Novel fecal markers
|
HBD |
Human defensin β
|
Epithelial and plasma cells |
Peptides acting against microbe infection, correlate with inflammatory processes |
[70] |
|
β-Glucuronidases |
Mucosal cells, bacteria |
Marker of inflammation |
[72] |
MPO |
Myeloperoxidase |
Granulocytes |
Marker of inflammation; stool expression higher in patients with UC, compared to patients with CD; biomarker for response to treatment in patients with CD and UC |
[70, 73] |
M2-PK |
Pyruvate kinase |
Skeletal muscle, heart, brain, and proliferative tissues |
Increases in colorectal carcinoma; in gut, inflammation reflects increased cell turnover; it is postulated that intestinal epithelial cells may be protected against apoptosis by the upregulation of M2-PK in CD; fecal pyruvate kinase has been suggested as a potential new marker for intestinal inflammation in children with IBD and a new predictor for inflammation and severity of pouchitis |
[70] |
NGAL |
Neutrophil gelatinase-associated lipocalin |
Ephithelial cells/neutrophilic granulocytes |
Contributes to inflammation |
[74, 75] |
S100A12 |
Calgranulin C |
Neutrophils/macrophages, monocytes |
May reflect the presence and severity of intestinal inflammation; has a potential role on predicting relapse |
[76, 77] |
OPG |
Osteoprotegerin |
Osteoblasts, B lymphocytes, dendritic cells, bone marrow stromal cells, epithelial cells, and monocytes/macrophages |
Useful marker of intestinal inflammatory severity in CD |
[70, 79] |
MMP |
Matrix metalloproteinases |
Regenerative tissues |
MMPs are expressed in areas of inflammation and ulceration in the gut, and several MMPs are overexpressed in IBD |
[70] |
CHI3L1 |
3-Like chitinase |
Macrophages, neutrophils, chondrocytes, and synovial cells |
Highly expressed in intraepithelial neoplasia mucosa of UC |
[70, 84] |
HMGB |
High-mobility nuclear protein |
Neutrophils, monocytes, macrophages, dendritic cells, and natural killer cells |
Correlate with disease severity |
[77, 85, 86] |
DNA |
Deoxyribonucleic acid |
|
Fecal excretion of DNA correlates with clinical disease activity and endoscopic severity in UC |
[70] |
MicroRNA |
Microribonucleic acid |
|
Expression patterns have been described in intestinal biopsies collected from IBD patients with a number of specific miRNA reported to be upregulated in both CD and UC |
[70] |
Inflammatory markers belonging to extracellular matrix (ECM) components
|
sGAGs |
Sulfated glycosaminoglycans |
ECM components |
Remodeling tissue involved in proliferation, migration and adhesion; |
[87] |
HA |
Hyaluronian |
Nonsulfated GAG; ECM component |
Elevated HA deposition in the intestine tissue promotes inflammation in IBD |
[88–90] |
LN |
Laminin |
Basement membrane component |
LN serum level is higher in CD than in controls and it is associated with disease activity |
[91] |
SDC-1 |
Syndecan-1 |
Transmembrane heparan sulfate proteoglycan |
Inflammatory marker; soluble SDC-1 levels are higher in CD patients and may contribute to the assessment of disease activity |
[92] |
FN |
Fibronectin |
ECM component |
In several cases of CD, the concentration of fibronectin in the blood plasma was reduced before clinical relapse and returned to the normal range in remission |
[93] |
COLVII-Ab |
Autoantibodies against type VII collagen |
Tissues with high expression of collagen VII, including colonic epithelium |
CD and UC demonstrated reactivity to type VII collagen |
[94] |