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. 2021 Aug 31;8:1616–1637. doi: 10.1016/j.toxrep.2021.08.007

Table B1.

Biomarkers that link contributing factors to IBD and immune degradation/COVID-19.

Contributing Factor Cat. Dis. Biomarkers Ref.
Advanced glycation end products 1 IBD Carboxymethyllysine; enzymatic antioxidative pathways; IL‐6; inflammation; inflammatory cytokine levels; inflammatory response; MDA; Oxidative stress; SOD; TNF‐α [79]
ID Caspase-1; IL-1; immunosuppressive; innate immune responses; M1 polarization of macrophages; macrophages; NLRP3 inflammasome; pro-inflammatory cytokines in BMDMs; RNA virus infection; type-I interferon [80]
COV Accumulation of advanced glycation end products; acute respiratory distress syndrome; atherothrombotic state; chronic inflammatory; cytokine storm; degrade tissue debris; exaggerated cytokine response; diabetes; impaired immune response; inflammatory response; increased metabolic activity; multi-organ failure; obesity; septic shock; tissue damage; viral infection [81]
Alcoholism 1 IBD Crohn Disease (CD); inflammatory bowel disease (IBD); ulcerative colitis (UC) [82]
ID Alveolar macrophage function; alveolar macrophage immune dysfunction; granulocyte-macrophage colony-stimulating factor receptor; immune dysfunction; intracellular zinc; phagocytic function; zinc bioavailability; zinc deficiency; zinc metabolism [83]
COV Lung fibrosis; pulmonary fibrosis [84]
Carrageenan 1 IBD EGR-1; IL-8; intestinal epithelial barrier integrity; Intestinal inflammation; NF-κB; pro-inflammatory transcription factors; UC; zonula occludens [85]
ID Ccl2; Ccl7; Cxcl1; Cxcl2; inflammatory secretome; leukocyte; macrophages; multiple collagens; neutrophils; peripheral inflammation; tissue inflammation [86]
Consumer antimicrobials 1 IBD Colon cancer; colon tumorigenesis; colonic inflammation; IBD; intestinal barrier function; TLR4 signaling [87]
ID Colon cancer; colon tumorigenesis; colonic inflammation; IBD; intestinal barrier function; TLR4 signaling [87]
High-fat diet 1 IBD Cholesterol; colitis; colonic epithelial cells; colonic inflammation; free fatty acids; gp91; IBD; lamina propria cells; MLCK tight junction; mucosal barrier permeability; mucosal oxidative stress; mucosal pro-inflammatory cytokines; ROS; triglyceride [88]
ID Gut-associated lymphoid tissue; IBD; lamina propria lymphocytes; lipotoxicity; small intestinal intraepithelial lymphocytes [89]
COV Endotoxemia; gut microbiome dysbiosis; immunosilent/immunoinhibitory bacteroidetes LPS; intestinal permeability; lipopolysaccharide (LPS); oxidative stress; proinflammatory LPS; TLR4 [90]
High-salt diet 1 IBD activated peritoneal macrophages; CD11b + macrophages; CD3+CD4+CD25+Foxp3+ T cells; CD4+IFN-γ+IL-17+ T cells; colitis; IFN-γ; IL-1; IL-10; IL-6; lamina propria; lamina propria mononuclear cells; macrophages; mesenteric lymph node; mouse inducible nitric oxide synthase; p38 phosphorylation; p38/MAPK axis; peritoneal macrophage inflammation; proinflammatory; SGK1; spleen; TGF-β; Th1; Tregs [91]
ID Autoimmune disease; inflammatory disease; inflammatory kidney disease; innate and adaptive immune systems; innate immune system components [92]
Malnutrition 1 IBD Catalase (CAT); colon epithelium; IL-1β; IL-4; inflammatory mediators; lipoperoxidation; NO; oxidative stress; reduced (GSH) and oxidized (GSSG) glutathione; TNF-α; total superoxide dismutase (tSOD) [93]
ID chronic inflammation; disordered nutrient assimilation; immune defect; immune dysfunction; immunopigenome; infections [94]
COV cytokine storm; high adiposity; infection; low lean mass; proinflammatory cytokines [95]
Maternal smoking 1 IBD cg25189904 in GNG12 gene; DNA methylation [96]
ID Asthma; cotinine; respiratory infections; toll-like-receptor (TLR) [97]
COV COVID-19 [98]
Nitrosamines 1 IBD chronic inflammation; hydrogen peroxide; mutagenesis; nitrosation; N-nitrosamine derivatives; NO; oxidation; ROS; secondary amines; superoxide; UC [99]
ID Arachidonic acid metabolites; IgG; leukotrienes; N-nitrosamines (N-nitrosodimethylamine and N-nitrosodiethylamine); oncosuppression; p53 transcription factor [100]
Polysorbate-80 1 IBD Endoplasmic reticulum stress; gut homeostasis; IL-10; immune-inflammatory disorders; IBD; inflammatory responses; intestinal goblet cells; TLR5 [101]
ID sensitization rates [102]
Refined carbohydrates 1 IBD CD; DNA methylation; histone modification; IBD; miRNAS; UC [103]
ID Adaptive immunity; chronic inflammation; impaired host defense; innate immune system; peripheral inflammation [104]
COV Chronic inflammation; COVID-19; dementia; impairs adaptive immunity; impaired host defense; innate immune system; neurodegenerative disease; neuroinflammatory; type 2 diabetes; obesity; peripheral inflammation [104]
Sedentary 1 IBD Adipokines; colonic blood flow (CBF); colonic microcirculation; COX-2; disease activity index; GPx mRNAs; hypoxia inducible factor (HIF)-1α; IFNγ; IL-10; IL-17; IL-1β; IL-6; iNOS; intestinal microcirculation; MDA; myokines; oxidative stress; reduced glutathione (GSH); SOD-1; SOD-2; SOD; TNF-α; weight [105]
ID Atherosclerosis; cytokines; development of tumors; immune cells with pro-inflammatory characteristics in adipose tissue; insulin resistance; neurodegeneration [106]
COV Body mass index; obesity; severe infection [107]
Vitamin D deficiency 1 IBD Anti-inflammatory; autoimmune diseases; cathelicidin; DEFB4 (defensin, beta 4); gastrointestinal inflammation; gut microbiome [108]
ID Acetylcholine; actinobacteria; autoimmune arthritis; bacteroidetes; pantothenic acid deficiency; bowel symptoms; cortisol; firmicutes; pain; proteobacteria; sleep; vitamin D blood levels [109]
COV cytokine storm; dengue fever; innate immune system; virus replication; vitamin D deficiency [110]
Antibiotics 2 IBD CD; IBD; UC [111]
ID Adaptive immunity; immune responses; infection; microbiota homeostasis [112]
Cisplatin 2 IBD Anorexia; bloody stool; colitis; diarrhea; UC [113]
ID Humoral immunity; immunotoxicity; leukocytic count; lymphocyte percentage; lymphoid tissue; mycoplasma gallisepticum; neutrophil percentage; phagocytic activity; total protein; γ-globulin concentration [114]
Opioids/Morphine 2 IBD ATP release; ATP-induced currents; bacterial translocation; colonic inflammation; connexin43 (Cx43); enteric glia; IL-1β mRNA; IL-6; leaky gut; microbial dysbiosis; P2X currents; P2 × 4; P2 × 7; purinergic P2X receptor activity [115]
ID Acetylcholinesterase; AP-1; bone marrow-derived macrophages; CREB; innate immunity; microglia; microRNA-124; NF-κB p65; pain; phospho-p65; TLRs; TNFR-associated factor 6 [116]
COV COVID-19 [117]
Oral contraceptives 2 IBD UC [118]
ID Autoimmune diseases; blood urea nitrogen; cytokines; glomerular immune complex deposition; immune system; kidney disease; proteinuria; splenic leukocytes; TLR7/9 cytokine production [119]
Radiotherapy 2 IBD Bloating/distension; chronic gastrointestinal symptoms; fecal incontinence; flatulence; frequency; loose stool; rectal bleeding; urgency [120]
ID Blood proteome; inflammatory responses [121]
COV Cancer; carcinoma; COVID-19 [122]
Renal transplantation 2 IBD Diarrhea; diverticular colon disease; fecal occult blood; gastrointestinal pathologies; HBoV; HBoV-3; immunosuppressed; RVA; RVA G3 [123]
ID Diarrhea; Rotavirus A (RVA) and Human Bocavirus (HBoV) in fecal samples [124]
COV Chronic kidney disease; infection [125]
Rituximab 2 IBD Autoimmune disease; CD20 + lymphocytes; CD; granulomas; granulomas; ileocolitis; inflammation; inflammation; ulceration; ulceration; UC [126]
ID Hypogammaglobulinemia; IgG; severe infections [127]
COV Bilateral pneumonia; respiratory insufficiency; rheumatic and musculoskeletal disease; rheumatoid arthritis; SAR-CoV-2 infection; Sjögren syndrome; systemic lupus erythematosus; systemic vasculitis [128]
Vaccines 2 IBD IBD [129]
ID Non-influenza infections [130]
Cytomegalovirus 3 IBD Autoantibodies; autoimmune; CD13 (aminopeptidase N); CD13 (aminopeptidase N) specific autoantibodies; human cytomegalovirus infection [131]
ID Autoimmune diseases; HCV; immune dysfunction; immunosuppression; inflammation [132]
COV Cytomegalovirus (CMV); herpesvirus infection; immune senescence; infection; metabolic disorders [133]
N-ethyl-N-nitrosourea 3 IBD Apoptosis; chronic diarrhoea; endoplasmic reticulum stress; IFN-γ; IFN-γ; IL-13; IL-1β; inflammation; intestinal mucus barrier; intestinal goblet cells; intestinal permeability; leukocytes; MUC2 mucin; Th1 cytokines; Th2 cytokines; TNF-α; ulcerative colitis-like phenotype; unfolded protein response [134]
ID Cell surface receptors; innate immunity; toll-like receptors [135]
Trichothecenes 3 IBD Caco-2 cell monolayer; celiac disease; chronic IBD; claudin protein levels; claudins; colonic epithelial barrier; FITC-dextran; ZO-1 [136]
ID B cells; chemokines; cytokines; double-stranded RNA-(dsRNA)-activated protein kinase; hematopoetic cell kinase (Hck); immune suppression; immune system; inflammatory genes; leukocyte apoptosis; macrophages; MAPKs; T-cells [137]
Zearalenone 3 IBD Autoimmune; IFN-γ; IgE; IL-2; infectious diseases; macrophages; monocytes; proinflammatory cytokines; Th1 cytokines; Th1/Th2 cell polarization; Th2 cytokines; ZEN concentrations [138]
ID Autoimmune; IFN-γ; IgE; IL-2; infectious diseases; macrophages; monocytes; proinflammatory cytokines; Th1 cytokines; Th1/Th2 cell polarization; Th2 cytokines; ZEN concentrations [138]
Air pollutants 4 IBD Epithelial cells; immune activation; intestinal microbiota; systemic inflammation [139]
ID IgG; IgM; monocytes; red blood cells; white blood cells [140]
COV COVID-19 [141]
Aluminum 4 IBD Colitis; colonic myeloperoxidase activity; epithelial cell renewal; granuloma formation; immune toxicity; inflammatory cytokines expression; intestinal barrier function; intestinal inflammation [142]
ID ANAE(+) cells; complement 3 (C3) level; IL-2; immunotoxicity; splenic iron; splenic zinc; TNF-α [143]
Benzene 4 IBD Abdominal pain; bloody diarrhea; CD11b + cell infiltration; colonic migrating motor complex frequency and amplitude; cramping; epithelial barrier permeability; IL-1β concentrations; inflammation; innate immune activation; migrating CD11b + cells [144]
ID ALA-D activity; CD80; CD86; IL-8; lymphocytes; monocytes [145]
COV COVID-19 [146]
Benzo(a)pyrene 4 IBD Colonic mucosa; gut microbiota dysbiosis; intestinal inflammation; lesions [147]
ID IgM; lysosomal membrane stability; lysozyme activity; phagocytosis; total RBC and WBC [148]
Bisphenol 4 IBD IBDs; oral tolerance; pro-inflammatory cellular responses [149]
ID Anti-E. coli IgG; immune response; inflammatory markers; intestinl barrier functions; Th1/Th17 inflammation [150]
COV Angiotensin-converting enzyme 2; GPR30; infection; membrane-bound oestrogen receptor; nuclear oestrogen receptors; nuclear receptor oestrogen-related receptor gamma; transmembrane serine protease 2 [151]
Cadmium 4 IBD Bacteria-induced cytokine responses; gastrointestinal autoimmune diseases; IBD; intestinal inflammation; transepithelial electric resistance [152]
ID Apoptosis induction; glutathione; IgE-mediated histamine release; immunotoxic; innate immune system; macrophages; mast cells; nitrite production; oxidative stress; ROS; redox imbalance; TNF-α [153]
COV Adaptive immunity; airway inflammation; apoptosis; barrier function; immunotoxicity; mucociliary clearance; oxidative stress [154]
Chlorpyrifos 4 IBD Chronic inflammation; colon weights; haptoglobin; immune tolerance; luminal IgG levels; neutrophils; Treg cells; spleen T cells; T-cells; Treg-related genes; TNF-α [155]
ID Immune response; oxidative stress; ROS [156]
Fluoridated water 4 IBD Gut microbiota; intestinal inflammation [157]
ID Catalase; cellular immunity; humoral immunity; immunotoxicity; MDA; monocytes; neutrophils; oxidative stress; peripheral blood lymphocytes; peroxidase; plasma IgG; spleen; splenocytes counts; thymus [158]
Mercury 4 IBD UC [159]
ID Humoral immune response; IgE [160]
COV Airway inflammation; apoptosis; immunotoxicity; impaired mucociliary clearance; influenza; oxidative stress; reduced barrier function; respiratory diseases (COPD, bronchitis); respiratory dysfunction; respiratory syncytial virus; viral diseases [154]
Microplastics 4 IBD Dysbiosis; gut epithelium; gut's epithelial permeability; immune cell toxicity; immune response; inflammatory intestinal balance; intestinal homeostasis; microbiota [161]
ID Dysbiosis; gut epithelium; gut's epithelial permeability; immune cell toxicity; immune response; inflammatory intestinal balance; intestinal homeostasis; microbiota [161]
Nickel 4 IBD Metal hypersensitivity; T-cells; ulcerative lesions [162]
ID Apoptosis; cytokines; development of immune organs; immunoglobulins; immunotoxicity; immunotoxicological; inflammation; inflammation; lymphocyte; macrophages; natural killer cells; nuclear factor-κB; MAPK pathways; T and B lymphocytes; toll like (TL)4 [163]
Paraquat 4 IBD IBD; sulfide; ulcerative colitis [164]
ID Apoptosis; apoptosis of lymphocytes; immunotoxicity; memory cells; memory immune response; number of effector and memory lymphocytes; primary immune response; secondary immune response; serum total IgG; serum anti-KLH IgG and KLH-responsive CD4 T cells and B cells [165]
PCB (polychlorinated biphenyls) 4 IBD Catalase; free radical production; GSH-Px; high-molecular-weight antioxidants; low-molecular-weight antioxidants; lymphocytes; neutrophils; oxidative injuries; SOD; vitamin A; vitamin C; vitamin E [166]
ID Leukocyte phagocytosis [167]
PFOA (perfluoroctanoic acid) 4 IBD CD; PFAS serum levels; PFOS serum levels; UC [168]
ID IL-1β; IL-21; Myd88/NF-κB pathway; myeloid differentiation 88; P65 transcription factor; pro-inflammatory cytokine IL-1β; spleen; TLR2 [169]
COV Immunotoxic; PFAS concentrations; perfluorobutanoic acid (PFBA); short-chain PFBA [170]
Polycyclic aromatic hydrocarbons 4 IBD Abnormal cell growth; barrette's esophagus; blood circulation; cell dysfunction; chronic inflammation; CDs; DNA adducts; gene mutation; neural regulation; ulcer formation; SOD; UC [171]
ID Antibody-forming cell response; immunosuppression; immunotoxicity [172]
COV Adverse respiratory effects; COVID-19; severe respiratory infections [173]
Silica dust 4 IBD CD; UC [174]
ID autophagy; Bcl-2; Beclin1; macrophages; NR8383 cells; PIK3C3 [175]
COV HIV; Interstitial lung disease; Silicosis; tuberculosis (TB) [176]
Sodium dichromate dihydrate 4 IBD Bile acid concentrations; body weights; epithelial hyperplasia; erythrocyte counts; focal ulceration; glycogen depletion; histiocytic cellular infiltration; mean red cell volumes; microcytic hypochromic anemia; nonneoplastic lesions; red cell hemoglobin values; serum cholesterol; triglyceride; urine specific gravity; urine volume [177]
ID Alveolar macrophages; antibody responses; humoral immune system; phagocytic activities [178]
COV Arsenic; cadmium; chromium; copper; creatinine; inflammatory; ferritin; lead; manganese; mercury; neutrophil count; selenium; serum cytokines (IL-1B, IL-2R, IL-6, IL-8, IL-10, TNFα); thallium; toxic metals; trace metals; urinary creatinine-adjusted copper; white blood cell count [179]
Titanium dioxide 4 IBD Body mass; dysbiosis; GI microbiome; immune response; inflammation; inflammatory cytokines; mucin expression; mucosal barrier; mucus production [180]
ID Immunomodulation; immunosuppressant; splenocytes proliferation; T-cell; Th1 type cytokines (IL-2, interferon-γ) [181]
Triclocarban 4 IBD Colitis; gut microbiota [182]
ID Cxcl-clc; IL-1β; IL-4; IL-8; immune cell recruiting; irak4; lipid peroxidation; myd88; NF-κB; NO; NO synthase gene; oxidative damage; oxidative stress; SOD; TNF-α; total antioxidant capacity expression; traf6; trif [183]
Turpentine 4 IBD Colonic distension; NMDA receptor; visceral pain [184]
ID Concanavalin A; IgG; inflammation; IL-6 [185]
Low socioeconomic status 5 IBD Autoimmune disorders; CD [186]
ID Adverse events following immunization [187]
COV COVID-19 [188]
Posttraumatic stress 5 IBD Autoimmune disorders; immune abnormalities; rheumatoid arthritis [189]
ID Dysregulation of genes; innate immune; NF-κB [190]
Psychological stress 5 IBD Intestinal permeability; mast cells activation; salivary cortisol [191]
ID Cytokines; IFN-γ; IL-1β; IL-10; IL-6; immune cell populations; immune function; macrophage; Th1 cell-mediated cellular immunity; Th2 cell-mediated humoral immunity and macrophage activities; Th1 cell; Th2 cell [192]
COV Cytokine storm; diabetes; glucocorticoid insufficiency; hyperinflammation; hyperinflammatory responses; hypertension; immune dysregulation; inflammation; IL-6 hypersecretion; lung conditions; obesity [193]
Restraint stress 5 IBD Colonic mucin glycoprotein; goblet cells; mast cell counts; mucin; myeloperoxidase content [194]
ID CD4+ T lymphocytes; CD8 + T lymphocytes; cytokine levels; IL-10; IL-17; IL-6; immunosuppression; splenic natural killer cell activity; splenocyte proliferation [195]
Sexual abuse 5 IBD CD; IBD; Irritable bowel syndrome; UC [196]
ID C-reactive protein; IL-6; inflammatory activity; inflammatory responses; TNF-α [197]