Chair and Department of Cell Biology, Poznan University of Medical Sciences, Rokietnicka 5D, 60-806 Poznań, Poland.
Institute of Microecology, Sielska 6, 60-129 Poznań, Poland.
Biomolecules. 2022 Nov 29;12(12):1781. doi: 10.3390/biom12121781.
Alterations to the intestinal barrier may be involved in the pathogenesis of various chronic diseases. The diagnosis of mucosal barrier disruption has become a new therapeutic target for disease prevention. The aim of this study was to determine whether various patient demographic and biometric data, often not included in diagnostic analyses, may affect calprotectin, zonulin, and sIgA biomarker values. Stool markers' levels in 160 samples were measured colorimetrically. The analysis of twenty key bacteria (15 genera and 5 species) was carried out on the basis of diagnostic tests, including cultures and molecular tests. The concentrations of selected markers were within reference ranges for most patients. The sIgA level was significantly lower in participants declaring probiotics supplementation ( = 0.0464). We did not observe differences in gastrointestinal discomfort in participants. We found significant differences in the sIgA level between the 29-55 years and >55 years age-related intervals groups ( = 0.0191), together with a significant decreasing trend ( = 0.0337) in age-dependent sIgA concentration. We observed complex interdependencies and relationships between their microbiota and the analyzed biomarkers. For correct clinical application, standardized values of calprotectin and sIgA should be determined, especially in elderly patients. We observed a correlation between the composition of the gut community and biomarker levels, although it requires further in-depth analysis.
肠道屏障的改变可能与各种慢性疾病的发病机制有关。黏膜屏障破坏的诊断已成为疾病预防的新治疗靶点。本研究旨在确定通常不包含在诊断分析中的各种患者人口统计学和生物计量学数据是否可能影响钙卫蛋白、紧密连接蛋白和 sIgA 生物标志物值。通过比色法测量了 160 个样本中的粪便标志物水平。根据诊断测试(包括培养和分子测试)对 20 种关键细菌(15 个属和 5 个种)进行了分析。大多数患者的选定标志物浓度均在参考范围内。宣称补充益生菌的参与者 sIgA 水平显著降低( = 0.0464)。我们没有观察到参与者胃肠道不适的差异。我们发现 29-55 岁和>55 岁年龄相关间隔组之间 sIgA 水平存在显著差异( = 0.0191),同时 sIgA 浓度呈显著下降趋势( = 0.0337)。我们观察到它们的微生物群和分析生物标志物之间存在复杂的相互依存和关系。为了正确的临床应用,应该确定钙卫蛋白和 sIgA 的标准化值,尤其是在老年患者中。我们观察到肠道群落组成与生物标志物水平之间存在相关性,尽管这需要进一步深入分析。