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Faecal biomarkers f...
Faecal biomarkers for diagnosis and prediction of disease course in treatment-naïve patients with IBD
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- Ling Lundström, Maria (författare)
- Department of Medical Sciences, Gastroenterology Research Group, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden
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- Peterson, Christer (författare)
- Department of Medical Sciences, Clinical Chemistry, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden
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- Hjortswang, Henrik (författare)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Mag- tarmmedicinska kliniken
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- Bergemalm, Daniel, 1977- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Gastroenterology,Orebro Univ, Sweden
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- Lampinen, Maria (författare)
- Department of Pharmacy, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden
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- Magnusson, Maria K. (författare)
- Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden,Univ Gothenburg, Sweden
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- Keita, Åsa V., 1973- (författare)
- Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten
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- Kruse, Robert, 1972- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Clinical Research Laboratory,Orebro Univ, Sweden
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- Lindqvist, Carl Mårten, 1979- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Orebro Univ, Sweden
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- Repsilber, Dirk, 1971- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Orebro Univ, Sweden
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- D'Amato, Mauro (författare)
- Gastrointestinal Genetics Lab, CIC BioGUNE–BRTA, Derio, Spain; Ikerbasque, Basque Foundation for Science, Bilbao, Spain
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- Hjortswang, Henrik (författare)
- Department of Health, Medicine, and Caring Sciences, Linköping University, Linköping, Sweden
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- Strid, Hans (författare)
- Gastroenterology Unit, Department of Gastroenterology, Dermatovenereology and Rheumatology, Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, Sweden
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- Söderholm, Johan D (författare)
- Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US
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- Öhman, Lena (författare)
- Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden,Univ Gothenburg, Sweden
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- Venge, Per (författare)
- Department of Medical Sciences, Clinical Chemistry, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden
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- Halfvarson, Jonas, 1970- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Gastroenterology,Orebro Univ, Sweden
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- Carlson, Marie (författare)
- Department of Medical Sciences, Gastroenterology Research Group, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden
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BIOIBD Consortium, - (bidragsgivare)
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(creator_code:org_t)
- John Wiley & Sons, 2024
- 2024
- Engelska.
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Ingår i: Alimentary Pharmacology and Therapeutics. - : John Wiley & Sons. - 0269-2813 .- 1365-2036. ; 60:6, s. 765-777
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background: Faecal biomarkers can be used to assess inflammatory bowel disease (IBD).Aim: To explore the performance of some promising biomarkers in diagnosing and predicting disease course in IBD.Methods: We included 65 patients with treatment-na & iuml;ve, new-onset Crohn's disease (CD), 90 with ulcerative colitis (UC), 67 symptomatic controls (SC) and 41 healthy controls (HC) in this prospective observational study. We analysed faecal samples for calprotectin (FC), myeloperoxidase (MPO), human neutrophil lipocalin (HNL), eosinophil cationic protein ECP and eosinophil-derived neurotoxin (EDN) and compared markers among groups. We assessed the diagnostic capability of biomarkers with receiver operating characteristic curves. Clinical disease course was determined for each patient with IBD and analysed the association with biomarkers by logistic regression.Results: All markers were elevated at inclusion in patients with IBD compared with HC (p < 0.001) and SC (p < 0.001). FC (AUC 0.85, 95% CI: 0.79-0.89) and MPO (AUC 0.85, 95% CI: 0.80-0.89) showed the highest diagnostic accuracy in distinguishing IBD from SC. The diagnostic ability of biomarkers differed between IBD subtypes with the highest performance for FC and MPO in CD. The diagnostic accuracy was further improved by combining FC and MPO (p = 0.02). Levels of FC, MPO and HNL at inclusion were predictive of an aggressive disease course with MPO showing the strongest association (p = 0.006).Conclusions: This study provides new insight into the diagnostic and prognostic capability of neutrophil and eosinophil biomarkers in IBD and suggests that MPO, alone or in combination with FC, may add to the diagnostic power of faecal biomarkers.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
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Ling Lundström, ...
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Peterson, Christ ...
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Hjortswang, Henr ...
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Bergemalm, Danie ...
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Lampinen, Maria
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Magnusson, Maria ...
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Keita, Åsa V., 1 ...
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Kruse, Robert, 1 ...
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Lindqvist, Carl ...
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Repsilber, Dirk, ...
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D'Amato, Mauro
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Strid, Hans
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Söderholm, Johan ...
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Öhman, Lena
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Venge, Per
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Halfvarson, Jona ...
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Carlson, Marie
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BIOIBD Consortiu ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Gastroenterologi
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Alimentary Pharm ...
- Av lärosätet
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Örebro universitet
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Uppsala universitet
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Linköpings universitet
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Karolinska Institutet