Age-dependent variation of fecal calprotectin in cystic fibrosis and healthy children

被引:40
作者
Garg, Millie [1 ]
Leach, Steven T. [1 ]
Coffey, Michael J. [1 ]
Katz, Tamarah [2 ]
Strachan, Roxanne [3 ]
Pang, Tamara [1 ]
Needham, Bronwen. [4 ]
Lui, Kei [1 ,5 ]
Ali, Fathalla [1 ]
Day, Andrew S. [6 ]
Appleton, Laura [6 ]
Moeeni, Vesal [6 ]
Jaffe, Adam [1 ,3 ]
Ooi, Chee Y. [1 ,7 ]
机构
[1] Univ New S Wales, Sch Womens & Childrens Hlth, Med, Sydney, NSW, Australia
[2] Sydney Childrens Hosp, Dept Nutr & Dietet, High St, Randwick, NSW 2031, Australia
[3] Sydney Childrens Hosp, Dept Resp Med, High St, Randwick, NSW 2031, Australia
[4] Univ Sydney, Sydney Med Program, Camperdown, NSW 2050, Australia
[5] Royal Hosp Women, Dept Newborn Care, Barker St, Randwick, NSW 2031, Australia
[6] Univ Otago, Dept Pediat, 2 Riccarton Ave, Canterbury 8011, New Zealand
[7] Sydney Childrens Hosp, Dept Gastroenterol, High St, Randwick, NSW 2031, Australia
关键词
Leukocyte L1 antigen complex; Calprotectin; S100; proteins; Cystic fibrosis; Gastrointestinal inflammation; Pediatrics; PANCREATIC-FUNCTION; SMALL-INTESTINE; L1; PROTEIN; GUIDELINES; MICROBIOTA; DYSBIOSIS; INFANTS; MOUSE;
D O I
10.1016/j.jcf.2017.03.010
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background: Fecal calprotectin may be used as a non-invasive method to assess the effect of novel therapies on the gut in cystic fibrosis (CF). Method: Stools from CF patients and healthy controls (HC) (0-10 years old) were prospectively collected for evaluation of temporal trends. Results: 130 CF samples (64 subjects) and 114 HC samples (101 subjects) were collected. Overall, fecal calprotectin levels were different in CF patients and HC from 0 to 10 years (P = 0.0002). Fecal calprotectin in CF was significantly lower than HC from 0 to 1 years (P = 0.03) and demonstrated an upward trajectory until 4 years. From >4 to 10 years calprotectin was consistently higher in CF patients compared with HC (P = 0.007). Conclusions: Fecal calprotectin levels in children with CF and HC were age-dependent and had distinct trajectories. Careful interpretation of calprotectin is required if used in drug trials for CF, particularly in children less than 4 years old. (C) 2017 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:631 / 636
页数:6
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