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确诊为囊性纤维化的儿童粪便中钙卫蛋白的浓度。

The concentration of calprotectin in the stools of children with diagnosed cystic fibrosis.

作者信息

Więcek Sabina, Woś Halina, Kordys-Darmolińska Bożena, Sankiewicz-Szkółka Magda, Grzybowska-Chlebowczyk Urszula

机构信息

Department of Paediatrics, Medical University of Silesia, Katowice, Poland.

出版信息

Prz Gastroenterol. 2017;12(1):38-43. doi: 10.5114/pg.2016.58897. Epub 2016 Mar 30.

Abstract

INTRODUCTION

Calprotectin is a protein that plays a regulatory role in inflammatory reactions as an antibacterial and antiproliferative factor.

AIM

To assess the concentration of calprotectin in the stools of patients with diagnosed cystic fibrosis.

MATERIAL AND METHODS

Forty-one patients were included in the study, 24 boys and 17 girls, aged from 7 weeks to 18 years. The concentration of calprotectin in stools was assessed with the ELISA method. The analysis included clinical symptoms and the results of laboratory tests and the type of mutation.

RESULTS

An elevated level of calprotectin in the stool was observed in 4/41 (9.7%) patients, mainly in older children, and mainly delta F508/deltaF508 mutation. The correlation between the concentration of calprotectin and clinical symptoms, age, increased indicators of an inflammatory process, levels of protein and aminotransferases in blood serum and the values of acid steatocrit of the stool was not proven.

CONCLUSIONS

High concentrations of calprotectin in the stools of children with diagnosed cystic fibrosis do not correlate with the level of advancement of lesions within the gastrointestinal tract. Elevated concentrations of calprotectin in the stools of patients with cystic fibrosis may indicate inflammation of intestine and should be further scrutinised.

摘要

引言

钙卫蛋白是一种在炎症反应中作为抗菌和抗增殖因子发挥调节作用的蛋白质。

目的

评估已确诊囊性纤维化患者粪便中钙卫蛋白的浓度。

材料与方法

41名患者纳入研究,其中24名男孩和17名女孩,年龄从7周至18岁。采用酶联免疫吸附测定法评估粪便中钙卫蛋白的浓度。分析包括临床症状、实验室检查结果及突变类型。

结果

4/41(9.7%)名患者粪便中钙卫蛋白水平升高,主要为大龄儿童,且主要为ΔF508/ΔF508突变。未证实钙卫蛋白浓度与临床症状、年龄、炎症过程指标升高、血清蛋白和转氨酶水平以及粪便酸脂肪含量值之间存在相关性。

结论

已确诊囊性纤维化儿童粪便中高浓度的钙卫蛋白与胃肠道内病变进展程度无关。囊性纤维化患者粪便中钙卫蛋白浓度升高可能表明肠道炎症,应进一步检查。

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Severe disease in Cystic Fibrosis and fecal calprotectin levels.囊性纤维化中的严重疾病与粪便钙卫蛋白水平
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Evidence of intestinal inflammation in patients with cystic fibrosis.囊性纤维化患者的肠道炎症证据。
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