IBD serological panels: Facts and perspectives

Beyond a defective innate immune response in inflammatory bowel disease (IBD), an increased immunological response toward microbial and self antigens has been intrinsically linked to the pathogenesis of such common immunopathologies of the gut. Mounting evidence indicates that increased seroreactivi...

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Veröffentlicht in:Inflammatory bowel diseases 2007-12, Vol.13 (12), p.1561-1566
Hauptverfasser: Peyrin‐Biroulet, Laurent, Standaert‐Vitse, Annie, Branche, Julien, Chamaillard, Mathias
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container_end_page 1566
container_issue 12
container_start_page 1561
container_title Inflammatory bowel diseases
container_volume 13
creator Peyrin‐Biroulet, Laurent
Standaert‐Vitse, Annie
Branche, Julien
Chamaillard, Mathias
description Beyond a defective innate immune response in inflammatory bowel disease (IBD), an increased immunological response toward microbial and self antigens has been intrinsically linked to the pathogenesis of such common immunopathologies of the gut. Mounting evidence indicates that increased seroreactivity toward certain antigens are a predictive and quantitative heritable trait, including the anti‐Saccharomyces cerevisiae antibody (ASCA). Consistently, Candida albicans and Crohn's disease‐associated NOD2 mutations have been recently identified as immunogen and genetic determinants for ASCA, respectively. In clinical practice, current panels of serological markers are not recommended for diagnosis, stratifying, and monitoring IBD. Therefore, prospective studies and highly sensitive serological panels of markers are eagerly awaited before guiding clinical decisions. Better understanding of the serological response in IBD might also provide new insights into their epidemiology and pathophysiology. (Inflamm Bowel Dis 2007)
doi_str_mv 10.1002/ibd.20226
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source MEDLINE; Access via Wiley Online Library; Oxford University Press Journals All Titles (1996-Current)
subjects Antibodies
Antibodies, Bacterial - blood
Antibodies, Fungal - blood
Autoantigens
Candida albicans
Crohn's disease
diagnostic
Digestive tract
Epidemiology
Humans
Immune response
Inflammatory bowel diseases
Inflammatory Bowel Diseases - diagnosis
Intestine
Mutation
NOD2 protein
Serologic Tests - methods
serology
stratification
ulcerative colitis
title IBD serological panels: Facts and perspectives
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