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. 2018 Jun 11;2018:7451946. doi: 10.1155/2018/7451946

Table 1.

The most important currently used markers for nonspecific inflammatory bowel diseases (IBD).

Marker Name Expression Comments References
Tests evaluating neutrophil activation
ENA-78 Epithelial neutrophil activating peptide Bowel epithelial cells; intestinal epithelial cells Stimulates the chemotaxis of neutrophils, possesses angiogenic properties [10, 21]
HLE Human leucocytic elastase Activated neutrophils Plays a role in degenerative and inflammatory diseases through proteolysis of collagen-IV and elastin [6]
MRP-8/MRP-14 or S100A8/A9 Calprotectin Cytoplasm of neutrophils and monocytes Antibacterial, antifungal, immunomodulatory, and antiproliferative action; a chemotactic factor for neutrophils; the fecal level is proportional to neutrophilic influx into the intestinal tract [1, 77]
L Lactoferrin Neutrophils Takes part in acute inflammatory response; exhibits high affinity to iron making iron inaccessible to bacteria; fecal L increases significantly with bowel infiltration by neutrophils [10, 58]
N Neopterine Monocytes and macrophages Inflammatory marker; may help predict the progress of the disease; useful to assess clinical activity of IBD [9]
Serological markers
ANCAs Antineutrophil cytoplasmic antibodies High p-ANCA levels and antibodies to CBir1 have been associated with increased risk of pouchitis after colectomy in UC [70]
 cANCA Cytoplasmic Antibodies against granules of neutrophil cytoplasm Increase in UC
 sANCA Speckled Patients with CD and positive p-ANCA were less likely to respond to therapy with infliximab
 pANCA Peripheral-antinuclear cytoplasmic antibody Increase significantly in UC [74]
ASCAs Anti-Saccharomyces cerevisiae antibodies The utility in diagnosing difficult cases of indeterminate colitis (IC) [74]
Anti-OmpC Antiouter membrane protein C antibody OmpC pANCA, ASCA, and I2 altogether can be found in 80% of patients with CD [10]
Hup-B Mycobacterial histone H1 homologue May represent the target antigen for pANCA [10]
Anti-CBir1 flagellin Antibodies to bacterial flagellin May be a marker of Crohn's disease complicated by fistulas, perforations, or other serious problems [10]
PAB Pancreatic antibody (an antibody to a trypsin-sensitive protein in pancreatic secretions) PAB is positive in 20%–40% of CD cases and 5% of UC cases; PAB expression may exhibit racial differences [6]
Anti-I2 Antibodies to Pseudomonas fluorescens-associated sequence I2 IgA anti-I2 is positive in 55% of CD cases, 10% of UC cases, and 20% of non-IBD colitis cases; anti-I2 has also been found in patients with other inflammatory enteritis [10]
Platelet abnormalities
β-Tromboglobulin Platelets Increased during active IBD [20]
P selectin Endothelial cells Serum level of soluble platelet selectin (sP-selectin) is increased during progression of IBD; in inactive CD, serum levels of sP-selectin are lower than in controls; in patients with ulcerative colitis, serum concentrations of sP-selectin and IL-6 are significantly higher compared to healthy subjects [34, 49]
PAF Platelet activation factor Platelets Increased in patients with IBD [36]
TF(+) MPs Procoagulant microparticles Microparticles circulating into the blood Indicates for hypercoagulability of blood in IBD patients, which is associated with the appearance of thrombin in the vasculature of the intestine and extraintestinal tissues [33]