J Gastroenterology:肽353可作为小儿克罗恩病的新诊断生物标志物

2020-02-06 不详 MedSci原创

据报道,各种血清学标志物(例如抗糖蛋白2抗体和抗酿酒酵母抗体),在克罗恩氏病中可用于诊断。最近,针对克罗恩氏病的肽353(一种新提出的血清学标志物)的抗体在日本成年人中的诊断能力比抗酵母菌抗体更有用。因此,本项研究旨在在日本儿童和青少年中探究相同的问题

背景
据报道,各种血清学标志物(例如抗糖蛋白2抗体和抗酿酒酵母抗体),在克罗恩氏病中可用于诊断。最近,针对克罗恩氏病的肽353(一种新提出的血清学标志物)的抗体在日本成年人中的诊断能力比抗酵母菌抗体更有用。因此,本项研究旨在在日本儿童和青少年中探究相同的问题。

方法
研究人员在日本的12个儿科中心评估并治疗的17岁以下的包括克罗恩病溃疡性结肠炎,其他肠道疾病或健康状况良好的患者。通过酶联免疫吸附试验分析了3种血清标志物。

结果
入选受试者为367名,其中包括120名克罗恩氏病,148名溃疡性结肠炎,56名其他肠道疾病和43名健康受试者。在克罗恩氏病中,抗克罗恩氏病肽353,抗糖蛋白2和抗酵母菌浓度(中位数为2.25、3.0和8.9 U / mL)显着高于溃疡性结肠炎(分别为1.1、1.9和3.4;所有P <0.001);其他肠道疾病(1.1、1.85和2.95;所有P <0.001)和健康对照组(1.1、1.7和2.8;所有P<0.001)。在95%的特异性下,抗克罗恩氏病肽(45.0%)的敏感性显着高于抗糖蛋白2(30.8%; P<0.05)或抗酵母菌的敏感性(26.7%;P<0.01)。

结论
与其他2种标记相比,抗克罗恩氏病多肽353被证明对日本儿童克罗恩氏病的诊断更有用。

原始出处:

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  5. 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createdTime=Sat Feb 08 11:53:00 CST 2020, time=2020-02-08, status=1, ipAttribution=)]
    2020-04-14 rgjl
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  9. 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