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克罗恩病和溃疡性结肠炎的唾液应激/免疫标志物。

Salivary Stress/Immunological Markers in Crohn's Disease and Ulcerative Colitis.

机构信息

Research Centre for Food and Nutrition, CREA (Council for Agricultural Research and Economics), Via Ardeatina 546, 00178 Rome, Italy.

Department of Nursing, Faculty of Nursing and Podiatry, University of Valencia, c/Jaume Roig s/n, 46010 Valencia, Spain.

出版信息

Int J Mol Sci. 2020 Nov 13;21(22):8562. doi: 10.3390/ijms21228562.

DOI:10.3390/ijms21228562
PMID:33202858
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7698267/
Abstract

There is continuous and growing interest in research into new alternatives to standard biomarkers to detect and follow-up disease, reducing physical and psychological stress in patients needing regular and invasive medical examinations for the evaluation of pathologies, including inflammatory bowel diseases (IBD). Saliva is one of the most promising body fluids in the research of new biomarkers, thanks to the large number of molecules it contains. Many molecules present in saliva are often directly correlated to their concentration in the blood but may be affected by the condition of the oral cavity. This means that a careful selection of a specific biomarker is required for each pathology, especially pathologies such as IBD, which may induce inflammation in the oral cavity. Here, we analyze the currently used and the proposed new salivary biomarkers (i.e., calprotectin, cytokines, IgA, cortisol, and oxidative stress markers) for the detection and follow-up of the main subtypes of IBD, known as ulcerative colitis and Crohn's disease.

摘要

人们对研究新的替代标准生物标志物的兴趣持续增长,以检测和跟踪疾病,减轻需要定期进行侵入性医学检查以评估病理学(包括炎症性肠病[IBD])的患者的身心压力。唾液是研究新生物标志物最有前途的体液之一,这要归功于它所含有的大量分子。唾液中存在的许多分子通常与其在血液中的浓度直接相关,但可能受到口腔状况的影响。这意味着需要为每种病理学选择特定的生物标志物,特别是像 IBD 这样的病理学,它可能会引起口腔炎症。在这里,我们分析了目前用于检测和跟踪主要 IBD 亚型(即溃疡性结肠炎和克罗恩病)的唾液生物标志物(即钙卫蛋白、细胞因子、IgA、皮质醇和氧化应激标志物)。

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本文引用的文献

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Serological cytokine signature in paediatric patients with inflammatory bowel disease impacts diagnosis.儿科炎症性肠病患者的血清细胞因子特征影响诊断。
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Oral health and salivary function in ulcerative colitis patients.溃疡性结肠炎患者的口腔健康和唾液功能。
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Physiological and psychological stress in pregnant women with quiescent inflammatory bowel disease: A pilot study using salivary biomarkers.患有静止期炎症性肠病的孕妇的生理和心理压力:一项使用唾液生物标志物的初步研究。
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The Intermucosal Connection between the Mouth and Gut in Commensal Pathobiont-Driven Colitis.口腔与肠道共生菌驱动的结肠炎中的黏膜连接。
Cell. 2020 Jul 23;182(2):447-462.e14. doi: 10.1016/j.cell.2020.05.048. Epub 2020 Jun 16.
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Salivary and Serum Inflammatory Profiles Reflect Different Aspects of Inflammatory Bowel Disease Activity.唾液和血清炎症特征反映了炎症性肠病活动的不同方面。
Inflamm Bowel Dis. 2020 Sep 18;26(10):1588-1596. doi: 10.1093/ibd/izaa190.
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