA, Baiwir D, Mazzucchelli G, Fléron M +12 more

Plain English
This study looked at how certain blood proteins can predict the likelihood of relapse in patients with Crohn's disease after they stop taking a medication called infliximab. The research found that for patients who had been stable on a combination of treatments, specific protein patterns in their blood were linked to a higher risk of relapse, with accuracy rates for predicting short-term relapse reaching 80% and mid/long-term relapse reaching 68%. This matters because it shows that blood tests can help doctors make better decisions about safely stopping infliximab treatment. Who this helps: Patients with Crohn's disease considering stopping infliximab treatment.

PubMed

Exposure to air pollution increases susceptibility to ulcerative colitis through epigenetic alterations in CXCR2 and MHC class III region.

2024

EBioMedicine

Chen J, Zhang H, Fu T, Zhao J, Nowak JK +11 more

Plain English
This study looked at how air pollution affects the risk of developing ulcerative colitis (UC), a type of inflammatory bowel disease. Researchers analyzed data from over 450,000 people and found that higher exposure to certain air pollutants, such as nitrogen oxides and particulate matter, increased the risk of developing UC by 20-26%. The study also discovered that genetic factors and lifestyle choices can influence this risk, indicating that air pollution can cause changes in DNA that may make individuals more susceptible to UC. Who this helps: This information helps patients at risk for ulcerative colitis and healthcare providers in understanding environmental factors influencing the disease.

PubMed

Expanding therapeutic options in Crohn's disease.

2024

Lancet (London, England)

Chapman TP, Satsangi J

PubMed

Bidirectional Mendelian Randomisation Analysis Provides Evidence for the Causal Involvement of Dysregulation of CXCL9, CCL11 and CASP8 in the Pathogenesis of Ulcerative Colitis.

2023

Journal of Crohn's & colitis

Chen J, Zhou Y, Sun Y, Yuan S, Kalla R +18 more

Plain English
This study looked into the relationship between certain inflammatory proteins and the risk of developing ulcerative colitis (UC). Researchers found that two proteins, CXCL9 and CCL11, were linked to a 45% and 14% increased risk of UC, respectively, while another protein, CASP8, was also associated with a small increase in risk. Understanding these relationships is important because it helps identify potential targets for new treatments for UC. Who this helps: Patients with ulcerative colitis and healthcare providers treating them.

PubMed

Long-term Temporal Stability of Peripheral Blood DNA Methylation Profiles in Patients With Inflammatory Bowel Disease.

2023

Cellular and molecular gastroenterology and hepatology

Joustra V, Li Yim AYF, Hageman I, Levin E, Adams A +4 more

Plain English
This study looked at the stability of DNA methylation patterns in the blood of 46 patients with inflammatory bowel disease (IBD) over a median of 7 years. Researchers found that about 60% of the DNA sites showed poor stability, while around 9% were stable enough to be considered reliable markers, including 22 sites linked specifically to Crohn's disease and 11 to ulcerative colitis. This is important because it helps identify stable biomarkers that could improve diagnosis and treatment monitoring for IBD. Who this helps: This helps patients with inflammatory bowel disease and their doctors in managing their condition.

PubMed

Withdrawal of infliximab or concomitant immunosuppressant therapy in patients with Crohn's disease on combination therapy (SPARE): a multicentre, open-label, randomised controlled trial.

2023

The lancet. Gastroenterology & hepatology

Louis E, Resche-Rigon M, Laharie D, Satsangi J, Ding N +19 more

Plain English
This study looked at how stopping either the medication infliximab or immunosuppressants affects people with Crohn's disease who have been stable for some time. Researchers followed 207 patients who were divided into three groups: those who continued both treatments, those who stopped infliximab, and those who stopped the immunosuppressant. After two years, relapse rates were 12% in the combination group, 35% in the infliximab withdrawal group, and 9% in the immunosuppressant withdrawal group, indicating that stopping infliximab significantly increased the risk of relapse compared to continuing treatment. Who this helps: This helps patients with Crohn's disease and their doctors by providing guidance on managing long-term medication strategies.

PubMed

Antioxidants, minerals and vitamins in relation to Crohn's disease and ulcerative colitis: A Mendelian randomization study.

2023

Alimentary pharmacology & therapeutics

Chen J, Ruan X, Yuan S, Deng M, Zhang H +7 more

Plain English
This study looked at how levels of certain antioxidants, minerals, and vitamins in the body might influence the risk of developing Crohn's disease (CD) and ulcerative colitis (UC). The researchers found that higher levels of lycopene, vitamin D, and vitamin K1 were linked to a lower risk of CD, while higher magnesium levels were associated with a higher risk. For UC, higher levels of folate, zinc, and vitamin E were linked to a reduced risk, but higher calcium and magnesium levels increased the risk. Who this helps: This research can benefit patients at risk for Crohn's disease and ulcerative colitis by highlighting the importance of maintaining certain nutrient levels.

PubMed

Serum N-Glycomic Biomarkers Predict Treatment Escalation in Inflammatory Bowel Disease.

2023

Journal of Crohn's & colitis

Shubhakar A, Jansen BC, Adams AT, Reiding KR, Ventham NT +10 more

Plain English
Researchers studied a group of 244 newly diagnosed patients with inflammatory bowel disease (IBD) to find blood markers that could predict how their disease would progress and whether they would need stronger treatments. They discovered that certain blood markers, or "glycans," could indicate a high risk of needing advanced treatments, with a threat level nearly 26 times higher for one group and over 5 times higher for another group in a smaller sample. This is important because it could lead to more personalized treatment plans for patients with IBD, improving their care and outcomes. Who this helps: This helps patients with inflammatory bowel disease and their doctors in making treatment decisions.

PubMed

The Contribution of Genetic Risk and Lifestyle Factors in the Development of Adult-Onset Inflammatory Bowel Disease: A Prospective Cohort Study.

2023

The American journal of gastroenterology

Sun Y, Yuan S, Chen X, Sun J, Kalla R +15 more

Plain English
This study looked at how genetic factors and lifestyle choices contribute to the development of inflammatory bowel disease (IBD), focusing on Crohn’s disease and ulcerative colitis. Researchers found that individuals with a high genetic risk had more than twice the chance of developing these diseases, while those with poor lifestyle habits had a similar increased risk. Notably, people with high genetic risk who also maintained a healthy lifestyle reduced their risk of developing IBD by nearly half compared to those with unhealthy habits. Who this helps: This research benefits patients at risk of IBD by highlighting the importance of a healthy lifestyle in managing their genetic risk.

PubMed

Letter: disentangling the role of redox-active compounds in the development of inflammatory bowel diseases-moving towards causal associations. Authors' reply.

2023

Alimentary pharmacology & therapeutics

Chen J, Ruan X, Yuan S, Theodoratou E, Satsangi J +1 more

PubMed

Editorial: in search of environmental risk factors of Crohn's disease and ulcerative colitis with mendelian randomisation-authors' reply.

2023

Alimentary pharmacology & therapeutics

Chen J, Ruan X, Yuan S, Theodoratou E, Satsangi J +1 more

PubMed

Defining Interactions Between the Genome, Epigenome, and the Environment in Inflammatory Bowel Disease: Progress and Prospects.

2023

Gastroenterology

Noble AJ, Nowak JK, Adams AT, Uhlig HH, Satsangi J

Plain English
This study looked at how genes, environmental factors, and changes in gene function interact in causing inflammatory bowel disease (IBD). Researchers found that while over 200 gene locations linked to IBD have been identified, they only explain a small part of why some people get the disease. Environmental factors like gut bacteria, diet, and smoking can change how our genes work and might increase the risk of developing IBD, particularly during infancy and childhood, which is crucial for understanding and preventing the disease. Who this helps: This research benefits patients with IBD and their doctors by identifying potential new treatment and prevention strategies.

PubMed

Genome-Wide Methylation Profiling in 229 Patients With Crohn's Disease Requiring Intestinal Resection: Epigenetic Analysis of the Trial of Prevention of Post-operative Crohn's Disease (TOPPIC).

2023

Cellular and molecular gastroenterology and hepatology

Ventham NT, Kennedy NA, Kalla R, Adams AT, Noble A +6 more

Plain English
This study looked at the DNA of 229 patients with Crohn's disease who needed surgery to see if changes in DNA methylation could predict whether their disease would come back after the operation. Researchers found that specific changes in DNA methylation were linked to disease recurrence, including significant markers at five locations in the genome. This matters because understanding these changes could help doctors identify patients at higher risk for relapse after surgery and tailor their treatment accordingly. Who this helps: Patients with Crohn's disease undergoing surgery.

PubMed

Geography Influences Susceptibility to SARS-CoV-2 Serological Response in Patients With Inflammatory Bowel Disease: Multinational Analysis From the ICARUS-IBD Consortium.

2023

Inflammatory bowel diseases

Wong SY, Wellens J, Helmus D, Marlow L, Brann S +22 more

Plain English
This study examined how geography affects the immune response to COVID-19 in patients with inflammatory bowel disease (IBD) from different regions, including North America, Europe, and Asia, especially focusing on data from India. Researchers found that over 81% of IBD patients in Chandigarh had antibodies to the virus, while only 58% in Delhi and 0% in Hong Kong did. This research is important because it highlights significant differences in vulnerability to COVID-19 among IBD patients based on their location, which can influence how doctors advise their patients on safety and vaccination strategies. Who this helps: This benefits patients with inflammatory bowel disease and their healthcare providers.

PubMed

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

2023

Nature medicine

Barnes E, Goodyear CS, Willicombe M, Gaskell C, Siebert S +44 more

Plain English
This study looked at how well patients with weakened immune systems responded to COVID-19 vaccines. Out of nearly 2,700 patients, about 12% didn’t make enough antibodies after vaccination, and those on drugs like rituximab had the highest failure rates, with 72% not developing adequate immune responses. These findings are important because they highlight specific groups at higher risk for severe COVID-19, which can help doctors better target treatments for vulnerable patients. Who this helps: Patients with immune-suppressive diseases and their doctors.

PubMed

Generalised urticaria and angioedema complicating switch back from subcutaneous to intravenous vedolizumab therapy.

2023

Frontline gastroenterology

Chauhan D, Prabhu A, Cripps S, Misbah S, Griffiths K +3 more

Plain English
This study looked at a 34-year-old man with ulcerative colitis who had a negative reaction when changing from an intravenous form of vedolizumab to a subcutaneous form, and then suffered another allergic reaction when returning to the intravenous form. Specifically, he developed hives and had to stop using the medication altogether. This is important because it shows that patients might still have serious allergic reactions even if they've used the treatment before without any problems. Who this helps: This information can help doctors make safer treatment decisions for patients with ulcerative colitis.

PubMed

Current and emerging biomarkers for ulcerative colitis.

2023

Expert review of molecular diagnostics

Nowak JK, Kalla R, Satsangi J

Plain English
This study looked at ways to improve the management of ulcerative colitis (UC) by identifying specific biological markers called biomarkers. Researchers found several promising biomarkers that can help diagnose UC accurately (like a test with an accuracy score of 0.99), assess how active the disease is, and predict how well patients will respond to treatments. This is important because it can lead to more personalized and effective care for people with UC. Who this helps: Patients with ulcerative colitis will benefit from these advancements in diagnosis and treatment.

PubMed

Publication data sourced from PubMed . Plain-English summaries generated by AI. Not medical advice.