Molecular Classification of Crohn's Disease and Ulcerative Colitis Patients Using Transcriptional Profiles in Peripheral Blood Mononuclear Cells

Ulcerative colitis (UC) and Crohn's disease (CD) are common inflammatory bowel diseases producing intestinal inflammation and tissue damage. Although emerging evidence suggests these diseases are distinct, ∼10% of patients remain classified as indeterminate inflammatory bowel disease even after...

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Veröffentlicht in:The Journal of molecular diagnostics : JMD 2006-02, Vol.8 (1), p.51-61
Hauptverfasser: Burczynski, Michael E., Peterson, Ron L., Twine, Natalie C., Zuberek, Krystyna A., Brodeur, Brendan J., Casciotti, Lori, Maganti, Vasu, Reddy, Padma S., Strahs, Andrew, Immermann, Fred, Spinelli, Walter, Schwertschlag, Ulrich, Slager, Anna M., Cotreau, Monette M., Dorner, Andrew J.
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container_issue 1
container_start_page 51
container_title The Journal of molecular diagnostics : JMD
container_volume 8
creator Burczynski, Michael E.
Peterson, Ron L.
Twine, Natalie C.
Zuberek, Krystyna A.
Brodeur, Brendan J.
Casciotti, Lori
Maganti, Vasu
Reddy, Padma S.
Strahs, Andrew
Immermann, Fred
Spinelli, Walter
Schwertschlag, Ulrich
Slager, Anna M.
Cotreau, Monette M.
Dorner, Andrew J.
description Ulcerative colitis (UC) and Crohn's disease (CD) are common inflammatory bowel diseases producing intestinal inflammation and tissue damage. Although emerging evidence suggests these diseases are distinct, ∼10% of patients remain classified as indeterminate inflammatory bowel disease even after invasive colonoscopy intended for diagnosis. A molecular diagnostic assay using a clinically accessible tissue would greatly assist in the classification of these diseases. In the present study we assessed transcriptional profiles in peripheral blood mononuclear cells from 42 healthy individuals, 59 CD patients, and 26 UC patients by hybridization to microarrays interrogating more than 22,000 sequences. Supervised analysis identified a set of 12 genes that distinguished UC and CD patient samples with high accuracy. The alterations in transcript levels observed by microarray were verified by real-time polymerase chain reaction. The results suggest that a peripheral blood mononuclear cell-based gene expression signature can provide a molecular biomarker that can complement the standard dia-gnosis of UC and CD.
doi_str_mv 10.2353/jmoldx.2006.050079
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subjects Adult
Case-Control Studies
Colitis, Ulcerative - blood
Colitis, Ulcerative - diagnosis
Crohn Disease - blood
Crohn Disease - diagnosis
Gene Expression Profiling
Humans
Leukocytes, Mononuclear - chemistry
Male
Molecular Diagnostic Techniques
Regular
Reverse Transcriptase Polymerase Chain Reaction - methods
title Molecular Classification of Crohn's Disease and Ulcerative Colitis Patients Using Transcriptional Profiles in Peripheral Blood Mononuclear Cells
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