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Serum 1,3-beta-D-glucan as a noninvasive test to predict histologic activity in patients with inflammatory bowel disease

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World Journal of Gastroenterology 2021年第9期27卷 866-885页

作者： Katia Farias e Silva Hayandra F Nanini cynthia machado cascabulho Siane L B Rosas Patricia T Santana Antonio Joséde V Carneiro Elias Anaissie Marcio Nucci Heitor Siffert Pereira de Souza Department of Clinical Medicine School of MedicineFederal University of Rio de JaneiroRio de Janeiro 21941-913Brazil Laboratory of Innovations in Therapies Education and BioproductsInstituto Oswaldo CruzRio de Janeiro 21040-360Brazil Clinical Trial and Consulting Services CincinnatiOH 45267United States Internal Medicine D'Or Institute for Research and Education(IDOR)Rio de Janeiro 22281-100Brazil

BACKGROUND 1,3-beta-D-glucan(BG)is a ubiquitous cell wall component of gut *** hypothesized that the serum levels of BG could reflect active intestinal inflammation in patients with inflammatory bowel *** To determine whether the serum BG concentrations correlate with intestinal *** A prospective observational study was performed in a tertiary referral center,from 2016 to 2019,in which serum BG was determined in 115 patients with Crohn’s disease(CD),51 with ulcerative colitis(UC),and 82 controls using a photometric detection *** activity was determined by ileocolonoscopy,histopathology,magnetic resonance enterography,and biomarkers,including fecal calprotectin(FC),C-reactive protein,and a panel of *** ability of BG to detect active vs inactive disease was assessed using the area under the receiver operating characteristic *** subgroup analysis,serial BG was used to assess the response to therapeutic *** The serum BG levels were higher in CD patients than in controls(P=0.0001).The BG levels paralleled the endoscopic activity in CD patients and histologic activity and combined endoscopic and histologic activity in both CD and UC *** area under the curve(AUC)in receiver operating characteristic analysis to predict endoscopic activity was 0.694[95%confidence interval(CI):0.60-0.79;P=0.001]in CD,and 0.662(95%CI:0.51-0.81;P=0.066)in UC *** AUC in receiver operating characteristic analysis to predict histologic activity was 0.860(95%CI:0.77-0.95;P<0.001)in CD,and 0.786(95%CI:0.57-0.99;P=0.015)in UC *** cut-off values of BG for both endoscopic and histologic activity were 60μg/mL in CD,and 40μg/mL in UC *** analysis showed that the results based on BG of 40 and 60μg/mL were more specific for predicting endoscopic activity(71.8%and 87.2%for CD;and 87.5%and 87.5%for UC,respectively)than FC(53.3%and 66.7%for CD;and 20%and 80%for UC,respectively);and

关键词： Crohn’s disease Ulcerative colitis Inflammatory bowel disease Beta-glucan Histologic activity Noninvasive test

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