1. Systematic review: New serological markers (anti-glycan, anti-GP2, anti-GM-CSF Ab) in the prediction of IBD patient outcomes
- Author
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Miles P. Sparrow, Xavier Roblin, Chantal Dumestre-Pérard, Melanie Rinaudo-gaujous, Christian Genin, J. Bonneau, Stéphane Paul, Groupe Immunité des Muqueuses et Agents Pathogènes (GIMAP), Université Jean Monnet [Saint-Étienne] (UJM), Barrière Naturelle et Infectiosité (TIMC-IMAG-BNI), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 (TIMC-IMAG), VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF), Université Grenoble Alpes [2016-2019] (UGA [2016-2019]), Department of Gastroenterology, The Alfred Hospital, Service de gastroentérologie [CHU Saint-Etienne], and Centre Hospitalier Universitaire de Saint-Etienne (CHU de Saint-Etienne)
- Subjects
Oncology ,medicine.medical_specialty ,IBD ,Immunology ,MEDLINE ,GPI-Linked Proteins ,Antibodies ,Serology ,03 medical and health sciences ,0302 clinical medicine ,Polysaccharides ,Internal medicine ,Humans ,Immunology and Allergy ,Medicine ,Prospective cohort study ,MESH: Treatment Outcome ,030304 developmental biology ,0303 health sciences ,Crohn's disease ,MESH: Humans ,biology ,GP2 ,business.industry ,MESH: Antibodies ,Granulocyte-Macrophage Colony-Stimulating Factor ,GM-CSF ,Guideline ,Pouchitis ,Inflammatory Bowel Diseases ,Glycan ,MESH: Granulocyte-Macrophage Colony-Stimulating Factor ,MESH: Inflammatory Bowel Diseases ,medicine.disease ,Ulcerative colitis ,3. Good health ,Treatment Outcome ,MESH: Polysaccharides ,[SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology ,MESH: Biomarkers ,biology.protein ,030211 gastroenterology & hepatology ,MESH: GPI-Linked Proteins ,Antibody ,business ,Biomarkers - Abstract
International audience; Traditionally, IBD diagnosis is based on clinical, radiological, endoscopic, and histological criteria. Biomarkers are needed in cases of uncertain diagnosis, or to predict disease course and therapeutic response. No guideline recommends the detection of antibodies (including ASCA and ANCA) for diagnosis or prognosis of IBD to date. However, many recent data suggest the potential role of new serological markers (anti-glycan (ACCA, ALCA, AMCA, anti-L and anti-C), anti-GP2 and anti-GM-CSF Ab). This review focuses on clinical utility of these new serological markers in diagnosis, prognosis and therapeutic monitoring of IBD. Literature review of anti-glycan, anti-GP2 and anti-GM-CSF Ab and their impact on diagnosis, prognosis and prediction of therapeutic response was performed in PubMed/MEDLINE up to June 2014. Anti-glycan, anti-GP2 and anti-GM-CSF Ab are especially associated with CD and seem to be correlated with complicated disease phenotypes even if results differ between studies. Although anti-glycan Ab and anti-GP2 Ab have low sensitivity in diagnosis of IBD, they could identify a small number of CD patients not detected by other tests such as ASCA. Anti-glycan Abs are associated with a progression to a more severe disease course and a higher risk for IBD-related surgery. Anti-GP2 Ab could particularly contribute to better stratify cases of pouchitis. Anti-GM-CSF Ab seems to be correlated with disease activity and could help predict relapses. These new promising biomarkers could particularly be useful in stratification of patients according to disease phenotype and risk of complications. They could be a valuable aid in prediction of disease course and therapeutic response but more prospective studies are needed.
- Published
- 2015
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