囊性纤维化中肠道功能障碍的量化:个体间和个体内可变性
Laura A Duckworth1, Kimberly A Sutton1, Nurmohammad Shaikh1
1Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Washington University in St Louis, St Louis, MO.
The Journal of pediatrics
|October 22, 2023
概括
像便中利波卡林-2 (fLcn2) 这样的生物标志物在囊性纤维化 (CF) 肠道功能障碍中升高,可以预测肺功能下降. 需要进一步的研究来确认FLcn2的存在.
科学领域:
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
- 生物标志物发现发现
背景情况:
- 囊性纤维化 (CF) 与胃肠功能障碍有关.
- 在CF中确定肠道功能障碍的可靠生物标志物对于患者管理至关重要.
- 现有的生物标志物需要验证其可重复性和与临床结果的相关性.
研究的目的:
- 评估小儿囊性纤维化 (CF) 患者肠道功能障碍的生物标志物.
- 评估这些生物标志物在短时间间隔 (2周至3个月) 的可重复性.
- 确定生物标志物的个体间变化是否与CF的临床结果相关.
主要方法:
- 一项涉及1至21岁CF儿童的横截面,有限的纵向研究.
- 对血液和便样本进行肠道炎症标志物 (便calprotectin [fCal],脂素-2 [fLcn2],新素) 和透性的分析.
- 使用了酶免疫试验,对照样本来自没有CF的儿童.
主要成果:
- 便中的calprotectin (fCal),lipocalin-2 (fLcn2) 和neopterin在CF患者中明显高于对照组.
- fCal与体重对年龄z-score,BMIz-score和1秒内强制呼气体积 (FEV1) 的变化存在负相关性.
- fLcn2与FEV1有负相关性,这表明与肺功能下降有联系.
结论:
- 便中的脂素-2 (fLcn2) 在患有CF的个体中升高,可以作为恶化肺功能的预测因素.
- 建议进行进一步的研究,以探索fLcn2与CF的其他临床结果之间的相关性.
- 观察到LPS抗体的个体内稳定性,但其他标记物显示出变化.
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