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Serum amyloid A level correlated with endoscopic findings in patients with Crohn’s disease—Possible biomarker for evaluating mucosal healing
Mucosal healing (MH) has been proposed as an essential therapeutic goal for treatment of Crohn’s disease (CD) patients. The utility of serum amyloid A (SAA) for prediction of MH in CD patients is lacking. This study was conducted to evaluate the correlation of SAA with CD-related endoscopic disease...
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Published in: | Digestive and liver disease 2018-06, Vol.50 (6), p.553-558 |
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creator | Ishihara, Shunji Tada, Yasumasa Kawashima, Kousaku Kataoka, Masatoshi Sonoyama, Hiroki Yamashita, Noritsugu Oka, Akihiko Kusunoki, Ryusaku Fukuba, Nobuhiko Mishima, Yoshiyuki Oshima, Naoki Moriyama, Ichiro Yuki, Takafumi Kinoshita, Yoshikazu |
description | Mucosal healing (MH) has been proposed as an essential therapeutic goal for treatment of Crohn’s disease (CD) patients. The utility of serum amyloid A (SAA) for prediction of MH in CD patients is lacking.
This study was conducted to evaluate the correlation of SAA with CD-related endoscopic disease activity.
SAA levels in serum samples obtained from CD patients as well as endoscopic findings based on a simple endoscopic score for CD (SES-CD) were assessed in relation to CD activity index (CDAI). The diagnostic ability of MH in correlation with SAA level was evaluated using receiver operating characteristic (ROC) curve analysis.
Fifty-five patients with CD were enrolled. Mean SAA level was significantly higher in clinical and endoscopic active phases as compared to an inactive phase. SAA level was also significantly correlated with SES-CD (r = 0.64, p |
doi_str_mv | 10.1016/j.dld.2017.12.010 |
format | article |
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This study was conducted to evaluate the correlation of SAA with CD-related endoscopic disease activity.
SAA levels in serum samples obtained from CD patients as well as endoscopic findings based on a simple endoscopic score for CD (SES-CD) were assessed in relation to CD activity index (CDAI). The diagnostic ability of MH in correlation with SAA level was evaluated using receiver operating characteristic (ROC) curve analysis.
Fifty-five patients with CD were enrolled. Mean SAA level was significantly higher in clinical and endoscopic active phases as compared to an inactive phase. SAA level was also significantly correlated with SES-CD (r = 0.64, p < 0.01) and CDAI (r = 0.42, p < 0.01). The area under the ROC curve for SAA level was 0.77 and the optimal cut-off value for SAA to predict MH was 5.9 μg/dl. SAA level was shown to be associated with MH, with a sensitivity of 68% and specificity of 83%.
SAA may be a possible biomarker for evaluating MH in CD patients.</description><identifier>ISSN: 1590-8658</identifier><identifier>EISSN: 1878-3562</identifier><identifier>DOI: 10.1016/j.dld.2017.12.010</identifier><identifier>PMID: 29311027</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Biomarker ; Crohn’s disease ; Endoscopy ; Mucosal healing ; Serum amyloid A</subject><ispartof>Digestive and liver disease, 2018-06, Vol.50 (6), p.553-558</ispartof><rights>2018 Editrice Gastroenterologica Italiana S.r.l.</rights><rights>Copyright © 2018 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-fe85846d59dfdd55edec491f4661ba87c6a17dc21396660251f8085d52e3e3423</citedby><cites>FETCH-LOGICAL-c353t-fe85846d59dfdd55edec491f4661ba87c6a17dc21396660251f8085d52e3e3423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29311027$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ishihara, Shunji</creatorcontrib><creatorcontrib>Tada, Yasumasa</creatorcontrib><creatorcontrib>Kawashima, Kousaku</creatorcontrib><creatorcontrib>Kataoka, Masatoshi</creatorcontrib><creatorcontrib>Sonoyama, Hiroki</creatorcontrib><creatorcontrib>Yamashita, Noritsugu</creatorcontrib><creatorcontrib>Oka, Akihiko</creatorcontrib><creatorcontrib>Kusunoki, Ryusaku</creatorcontrib><creatorcontrib>Fukuba, Nobuhiko</creatorcontrib><creatorcontrib>Mishima, Yoshiyuki</creatorcontrib><creatorcontrib>Oshima, Naoki</creatorcontrib><creatorcontrib>Moriyama, Ichiro</creatorcontrib><creatorcontrib>Yuki, Takafumi</creatorcontrib><creatorcontrib>Kinoshita, Yoshikazu</creatorcontrib><title>Serum amyloid A level correlated with endoscopic findings in patients with Crohn’s disease—Possible biomarker for evaluating mucosal healing</title><title>Digestive and liver disease</title><addtitle>Dig Liver Dis</addtitle><description>Mucosal healing (MH) has been proposed as an essential therapeutic goal for treatment of Crohn’s disease (CD) patients. The utility of serum amyloid A (SAA) for prediction of MH in CD patients is lacking.
This study was conducted to evaluate the correlation of SAA with CD-related endoscopic disease activity.
SAA levels in serum samples obtained from CD patients as well as endoscopic findings based on a simple endoscopic score for CD (SES-CD) were assessed in relation to CD activity index (CDAI). The diagnostic ability of MH in correlation with SAA level was evaluated using receiver operating characteristic (ROC) curve analysis.
Fifty-five patients with CD were enrolled. Mean SAA level was significantly higher in clinical and endoscopic active phases as compared to an inactive phase. SAA level was also significantly correlated with SES-CD (r = 0.64, p < 0.01) and CDAI (r = 0.42, p < 0.01). The area under the ROC curve for SAA level was 0.77 and the optimal cut-off value for SAA to predict MH was 5.9 μg/dl. SAA level was shown to be associated with MH, with a sensitivity of 68% and specificity of 83%.
SAA may be a possible biomarker for evaluating MH in CD patients.</description><subject>Biomarker</subject><subject>Crohn’s disease</subject><subject>Endoscopy</subject><subject>Mucosal healing</subject><subject>Serum amyloid A</subject><issn>1590-8658</issn><issn>1878-3562</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kc1q3DAUhUVpadJpH6CboGU2dnTlkSyTVRj6B4EU2q6FRrrOaCpbE8mekl0eIYts-np5kipM2mVXuoJzDpzzEfIeWA0M5Nm2dsHVnEFbA68ZsBfkGFSrqkZI_rLcomOVkkIdkTc5bxnjIAV7TY541wAw3h6T-2-Y5oGa4TZE7-gFDbjHQG1MCYOZ0NFfftpQHF3MNu68pb0fnR-vM_Uj3ZnJ4zjlg2iV4mZ8vPudqfMZTcbHu4evMWe_DkjXPg4m_cRE-5go7k2Yi3m8psNsYzaBbtCE8n9LXvUmZHz3_C7Ij48fvq8-V5dXn76sLi4r24hmqnpUQi2lE53rnRMCHdplB_1SSlgb1VppoHWWQ9NJKRkX0CumhBMcG2yWvFmQ00PuLsWbGfOkB58thmBGjHPW0KlOCM7LVAsCB6lNpU3CXu-SL2VuNTD9BEJvdQGhn0Bo4LqAKJ6T5_h5PaD75_i7fBGcHwRYSu49Jp1t2dKi8wntpF30_4n_A6FhnYE</recordid><startdate>201806</startdate><enddate>201806</enddate><creator>Ishihara, Shunji</creator><creator>Tada, Yasumasa</creator><creator>Kawashima, Kousaku</creator><creator>Kataoka, Masatoshi</creator><creator>Sonoyama, Hiroki</creator><creator>Yamashita, Noritsugu</creator><creator>Oka, Akihiko</creator><creator>Kusunoki, Ryusaku</creator><creator>Fukuba, Nobuhiko</creator><creator>Mishima, Yoshiyuki</creator><creator>Oshima, Naoki</creator><creator>Moriyama, Ichiro</creator><creator>Yuki, Takafumi</creator><creator>Kinoshita, Yoshikazu</creator><general>Elsevier Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201806</creationdate><title>Serum amyloid A level correlated with endoscopic findings in patients with Crohn’s disease—Possible biomarker for evaluating mucosal healing</title><author>Ishihara, Shunji ; Tada, Yasumasa ; Kawashima, Kousaku ; Kataoka, Masatoshi ; Sonoyama, Hiroki ; Yamashita, Noritsugu ; Oka, Akihiko ; Kusunoki, Ryusaku ; Fukuba, Nobuhiko ; Mishima, Yoshiyuki ; Oshima, Naoki ; Moriyama, Ichiro ; Yuki, Takafumi ; Kinoshita, Yoshikazu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-fe85846d59dfdd55edec491f4661ba87c6a17dc21396660251f8085d52e3e3423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Biomarker</topic><topic>Crohn’s disease</topic><topic>Endoscopy</topic><topic>Mucosal healing</topic><topic>Serum amyloid A</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ishihara, Shunji</creatorcontrib><creatorcontrib>Tada, Yasumasa</creatorcontrib><creatorcontrib>Kawashima, Kousaku</creatorcontrib><creatorcontrib>Kataoka, Masatoshi</creatorcontrib><creatorcontrib>Sonoyama, Hiroki</creatorcontrib><creatorcontrib>Yamashita, Noritsugu</creatorcontrib><creatorcontrib>Oka, Akihiko</creatorcontrib><creatorcontrib>Kusunoki, Ryusaku</creatorcontrib><creatorcontrib>Fukuba, Nobuhiko</creatorcontrib><creatorcontrib>Mishima, Yoshiyuki</creatorcontrib><creatorcontrib>Oshima, Naoki</creatorcontrib><creatorcontrib>Moriyama, Ichiro</creatorcontrib><creatorcontrib>Yuki, Takafumi</creatorcontrib><creatorcontrib>Kinoshita, Yoshikazu</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive and liver disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ishihara, Shunji</au><au>Tada, Yasumasa</au><au>Kawashima, Kousaku</au><au>Kataoka, Masatoshi</au><au>Sonoyama, Hiroki</au><au>Yamashita, Noritsugu</au><au>Oka, Akihiko</au><au>Kusunoki, Ryusaku</au><au>Fukuba, Nobuhiko</au><au>Mishima, Yoshiyuki</au><au>Oshima, Naoki</au><au>Moriyama, Ichiro</au><au>Yuki, Takafumi</au><au>Kinoshita, Yoshikazu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum amyloid A level correlated with endoscopic findings in patients with Crohn’s disease—Possible biomarker for evaluating mucosal healing</atitle><jtitle>Digestive and liver disease</jtitle><addtitle>Dig Liver Dis</addtitle><date>2018-06</date><risdate>2018</risdate><volume>50</volume><issue>6</issue><spage>553</spage><epage>558</epage><pages>553-558</pages><issn>1590-8658</issn><eissn>1878-3562</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Mucosal healing (MH) has been proposed as an essential therapeutic goal for treatment of Crohn’s disease (CD) patients. The utility of serum amyloid A (SAA) for prediction of MH in CD patients is lacking.
This study was conducted to evaluate the correlation of SAA with CD-related endoscopic disease activity.
SAA levels in serum samples obtained from CD patients as well as endoscopic findings based on a simple endoscopic score for CD (SES-CD) were assessed in relation to CD activity index (CDAI). The diagnostic ability of MH in correlation with SAA level was evaluated using receiver operating characteristic (ROC) curve analysis.
Fifty-five patients with CD were enrolled. Mean SAA level was significantly higher in clinical and endoscopic active phases as compared to an inactive phase. SAA level was also significantly correlated with SES-CD (r = 0.64, p < 0.01) and CDAI (r = 0.42, p < 0.01). The area under the ROC curve for SAA level was 0.77 and the optimal cut-off value for SAA to predict MH was 5.9 μg/dl. SAA level was shown to be associated with MH, with a sensitivity of 68% and specificity of 83%.
SAA may be a possible biomarker for evaluating MH in CD patients.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>29311027</pmid><doi>10.1016/j.dld.2017.12.010</doi><tpages>6</tpages></addata></record> |
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subjects | Biomarker Crohn’s disease Endoscopy Mucosal healing Serum amyloid A |
title | Serum amyloid A level correlated with endoscopic findings in patients with Crohn’s disease—Possible biomarker for evaluating mucosal healing |
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