OMORI Teppei
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position |
|
Article types | Original article |
Language | English |
Peer review | Non peer reviewed |
Title | Serum Leucine-Rich Alpha-2 Glycoprotein in Quiescent Crohn's Disease as a Potential Surrogate Marker for Small-Bowel Ulceration detected by Capsule Endoscopy. |
Journal | Formal name:Journal of clinical medicine Abbreviation:J Clin Med ISSN code:20770383/20770383 |
Domestic / Foregin | Foregin |
Volume, Issue, Page | 11(9),pp.2494 |
Author and coauthor | OMORI Teppei†, SASAKI Yu, KOROKU Miki, MURASUGI Shun, YONEZAWA Maria, NAKAMURA Shinichi, TOKUSHIGE Katsutoshi |
Authorship | Lead author,Corresponding author |
Publication date | 2022/04 |
Summary | Background: Small bowel (SB) lesions in quiescent Crohn’s disease (CD) are sometimes not identified by clinical activity or existing markers. We investigated the usefulness of a novel biomarker, leucine-rich α2-glycoprotein (LRG), for screening for the presence of SB ulcerative lesions detected by small-bowel capsule endoscopy (SBCE). Methods: We examined patients with a Crohn’s Disease Activity Index (CDAI) value < 150 and a C-reactive protein (CRP) value < 0.5 mg/dL with SB or SB colonic CD. The presence of small-bowel ulcerative lesions (≥0.5 cm) was grouped by SBCE results, and we then compared the groups’ LRG value to establish a cutoff value for screening for the presence of lesions. Results: In 40 patients with CD, the LRG values differed significantly between the patients with and without SB ulcerative lesions (Ul + 14.1 (2.1−16.5) μg/mL vs. Ul − 12.3 (9.3−13.5) μg/mL; p = 0.0105). The respective cutoff LRG values for the presence of SB ulcerative lesions was 14 μg/mL (areas under the ROC curve 0.77), with sensitivity 63.6%, specificity 82.8%, positive predictive values 58.3%, negative predictive values 85.7%, and accuracy 78%. Conclusion: These results indicate that LRG may be useful in predicting the presence of SB inflammation associated in patients with CD with CRP < 0.5 mg/dL and CDAI < 150, and in selecting patients for SBCE. |
DOI | 10.3390/jcm11092494 |
PMID | 35566620 |