唾液calprotectin作为一个生物标志物在早期发病的炎症性肠病:一个试点研究研究
Simone Liguori1, Gennaro Musella1,2, Daniela Adamo1,3
1Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80138 Naples, Italy.
Journal of clinical medicine
|June 26, 2025
概括
唾液calprotectin (SCP) 是早期发病的炎症性肠病 (EOIBD) 的生物标志物,特别是在有口腔表现的儿童中. 升高的SCP水平与疾病活动相关,并预测复发风险.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 生物标志物发现发现
- 炎症性肠道疾病研究研究
背景情况:
- 早期发病的炎症性肠病 (EOIBD) 管理需要可靠的生物标志物.
- 口腔表现 (OM) 在EOIBD中很常见,但它们与疾病活动和预后的关联尚未完全理解.
- 唾液calprotectin (SCP) 是一种新兴的胃肠道炎症生物标志物.
研究的目的:
- 评估唾液蛋白 (SCP) 作为早期发作的炎症性肠病 (EOIBD) 的新生物标志物.
- 将EOIBD患者和健康对照人群之间的SCP水平进行比较,并根据口腔表现 (OM) 进行区分.
- 将SCP与便calprotectin (FCP) 相关联,并评估其对疾病复发的预后准确性.
主要方法:
- 从27名EOIBD患者和9名健康对照人群收集了唾液样本,通过ELISA进行SCP测量.
- 从便样本中评估了便中的calprotectin (FCP).
- 在基线和12周随访期间,使用PUCAI/PCDAI监测疾病活动.
主要成果:
- 有OM的EOIBD患者的SCP水平明显高于没有OM和对照患者.
- 在OM的EOIBD中,较高的SCP与阳性FCP相关,表明肠道炎症.
- 在OM的EOIBD中,较高的SCP水平与疾病复发的风险增加有关.
结论:
- 在OM的EOIBD患者中,SCP显著升高,与肠道炎症相关.
- SCP显示出作为预后生物标志物的潜力,用于预测EOIBD和OM儿童的复发风险.
- 唾液calprotectin可能有助于管理儿科炎症性肠病,特别是当口腔症状存在时.
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