Publications by authors named "Matthew Shale"

Article Synopsis
  • Advances in inflammatory bowel disease (IBD) management over the last five years have prompted the need for updated guidelines, with a focus on creating a new protocol to reflect recent changes since the 2019 guidelines.
  • The guideline development will use the GRADE system for evaluating the quality of evidence, incorporating input from a diverse group of healthcare professionals, and will follow a structured online Delphi process to reach consensus on key questions regarding patient care.
  • Comprehensive reviews of existing evidence will be conducted using established tools to ensure reliability, with recommendations categorized under GRADE standards or best practice statements, all of which have received approval from relevant medical committees in the UK.
View Article and Find Full Text PDF

IL-23 is a key driver of pathogenic Th17 cell responses. It has been suggested that the transcription factor T-bet is required to facilitate IL-23-driven pathogenic effector functions; however, the precise role of T-bet in intestinal T cell responses remains elusive. Here, we show that T-bet expression by T cells is not required for the induction of colitis or the differentiation of pathogenic Th17 cells but modifies qualitative features of the IL-23-driven colitogenic response by negatively regulating IL-23R expression.

View Article and Find Full Text PDF

The gut microbiome is significantly altered in inflammatory bowel diseases, but the basis of these changes is not well understood. We have combined metagenomic and metatranscriptomic profiling of the gut microbiome to assess modifications to both bacterial community structure and transcriptional activity in a mouse model of colitis. By using transcriptomic analysis of colonic tissue and luminal RNA derived from the host, we have also characterised how host transcription relates to the microbial transcriptional response in inflammation.

View Article and Find Full Text PDF

Intestinal CD4(+) T cells are essential mediators of immune homeostasis and inflammation. Multiple subsets of CD4(+) T cells have been described in the intestine, which represents an important site for the generation and regulation of cells involved in immune responses both within and outside of the gastrointestinal tract. Recent advances have furthered our understanding of the biology of such cells in the intestine.

View Article and Find Full Text PDF

Background: The optimal endoscopic investigation of diarrhea in patients under age 50 without specific features of right-sided colonic/ileal disease is inadequately defined.

Objective: To assess the potential additional yield of colonoscopy over flexible sigmoidoscopy (FS) in this group.

Design: Retrospective cohort study.

View Article and Find Full Text PDF

Objectives: The epidemiology of gastrointestinal neuroendocrine tumors (GI-NETs) is poorly understood. Recent analyses have suggested changes in the incidence and distribution of such tumors, but have generally used data sets containing small patient numbers. We aimed to define trends in the epidemiology of GI-NETs in England over a 36-year period.

View Article and Find Full Text PDF

Introduction: Anti-tumour necrosis factor (TNF) therapy is increasingly used in the management of inflammatory bowel disease; however, concerns have been raised regarding risk of infection with such drugs. Little is known about their effect upon viral infection.

Sources Of Data: A search of PubMed using the terms 'infliximab', 'etanercept', 'adalimumab' or 'anti-TNF therapy' combined with the names of specific viruses was performed.

View Article and Find Full Text PDF