Leucine-rich alpha-2 glycoprotein as a marker of mucosal healing in inflammatory bowel disease

Abstract Leucine-rich alpha-2 glycoprotein (LRG) may be a novel serum biomarker for patients with inflammatory bowel disease. The association of LRG with the endoscopic activity and predictability of mucosal healing (MH) was determined and compared with those of C-reactive protein (CRP) and fecal ma...

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Autores principales: Eriko Yasutomi, Toshihiro Inokuchi, Sakiko Hiraoka, Kensuke Takei, Shoko Igawa, Shumpei Yamamoto, Masayasu Ohmori, Shohei Oka, Yasushi Yamasaki, Hideaki Kinugasa, Masahiro Takahara, Keita Harada, Masaki Furukawa, Kouichi Itoshima, Ken Okada, Fumio Otsuka, Takehiro Tanaka, Toshiharu Mitsuhashi, Jun Kato, Hiroyuki Okada
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/9402db5d6b1a4a128ee97bf9dc11e820
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spelling oai:doaj.org-article:9402db5d6b1a4a128ee97bf9dc11e8202021-12-02T14:49:10ZLeucine-rich alpha-2 glycoprotein as a marker of mucosal healing in inflammatory bowel disease10.1038/s41598-021-90441-x2045-2322https://doaj.org/article/9402db5d6b1a4a128ee97bf9dc11e8202021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90441-xhttps://doaj.org/toc/2045-2322Abstract Leucine-rich alpha-2 glycoprotein (LRG) may be a novel serum biomarker for patients with inflammatory bowel disease. The association of LRG with the endoscopic activity and predictability of mucosal healing (MH) was determined and compared with those of C-reactive protein (CRP) and fecal markers (fecal immunochemical test [FIT] and fecal calprotectin [Fcal]) in 166 ulcerative colitis (UC) and 56 Crohn’s disease (CD) patients. In UC, LRG was correlated with the endoscopic activity and could predict MH, but the performance was not superior to that of fecal markers (areas under the curve [AUCs] for predicting MH: LRG: 0.61, CRP: 0.59, FIT: 0.75, and Fcal: 0.72). In CD, the performance of LRG was equivalent to that of CRP and Fcal (AUCs for predicting MH: LRG: 0.82, CRP: 0.82, FIT: 0.70, and Fcal: 0.88). LRG was able to discriminate patients with MH from those with endoscopic activity among UC and CD patients with normal CRP levels. LRG was associated with endoscopic activity and could predict MH in both UC and CD patients. It may be particularly useful in CD.Eriko YasutomiToshihiro InokuchiSakiko HiraokaKensuke TakeiShoko IgawaShumpei YamamotoMasayasu OhmoriShohei OkaYasushi YamasakiHideaki KinugasaMasahiro TakaharaKeita HaradaMasaki FurukawaKouichi ItoshimaKen OkadaFumio OtsukaTakehiro TanakaToshiharu MitsuhashiJun KatoHiroyuki OkadaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Eriko Yasutomi
Toshihiro Inokuchi
Sakiko Hiraoka
Kensuke Takei
Shoko Igawa
Shumpei Yamamoto
Masayasu Ohmori
Shohei Oka
Yasushi Yamasaki
Hideaki Kinugasa
Masahiro Takahara
Keita Harada
Masaki Furukawa
Kouichi Itoshima
Ken Okada
Fumio Otsuka
Takehiro Tanaka
Toshiharu Mitsuhashi
Jun Kato
Hiroyuki Okada
Leucine-rich alpha-2 glycoprotein as a marker of mucosal healing in inflammatory bowel disease
description Abstract Leucine-rich alpha-2 glycoprotein (LRG) may be a novel serum biomarker for patients with inflammatory bowel disease. The association of LRG with the endoscopic activity and predictability of mucosal healing (MH) was determined and compared with those of C-reactive protein (CRP) and fecal markers (fecal immunochemical test [FIT] and fecal calprotectin [Fcal]) in 166 ulcerative colitis (UC) and 56 Crohn’s disease (CD) patients. In UC, LRG was correlated with the endoscopic activity and could predict MH, but the performance was not superior to that of fecal markers (areas under the curve [AUCs] for predicting MH: LRG: 0.61, CRP: 0.59, FIT: 0.75, and Fcal: 0.72). In CD, the performance of LRG was equivalent to that of CRP and Fcal (AUCs for predicting MH: LRG: 0.82, CRP: 0.82, FIT: 0.70, and Fcal: 0.88). LRG was able to discriminate patients with MH from those with endoscopic activity among UC and CD patients with normal CRP levels. LRG was associated with endoscopic activity and could predict MH in both UC and CD patients. It may be particularly useful in CD.
format article
author Eriko Yasutomi
Toshihiro Inokuchi
Sakiko Hiraoka
Kensuke Takei
Shoko Igawa
Shumpei Yamamoto
Masayasu Ohmori
Shohei Oka
Yasushi Yamasaki
Hideaki Kinugasa
Masahiro Takahara
Keita Harada
Masaki Furukawa
Kouichi Itoshima
Ken Okada
Fumio Otsuka
Takehiro Tanaka
Toshiharu Mitsuhashi
Jun Kato
Hiroyuki Okada
author_facet Eriko Yasutomi
Toshihiro Inokuchi
Sakiko Hiraoka
Kensuke Takei
Shoko Igawa
Shumpei Yamamoto
Masayasu Ohmori
Shohei Oka
Yasushi Yamasaki
Hideaki Kinugasa
Masahiro Takahara
Keita Harada
Masaki Furukawa
Kouichi Itoshima
Ken Okada
Fumio Otsuka
Takehiro Tanaka
Toshiharu Mitsuhashi
Jun Kato
Hiroyuki Okada
author_sort Eriko Yasutomi
title Leucine-rich alpha-2 glycoprotein as a marker of mucosal healing in inflammatory bowel disease
title_short Leucine-rich alpha-2 glycoprotein as a marker of mucosal healing in inflammatory bowel disease
title_full Leucine-rich alpha-2 glycoprotein as a marker of mucosal healing in inflammatory bowel disease
title_fullStr Leucine-rich alpha-2 glycoprotein as a marker of mucosal healing in inflammatory bowel disease
title_full_unstemmed Leucine-rich alpha-2 glycoprotein as a marker of mucosal healing in inflammatory bowel disease
title_sort leucine-rich alpha-2 glycoprotein as a marker of mucosal healing in inflammatory bowel disease
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/9402db5d6b1a4a128ee97bf9dc11e820
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