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Heavy Metal Index

Centre for Liver and Gastrointestinal Research, University of Birmingham, Birmingham, UK

Source

This source page is a mechanical bulk-ingest record for a PDF in the research-pulls corpus.

Page snapshot
Cited by3 pages
Metals measured1
Evidence tierB
Year2025

Overview

This source page is a mechanical bulk-ingest record for a PDF in the research-pulls corpus. It preserves source-level identity, routeable product/analyte scope, and exact extracted numeric lines for later human or fresh-context audit. It does not derive HMTc thresholds, percentiles, or brand-by-brand comparisons.

Key numbers

The worker extracted the full PDF text with layout preservation twice and compared extraction hashes before commit. The following lines are copied from numeric/table-bearing regions of the PDF and retain the source units and wording where legible:

  • Intestinal fibrosis is a common complication of Crohn’s dis- in over 50% of CD patients.2 The fibrostenotic CD pheno-
  • including the sum of squares for the selected component (R2) presented as a median with a 95% confidence interval.
  • streptomycin, ampicillin, and gentamicin 1%. The tissue mass
  • In addition, a validation experiment was designed to estimate containing digestion media (2.5% FCS, RPMI 1640, liberase,
  • cific sample sizes (eg, 5, 10, 15, 50, 100, etc.) were selected tissue was then washed with 10% FBS and RPMI, and filtered
  • processed for cDNA synthesis and library preparation using Fibrostenotic CD patients undergoing surgery, N = 9
  • tain 5000 cells per sample. Disease duration (years) median (IQR) 14 (3.5-28.5)
  • using adapter sequences as described in Table S1. Sequencing Age at diagnosis, n (%)
  • CellRanger’s count command. L2 (colonic) 0
  • FindAllMarkers() function. Clusters closely apposed in the Previous bowel surgery for CD, n (%) 2 (22)
  • resembling fibroblasts, epithelial cells, endothelial cells, and Mesalamine, n (%) 1 (11)
  • gene expression levels across cells were generated using the Immunosuppressive, n (%) 3 (33)
  • Montreal Classification, all patients were classified as having CRP mcg/mL, median (IQR) 16 (2.5-30)
  • a fibrotic B2 behavior and L1 phenotype, confirmed at a mul- Albumin g/dL, median (IQR) 43 (38.5-44)
  • tidisciplinary meeting of IBD gastroenterologists, colorectal Fecal calprotectin, median (IQR) 128 (82-248)
  • tion on the main characteristics of the study population at Ileo-caecal resection, n (%) 3 (33)
  • Ileal resection, n (%) 4 (44)
  • and the serine protease inhibitor protein E1 (SERPINE1). differentiating stricture, with a combined AUC of 0.95 (95%
  • B (EDNRB), and lymphocyte antigen 96 (LY96). In addi- of at least 75% to diagnose strictures within a sample size of
  • fibrostenotic CD surgical patients (Table S2). As illustrated margins compared to strictures, without reaching statistical
  • least 75% to diagnose strictures within a sample size of 20 patients.
  • (95% CI: 0.56-0.89), while GREM1 showed an AUC of 0.65 thelial cells and Thy1(CD90) + fibroblasts expressing collagen
  • (95% CI: 0.47-0.81). When all genes were combined, the di- transcripts (COL1A1 and COL1A2) and platelet-derived
  • strictures (Table S3). Across all patients, we sequenced 31.195 margins (Figure S4A). Similarly, SRM showed expression in
  • ciated with intestinal barrier integrity, such as KLF5, known Currently, there is a notable absence of biomarkers for
  • activation of intestinal fibroblasts through enhanced fatty cell viability and the loss of up to 60% of tissue cells during

Methods (brief)

  • samples for bulk transcriptomics. Differentially expressed genes (DEGs) were identified (adj. P value < .05), and machine learning analyses
  • samples and do not take into account the different stages of
  • relevant demographic and clinical data were collected and
  • to microbes-driven tissue remodeling via M2 macrophages.7 Samples Collection
  • meticulously dissected fresh samples from 3 sites: 1 from the
  • the segments of the strictured intestine. Study samples were
  • the adhesion molecule CDH11 was found to be broadly Tissue samples from different segments were stored in RNA
  • 1–3 million reads/sample. FastQ files were obtained through To elucidate the biological significance and pathways, enrich-
  • adjusted P value < .05 and a fold change of 2 were considered genes and literature evidence. Samples from nine patients
  • differentially expressed. Normalized transcripts per million considered in bulk RNA-seq and additional samples from 5
  • with < 1 transformed count in any sample were excluded, as was extracted from intestinal samples using the RNeasy
  • Tissue samples were stored overnight at 4 °C in MACS
  • Sample size estimation × 1 mm2 or less and transferred into gentleMACS C tubes
  • In addition, a validation experiment was designed to estimate containing digestion media (2.5% FCS, RPMI 1640, liberase,
  • the required number of samples to capture the effect size of deoxyribonuclease I, penicillin-streptomycin, ampicillin and
  • selected genes. gentamicin). Digestion was performed at 37 °C shaking at ap-
  • cific sample sizes (eg, 5, 10, 15, 50, 100, etc.) were selected tissue was then washed with 10% FBS and RPMI, and filtered
  • each group at the specified sample sizes. A defined Cohen’s d counted, stained with propidium iodide to detect dead cells,

Implications

This page makes the source discoverable for category-level evidence routing. Values remain source-native and should be used only with the stated matrix, species, basis, geography, and censoring context from the paper. The page does not convert total mercury to methylmercury or use total arsenic as inorganic arsenic.

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Verification notes

  • Identity check: DOI, raw handle, candidate cite-key, and SHA-256 were compared against existing wiki/sources/ pages before creation.
  • Full-PDF read: pdftotext -layout was run on the full PDF twice; extracted text hashes matched before the page was written.
  • Numeric verification: numeric/table-bearing lines were selected mechanically from the verified extraction and preserved without unit conversion or rounding.
  • Brand firewall: the worker skips PDFs when extracted numeric lines appear brand/manufacturer-sensitive; this page contains category-level or species-level evidence only.
  • HMTc firewall: no threshold, percentile, pass/fail, clean/dirty, or certification math is stated.

Update history

The five most recent substantive edits to this page, classified major (evidence or structure moved), correction (a published value or statement was wrong and has been fixed), or minor (narrative rewritten without changing the underlying evidence). Each description is derived from what the edit did to this page; the linked commit is the authoritative record, routine regeneration passes are excluded, and the full version history lives in git. When DOI minting comes online (see schema docs), each entry below will also link to a version-pinned DataCite DOI.

CommitDateChangeDescription
b01ec52c2026-08-04major2 sections added
d49e450f2026-08-03major5 sections added; narrative text revised