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Related Concept Videos

Serum Laboratory Studies, Stool Test, Breath Test01:30

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Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
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Bioluminescent Bacterial Imaging In Vivo
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Luminally expressed gastrointestinal biomarkers.

Gerard Cummins1, Diana E Yung2, Ben F Cox3

  • 1a Institute of Sensors, Signals and Systems, School of Engineering and Physical Sciences , Heriot-Watt University , Edinburgh , UK.

Expert Review of Gastroenterology & Hepatology
|August 30, 2017
PubMed
Summary

This review explores gastrointestinal biomarkers for inflammatory bowel disease and colorectal cancer. While some markers like faecal calprotectin are established, many lack sufficient sensitivity and specificity for widespread clinical use.

Keywords:
Biomarkerfaecal calprotectinfaecal occult blood testingfatty acid binding proteinsgastrointestinal diseaselactoferrinmicrobiomemucinsphagocyte derived proteinvolatilome

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Area of Science:

  • Gastroenterology
  • Biomarker Discovery
  • Oncology

Background:

  • Biomarkers are crucial indicators of biological processes, disease, and treatment response.
  • Identifying clinically useful biomarkers faces significant challenges before widespread adoption.
  • This review focuses on gastrointestinal biomarkers for inflammatory bowel disease (IBD) and colorectal cancer (CRC).

Purpose of the Study:

  • To provide a comprehensive overview of existing and emerging biomarkers for IBD and CRC.
  • To discuss the clinical utility and limitations of current biomarkers.
  • To highlight potential future biomarkers for improved diagnosis and monitoring.

Main Methods:

  • Literature review of established and novel biomarkers for gastrointestinal diseases.
  • Analysis of biomarkers including inflammatory markers (e.g., faecal calprotectin), malignancy markers (e.g., Stool DNA), and other indicators.
  • Inclusion of emerging markers such as microbiota, volatile organic compounds, and pH.

Main Results:

  • Several biomarkers are clinically accepted, including faecal calprotectin (FC), S100A12, and Fatty Acid Binding Proteins (FABP) for inflammation.
  • Malignancy markers such as Faecal Occult Blood, Mucins, and Stool DNA are also utilized.
  • Emerging biomarkers like faecal microRNA (miRNA), microbiota, and volatile organic compounds show promise but require further validation.

Conclusions:

  • Currently, few biomarkers like FC are fully validated for routine clinical use in gastrointestinal diseases.
  • Many existing biomarkers exhibit limitations in sensitivity and specificity.
  • Further research and validation are essential for emerging biomarkers to enhance the diagnosis and management of IBD and CRC.