在炎症性肠道疾病的代谢中进行诊断前的变化
Camilla Engel Lemser1, Adam Koziol1, Sanne Grundvad Boelt2
1PREDICT Center for Molecular Prediction of Inflammatory Bowel Disease, Department of Clinical Medicine, Aalborg University, Copenhagen, Denmark.
在炎症性肠病 (IBD) 诊断前长达14年的血清代谢物变化被观察到,提供了早期生物标志物. 这些发现表明IBD发展的临床前阶段很长,特别是在克罗恩病中.
科学领域:
- 代谢学 代谢学 代谢学
- 生物标志物发现发现
- 胃肠病学 胃肠病学
背景情况:
- 血清代谢物受到遗传学,环境和肠道微生物群的影响.
- 炎症性肠病 (IBD) 具有复杂的病因,具有潜在的预诊断阶段.
- 早期识别IBD生物标志物对于及时干预至关重要.
研究的目的:
- 在IBD诊断前14年分析血清代谢组变化.
- 为了确定IBD的早期生物标志物.
- 了解IBD诊断前阶段的病理生理变化.
主要方法:
- 利用丹麦的PREDICT队列,将健康登记册和生物库数据联系起来.
- 包括169名IBD患者 (克罗恩病和性结肠炎) 和169名匹配对照.
- 在诊断前的血清样本中进行了非向的代谢分析.
主要成果:
- 在IBD诊断前长达14年的时间里,超过1200个代谢物发生了显著的变化.
- 在克罗恩病中,882个代谢物发生了变化,包括与炎症相关的脂质.
- 诊断前的代谢物预测了克罗恩病的发生,AUC为0.78.
结论:
- 在IBD诊断之前确定了广泛的代谢变化.
- 表明IBD,特别是克罗恩病的长期临床前阶段.
- 粘膜的分解可能会驱动早期IBD的炎症调节脂质的产生.
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