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炎症性肠病疾病活动的生物标志物

Biological markers of disease activity in inflammatory bowel diseases.

作者信息

Szymanska Edyta, Szymanska Sylwia, Dadalski Maciej, Kierkus Jaroslaw

机构信息

Department of Gastroenterology, Hepatology, Feeding Disorders, and Paediatrics, The Children's Memorial Health Institute, Warsaw, Poland.

出版信息

Prz Gastroenterol. 2023;18(2):141-147. doi: 10.5114/pg.2023.129412. Epub 2023 Jul 27.

DOI:10.5114/pg.2023.129412
PMID:37538284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10395055/
Abstract

Inflammatory bowel diseases (IBD) are chronic intestinal conditions of multifactorial aetiology including genetic susceptibility, immunological impairment, dysbiosis, and environmental factors. The diagnosis is based on both clinical and endoscopic features, wherein histopathological evaluation remains a gold diagnostic standard. However, fast, reliable, and non-invasive biological markers have been used for years for diagnosis as well as for disease activity monitoring. Currently, commonly used faecal calprotectin is the only biomarker approved and recommended by the European Crohn's and Colitis Organization (ECCO). Nonetheless, other biological markers discriminating between functional and organic bowel conditions have been widely studied. Therefore, the aim of this manuscript was to review new potential biomarkers of inflammation in IBD. The aim of this study was to review currently available biomarkers of intestinal inflammation and increased gut permeability in IBD.

摘要

炎症性肠病(IBD)是一种多因素病因的慢性肠道疾病,包括遗传易感性、免疫功能损害、肠道菌群失调和环境因素。诊断基于临床和内镜特征,其中组织病理学评估仍然是金标准诊断方法。然而,快速、可靠且非侵入性的生物标志物多年来一直用于诊断以及疾病活动监测。目前,常用的粪便钙卫蛋白是欧洲克罗恩病和结肠炎组织(ECCO)批准并推荐的唯一生物标志物。尽管如此,其他区分功能性和器质性肠道疾病的生物标志物也得到了广泛研究。因此,本手稿的目的是综述IBD炎症的新潜在生物标志物。本研究的目的是综述IBD中目前可用的肠道炎症和肠道通透性增加的生物标志物。

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Biological markers of disease activity in inflammatory bowel diseases.炎症性肠病疾病活动的生物标志物
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本文引用的文献

1
Clinical Significance of Serum Elafin in Children with Inflammatory Bowel Disease.血清弹性蛋白酶在炎症性肠病患儿中的临床意义
Biomedicines. 2022 Dec 16;10(12):3267. doi: 10.3390/biomedicines10123267.
2
Anti-Proteinase 3 Antibodies as a Biomarker for Ulcerative Colitis and Primary Sclerosing Cholangitis in Children.抗蛋白酶 3 抗体作为儿童溃疡性结肠炎和原发性硬化性胆管炎的生物标志物。
J Pediatr Gastroenterol Nutr. 2022 Apr 1;74(4):463-470. doi: 10.1097/MPG.0000000000003359. Epub 2021 Nov 24.
3
New noninvasive biomarkers of intestinal inflammation and increased intestinal permeability in pediatric inflammatory bowel diseases and their correlation with fecal calprotectin: a pilot study.儿童炎症性肠病中肠道炎症和肠道通透性增加的新型非侵入性生物标志物及其与粪便钙卫蛋白的相关性:一项初步研究。
Minerva Gastroenterol (Torino). 2023 Dec;69(4):504-510. doi: 10.23736/S2724-5985.22.03156-4. Epub 2022 Apr 19.
4
Fecal Zonulin as a Noninvasive Biomarker of Intestinal Permeability in Pediatric Patients with Inflammatory Bowel Diseases-Correlation with Disease Activity and Fecal Calprotectin.粪便连蛋白作为炎症性肠病患儿肠道通透性的无创生物标志物——与疾病活动度及粪便钙卫蛋白的相关性
J Clin Med. 2021 Aug 30;10(17):3905. doi: 10.3390/jcm10173905.
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The level of faecal calprotectin as a noninvasive biomarker of mucosal healing in children with ulcerative colitis.粪便钙卫蛋白水平作为溃疡性结肠炎患儿黏膜愈合的非侵入性生物标志物。
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Inflammatory Bowel Disease Presentation and Diagnosis.炎症性肠病的表现和诊断。
Surg Clin North Am. 2019 Dec;99(6):1051-1062. doi: 10.1016/j.suc.2019.08.001. Epub 2019 Sep 11.