Immunological Biomarkers in Postinfectious Irritable Bowel Syndrome
| Autor: | Kayla Jaep, Mark S. Riddle, Chad K. Porter, Benjamin S. Christmann, Brian L. Pike, Charles O. Elson, Alexander C. Maue, Ashley Alcala, Katie Ann Paden, Robert Gormley |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Immunoglobulin A Statistics as Topic Immunoglobulin E medicine.disease_cause Serology Irritable Bowel Syndrome Antigen Monitoring Immunologic Salmonella Campylobacter Infections medicine Humans Microbiome Chemokine CCL4 Irritable bowel syndrome Dysentery Bacillary biology business.industry Interleukins Campylobacter General Medicine medicine.disease Antibodies Bacterial United States Gastroenteritis Military Personnel Salmonella Infections Immunology biology.protein Female Shigella Antibody business Biomarkers |
| Zdroj: | Journal of Travel Medicine. 22:242-250 |
| ISSN: | 1708-8305 1195-1982 |
| Popis: | Background There is a recognized need for biological markers to facilitate diagnoses of irritable bowel syndrome (IBS) and to distinguish it from other functional and organic disorders. As postinfectious IBS (PI-IBS) is believed to account for as many as one third of all IBS cases, here we sought to identify differences in specific cytokines and serologic responses across patients with idiopathic IBS and PI-IBS and healthy controls. Methods At total of 120 US military personnel were identified from the Defense Medical Surveillance System-based International Classification of Diseases, 9th Revision, Clinical Modification (ICD9-CM) codes recorded during medical encounters and were grouped based on infectious gastroenteritis (IGE) episode (Shigella, Campylobacter, Salmonella, or an unspecified pathogen) followed by IBS, IBS without antecedent IGE, or IGE without subsequent IBS within 2 years of the IGE exposure. Sera from subjects were assayed for cytokine levels and antibodies against a panel of microbiome antigens. Results In total, 10 of 118 markers considered were shown to differ between IBS patients and healthy controls, including cytokines interleukin-6 (IL-6), IL-8, IL-1β, and macrophage inflammatory protein-1β (MIP-1β), as well as antibody responses to microbial antigens. Antimicrobial antibody response profiles also differed between PI-IBS cases compared with IBS cases without an antecedent episode of acute IGE. Comparisons also suggest that immunoglobulin A (IgA) and IgG profiles may point to pathogen-specific origins among PI-IBS cases. Conclusion Taken together, these results provide further evidence as to the molecular distinctness of classes of IBS cases and that serum biomarkers may prove useful in elucidating their pathobiological pathways. |
| Databáze: | OpenAIRE |
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