Service d'Immunologie, Pôle de Biologie, Hôpital de la Conception, Assistance Publique-Hôpitaux de Marseille, Marseille, France ; Aix-Marseille Université, Centre national de la recherche scientifique, Neurobiologie des Interactions Cellulaires et Neurophysiopathologie UMR 7259, Marseille, France.
PLoS One. 2013 Nov 26;8(11):e80433. doi: 10.1371/journal.pone.0080433. eCollection 2013.
Antibodies against Saccharomyces cerevisiae (ASCA) and Escherichia coli outer membrane porin C (anti-OmpC) are known to be detectable in the serum of patients with Crohn's disease (CD) but display a very poor sensitivity for the disease especially in forms with isolated colonic involvement. In this study we aimed at evaluating performances of these markers in supernatant of cultured colonic biopsies. Patients with colonic CD (n = 67), ulcerative colitis (UC) (n = 35) and control individuals (n = 37) were prospectively recruited for colonoscopy pinch biopsies and blood sampling. Serum and supernatant of culture tissues were analyzed for ASCA and anti-OmpC. Direct immunofluorescence was also performed on colonic tissues for total IgA detection. We detected for the first time ASCA IgA/IgG and anti-OmpC IgA in cultured colonic tissue supernatants. For both markers, sensitivities for diagnosing CD were better in supernatants (ASCA: 53.7%, anti-OmpC: 28.4%) than in serum (ASCA: 31.3%, anti-OmpC: 22.4%). Combination of results from a panel of these tests gave the greatest sensitivity ever described for CD diagnosis in colonic forms (70.2%). In this study, we described, for the first time, ASCA in supernatant of colonic tissue cultures. This assaying approach in CD diagnosis should be taken into consideration in the future especially in CD forms with isolated colonic involvement.
抗酿酒酵母抗体(ASCA)和大肠埃希菌外膜孔蛋白 C(抗-OmpC)已被证实可在克罗恩病(CD)患者的血清中检测到,但对该疾病的敏感性非常差,尤其是在孤立性结肠受累的形式中。本研究旨在评估这些标志物在培养的结肠活检物上清液中的表现。前瞻性招募了 67 例结肠 CD 患者、35 例溃疡性结肠炎(UC)患者和 37 名对照个体进行结肠镜活检和采血。分析血清和培养组织上清液中的 ASCA 和抗-OmpC。还对结肠组织进行直接免疫荧光检测以检测总 IgA。我们首次在培养的结肠组织上清液中检测到 ASCA IgA/IgG 和抗-OmpC IgA。对于这两种标志物,在上清液中诊断 CD 的敏感性均高于血清(ASCA:53.7%,抗-OmpC:28.4%)(ASCA:31.3%,抗-OmpC:22.4%)。该检测组合对诊断结肠形式 CD 的敏感性达到了迄今为止最高的描述。在这项研究中,我们首次在结肠组织培养物的上清液中描述了 ASCA。在未来,特别是在孤立性结肠受累的 CD 形式中,应考虑将这种方法用于 CD 诊断。
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