Faecal lactoferrin is a useful biomarker for mucosal healing in patients with ulcerative colitis during granulocyte and monocyte adsorptive apheresis therapy

Aim The study investigated the value of faecal lactoferrin as a follow‐up biomarker for mucosal healing of ulcerative colitis during granulocyte and monocyte adsorptive apheresis (GMA) therapy. Method Patients with ulcerative colitis exhibiting a moderate or severe disease activity with a partial Ma...

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Veröffentlicht in:Colorectal disease 2016-07, Vol.18 (7), p.696-702
Hauptverfasser: Sagawa, T., Kakizaki, S., Tomizawa, T., Nakayama, T., Tanaka, H., Tojima, H., Sato, K., Kusano, M., Okamura, S., Yamada, M.
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container_end_page 702
container_issue 7
container_start_page 696
container_title Colorectal disease
container_volume 18
creator Sagawa, T.
Kakizaki, S.
Tomizawa, T.
Nakayama, T.
Tanaka, H.
Tojima, H.
Sato, K.
Kusano, M.
Okamura, S.
Yamada, M.
description Aim The study investigated the value of faecal lactoferrin as a follow‐up biomarker for mucosal healing of ulcerative colitis during granulocyte and monocyte adsorptive apheresis (GMA) therapy. Method Patients with ulcerative colitis exhibiting a moderate or severe disease activity with a partial Mayo Score (pMS) of over 4 were enrolled in this study. The patients received 10 courses of GMA therapy. The pMS value and faecal lactoferrin level were monitored and compared with the findings of endoscopy until 12 months after the last dose of GMA therapy. Results Twenty patients (male:female 11:9) were enrolled in this study. Twelve had total colitis, while six had left‐sided involvement and two had distal proctitis. Thirteen (65.0%) responded to GMA therapy. The faecal lactoferrin levels were significantly decreased in patients who responded to GMA therapy (P 
doi_str_mv 10.1111/codi.13258
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Method Patients with ulcerative colitis exhibiting a moderate or severe disease activity with a partial Mayo Score (pMS) of over 4 were enrolled in this study. The patients received 10 courses of GMA therapy. The pMS value and faecal lactoferrin level were monitored and compared with the findings of endoscopy until 12 months after the last dose of GMA therapy. Results Twenty patients (male:female 11:9) were enrolled in this study. Twelve had total colitis, while six had left‐sided involvement and two had distal proctitis. Thirteen (65.0%) responded to GMA therapy. The faecal lactoferrin levels were significantly decreased in patients who responded to GMA therapy (P &lt; 0.05), whereas the levels did not change in non‐responders. Moreover, the faecal lactoferrin levels correlated with the endoscopic findings (r = 0.792, P &lt; 0.01) and pMS scores (r = 0.529, P &lt; 0.01). The correlation coefficients between the faecal lactoferrin levels and mucosal findings were higher than those observed between the pMS score and mucosal findings. Conclusion The faecal lactoferrin level is a useful biomarker of the mucosal findings in ulcerative colitis. Although endoscopy is the gold standard, the faecal lactoferrin level can be used as a biomarker during GMA therapy in patients with ulcerative colitis.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/codi.13258</identifier><identifier>PMID: 26748553</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; biomarker ; Biomarkers - analysis ; Colitis, Ulcerative - pathology ; Colitis, Ulcerative - therapy ; Faecal lactoferrin ; Feces - chemistry ; Female ; granulocyte and monocyte adsorptive apheresis ; Granulocytes ; Humans ; Intestinal Mucosa - pathology ; Lactoferrin - analysis ; Leukapheresis - methods ; Male ; Middle Aged ; Monocytes ; mucosal healing ; Treatment Outcome ; ulcerative colitis ; Young Adult</subject><ispartof>Colorectal disease, 2016-07, Vol.18 (7), p.696-702</ispartof><rights>Colorectal Disease © 2016 The Association of Coloproctology of Great Britain and Ireland</rights><rights>Colorectal Disease © 2016 The Association of Coloproctology of Great Britain and Ireland.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4008-170e89abeb128576aa8ce177498bc3fcf2a3eca9b1341b7ef764256bd74645ad3</citedby><cites>FETCH-LOGICAL-c4008-170e89abeb128576aa8ce177498bc3fcf2a3eca9b1341b7ef764256bd74645ad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcodi.13258$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcodi.13258$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26748553$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sagawa, T.</creatorcontrib><creatorcontrib>Kakizaki, S.</creatorcontrib><creatorcontrib>Tomizawa, T.</creatorcontrib><creatorcontrib>Nakayama, T.</creatorcontrib><creatorcontrib>Tanaka, H.</creatorcontrib><creatorcontrib>Tojima, H.</creatorcontrib><creatorcontrib>Sato, K.</creatorcontrib><creatorcontrib>Kusano, M.</creatorcontrib><creatorcontrib>Okamura, S.</creatorcontrib><creatorcontrib>Yamada, M.</creatorcontrib><title>Faecal lactoferrin is a useful biomarker for mucosal healing in patients with ulcerative colitis during granulocyte and monocyte adsorptive apheresis therapy</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Aim The study investigated the value of faecal lactoferrin as a follow‐up biomarker for mucosal healing of ulcerative colitis during granulocyte and monocyte adsorptive apheresis (GMA) therapy. Method Patients with ulcerative colitis exhibiting a moderate or severe disease activity with a partial Mayo Score (pMS) of over 4 were enrolled in this study. The patients received 10 courses of GMA therapy. The pMS value and faecal lactoferrin level were monitored and compared with the findings of endoscopy until 12 months after the last dose of GMA therapy. Results Twenty patients (male:female 11:9) were enrolled in this study. Twelve had total colitis, while six had left‐sided involvement and two had distal proctitis. Thirteen (65.0%) responded to GMA therapy. The faecal lactoferrin levels were significantly decreased in patients who responded to GMA therapy (P &lt; 0.05), whereas the levels did not change in non‐responders. Moreover, the faecal lactoferrin levels correlated with the endoscopic findings (r = 0.792, P &lt; 0.01) and pMS scores (r = 0.529, P &lt; 0.01). The correlation coefficients between the faecal lactoferrin levels and mucosal findings were higher than those observed between the pMS score and mucosal findings. Conclusion The faecal lactoferrin level is a useful biomarker of the mucosal findings in ulcerative colitis. Although endoscopy is the gold standard, the faecal lactoferrin level can be used as a biomarker during GMA therapy in patients with ulcerative colitis.</description><subject>Adult</subject><subject>Aged</subject><subject>biomarker</subject><subject>Biomarkers - analysis</subject><subject>Colitis, Ulcerative - pathology</subject><subject>Colitis, Ulcerative - therapy</subject><subject>Faecal lactoferrin</subject><subject>Feces - chemistry</subject><subject>Female</subject><subject>granulocyte and monocyte adsorptive apheresis</subject><subject>Granulocytes</subject><subject>Humans</subject><subject>Intestinal Mucosa - pathology</subject><subject>Lactoferrin - analysis</subject><subject>Leukapheresis - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Monocytes</subject><subject>mucosal healing</subject><subject>Treatment Outcome</subject><subject>ulcerative colitis</subject><subject>Young Adult</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkctu1DAUhiMEojc2PADyEiGl-MSJ7SzRQIdKVYsQpUvLcU46BidO7YR2HoZ3refSLhHe-Nj6_k-y_yx7C_QU0vpofGtPgRWVfJEdQslZDgzky-1c5LIGepAdxfiLUuAC5OvsoOCilFXFDrO_ZxqNdsRpM_kOQ7ADsZFoMkfsZkca63sdfmMgnQ-kn42PiV6hdna4JQke9WRxmCK5t9OKzM5gSDd_kBjv7JRU7Rw26G3Qw-y8WU9I9NCS3g_7Qxt9GLcRPa4wYEyhKQ16XJ9krzrtIr7Z78fZ9dmXH4uv-cXV8nzx6SI3JaUyB0FR1rrBBgpZCa61NAhClLVsDOtMV2iWXlk3wEpoBHaCl0XFm1aUvKx0y46z9zvvGPzdjHFSvY0GndMD-jkqkFTymnPG_gcFySkHkdAPO9QEH2PATo3Bpt9cK6Bq05zaNKe2zSX43d47Nz22z-hTVQmAHXBvHa7_oVKLq8_nT9J8l7FxwofnTCpUccFEpW4ul-p7KZffFuynumGPgjS20g</recordid><startdate>201607</startdate><enddate>201607</enddate><creator>Sagawa, T.</creator><creator>Kakizaki, S.</creator><creator>Tomizawa, T.</creator><creator>Nakayama, T.</creator><creator>Tanaka, H.</creator><creator>Tojima, H.</creator><creator>Sato, K.</creator><creator>Kusano, M.</creator><creator>Okamura, S.</creator><creator>Yamada, M.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>201607</creationdate><title>Faecal lactoferrin is a useful biomarker for mucosal healing in patients with ulcerative colitis during granulocyte and monocyte adsorptive apheresis therapy</title><author>Sagawa, T. ; Kakizaki, S. ; Tomizawa, T. ; Nakayama, T. ; Tanaka, H. ; Tojima, H. ; Sato, K. ; Kusano, M. ; Okamura, S. ; Yamada, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4008-170e89abeb128576aa8ce177498bc3fcf2a3eca9b1341b7ef764256bd74645ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>biomarker</topic><topic>Biomarkers - analysis</topic><topic>Colitis, Ulcerative - pathology</topic><topic>Colitis, Ulcerative - therapy</topic><topic>Faecal lactoferrin</topic><topic>Feces - chemistry</topic><topic>Female</topic><topic>granulocyte and monocyte adsorptive apheresis</topic><topic>Granulocytes</topic><topic>Humans</topic><topic>Intestinal Mucosa - pathology</topic><topic>Lactoferrin - analysis</topic><topic>Leukapheresis - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Monocytes</topic><topic>mucosal healing</topic><topic>Treatment Outcome</topic><topic>ulcerative colitis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sagawa, T.</creatorcontrib><creatorcontrib>Kakizaki, S.</creatorcontrib><creatorcontrib>Tomizawa, T.</creatorcontrib><creatorcontrib>Nakayama, T.</creatorcontrib><creatorcontrib>Tanaka, H.</creatorcontrib><creatorcontrib>Tojima, H.</creatorcontrib><creatorcontrib>Sato, K.</creatorcontrib><creatorcontrib>Kusano, M.</creatorcontrib><creatorcontrib>Okamura, S.</creatorcontrib><creatorcontrib>Yamada, M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sagawa, T.</au><au>Kakizaki, S.</au><au>Tomizawa, T.</au><au>Nakayama, T.</au><au>Tanaka, H.</au><au>Tojima, H.</au><au>Sato, K.</au><au>Kusano, M.</au><au>Okamura, S.</au><au>Yamada, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Faecal lactoferrin is a useful biomarker for mucosal healing in patients with ulcerative colitis during granulocyte and monocyte adsorptive apheresis therapy</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2016-07</date><risdate>2016</risdate><volume>18</volume><issue>7</issue><spage>696</spage><epage>702</epage><pages>696-702</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>Aim The study investigated the value of faecal lactoferrin as a follow‐up biomarker for mucosal healing of ulcerative colitis during granulocyte and monocyte adsorptive apheresis (GMA) therapy. Method Patients with ulcerative colitis exhibiting a moderate or severe disease activity with a partial Mayo Score (pMS) of over 4 were enrolled in this study. The patients received 10 courses of GMA therapy. The pMS value and faecal lactoferrin level were monitored and compared with the findings of endoscopy until 12 months after the last dose of GMA therapy. Results Twenty patients (male:female 11:9) were enrolled in this study. Twelve had total colitis, while six had left‐sided involvement and two had distal proctitis. Thirteen (65.0%) responded to GMA therapy. The faecal lactoferrin levels were significantly decreased in patients who responded to GMA therapy (P &lt; 0.05), whereas the levels did not change in non‐responders. Moreover, the faecal lactoferrin levels correlated with the endoscopic findings (r = 0.792, P &lt; 0.01) and pMS scores (r = 0.529, P &lt; 0.01). The correlation coefficients between the faecal lactoferrin levels and mucosal findings were higher than those observed between the pMS score and mucosal findings. Conclusion The faecal lactoferrin level is a useful biomarker of the mucosal findings in ulcerative colitis. Although endoscopy is the gold standard, the faecal lactoferrin level can be used as a biomarker during GMA therapy in patients with ulcerative colitis.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>26748553</pmid><doi>10.1111/codi.13258</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Aged
biomarker
Biomarkers - analysis
Colitis, Ulcerative - pathology
Colitis, Ulcerative - therapy
Faecal lactoferrin
Feces - chemistry
Female
granulocyte and monocyte adsorptive apheresis
Granulocytes
Humans
Intestinal Mucosa - pathology
Lactoferrin - analysis
Leukapheresis - methods
Male
Middle Aged
Monocytes
mucosal healing
Treatment Outcome
ulcerative colitis
Young Adult
title Faecal lactoferrin is a useful biomarker for mucosal healing in patients with ulcerative colitis during granulocyte and monocyte adsorptive apheresis therapy
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