Serum biomarkers of fibrostenotic Crohn's disease: Where are we now?
- PMID: 32496631
- DOI: 10.1111/1751-2980.12913
Serum biomarkers of fibrostenotic Crohn's disease: Where are we now?
Abstract
Intestinal fibrosis and subsequent stricture formation are major clinical challenges in inflammatory bowel disease, resulting in an increased rate of operation and poor prognosis compared with those without. With the changing perception that intestinal fibrosis is irreversible to the point of view that it is reversible in recent years, various candidate serum biomarkers have been studied over the past decades, which may stratify patients based on their risks of developing stenosis and enable the detection of early stages of fibrosis. However, reliable and accurate biomarkers are still unavailable due to conflicting results and the lack of high-quality evidence. In this review we summarized the serum biomarkers that have been proposed for intestinal fibrosis in recent years, which includes gene polymorphisms or variants, epigenetic markers, extracellular matrix components, growth factors, and antibodies, aiming to provide clues for future research.
Keywords: Crohn's disease; biomarker; fibrostenotic Crohn's disease; inflammatory bowel diseases.
© 2020 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.
References
REFERENCES
-
- Lawrance IC, Rogler G, Bamias G, et al. Cellular and molecular mediators of intestinal fibrosis. J Crohns Colitis. 2015;11(12):1491-1503.
-
- Burke JP, Mulsow JJ, O'Keane C, Docherty NG, Watson RWG, O'Connell PR. Fibrogenesis in Crohn's disease. Am J Gastroenterol. 2007;102(2):439-448.
-
- de Bruyn JR, Meijer SL, Wildenberg ME, Bemelman WA, van den Brink GR, D'Haens GR. Development of fibrosis in acute and longstanding ulcerative colitis. J Crohns Colitis. 2015;9(11):966-972.
-
- Di Sabatino A, Jackson CL, Pickard KM, et al. Transforming growth factor β signalling and matrix metalloproteinases in the mucosa overlying Crohn's disease strictures. Gut. 2009;58(6):777-789.
-
- Liu X. Inflammatory cytokines augments TGF-β1-induced epithelial-mesenchymal transition in A549 cells by up-regulating TβR-I. Cell Motil Cytoskeleton. 2008;65(12):935-944.
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous