肠易激综合征患者血清CCL28水平升高,且与临床症状相关。

IF 1.4 Q4 IMMUNOLOGY American journal of clinical and experimental immunology Pub Date : 2021-02-15 eCollection Date: 2021-01-01
Farshad Sheikhesmaili, Ali Jalili, Elmira Taghizadeh, Shohreh Fakhari, Khashaiar Jalili, Ebrahim Ghaderi, Ezatollah Rahimi
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引用次数: 0

摘要

背景:炎症和炎症介质被认为是肠易激综合征(IBS)病理生物学的关键因素。趋化因子CCL28在炎性细胞进入粘膜组织的运输中起作用。然而,其在肠易激综合征患者中的水平尚未阐明。方法:采用Elisa法检测41例IBS患者和41例年龄、性别匹配的正常人血清中CCL28的水平。然后采用受试者工作特征(ROC)曲线评价CCL28的诊断价值。结果:我们的数据显示,与对照组相比,IBS患者的CCL28水平显著升高。此外,我们观察到CCL28的水平与许多临床症状有关,如便秘、腹泻和腹痛。ROC曲线下面积为0.71(95%可信区间0.598-0.823),CCL28诊断IBS患者的敏感性和特异性分别为68.3%和70.7%,截断值为278.9 ng/mL。结论:我们证明CCL28在IBS患者中升高,并与临床表现相关,表明CCL28可能是IBS诊断的合适生物标志物;然而,还需要进一步的研究。
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The CCL28 levels are elevated in the serum of patients with irritable bowel syndrome and associated with the clinical symptoms.

Background: Inflammation and inflammatory mediators have been proposed to be key players in the pathobiology of Irritable bowel syndrome (IBS. The chemokine CCL28 plays a role in the trafficking of inflammatory cells into mucosal tissues. However, its levels in patients with IBS has not been yet elucidated.

Method: In this study, the levels of CCL28 were measured in the serum of 41 patients with IBS and 41 age- and gender-matched normal individuals using Elisa. Then, the receiver operating characteristic (ROC) curve was conducted to assess the diagnostic value of CCL28.

Results: Our data showed that the levels of CCL28 are significantly elevated in patients with IBS compared to the control donors. Moreover, we observed that the level of CCL28 is associated with many clinical symptoms such as constipation, diarrhea, and abdominal pain. The area under the ROC curve was 0.71 (95% confidential interval, 0.598-0.823), the sensitivity and specificity of CCL28 for the diagnosis of IBS patients were 68.3% and 70.7%, respectively with a cut off of 278.9 ng/mL.

Conclusions: We demonstrated that CCL28 is elevated in patients with IBS and correlates with clinical findings, indicating that CCL28 might be an appropriate biomarker for the diagnosis of IBS; however, further studies are necessary.

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