title: Fecal lactoferrin and calprotectin after ileocolonic resection for Crohn's disease.
abstract: OBJECTIVE
  This study was designed to assess the role of fecal lactoferrin and calprotectin as markers of intestinal inflammation in patients with Crohn's disease who have undergone ileocolonic resection.
  
  
  METHODS
  Sixty-three patients who had undergone ileocolonic resection for Crohn's disease with a median follow-up of 40.5 (range, 5-102) months were enrolled. Clinical examination and blood test were performed, and fecal lactoferrin and calprotectin levels were dosed. The predictors for fecal lactoferrin and calprotectin levels that resulted to be significant at the univariate analyses were included in two multiple regression analysis models.
  
  
  RESULTS
  The mean lactoferrin level was 21 +/- 3.9 microg/g and the mean calprotectin fecal level was 247 +/- 22.7 ng/ml. C-reactive protein levels (P < 0.01), calprotectin levels (P < 0.01), and the presence of clinical recurrence (P = 0.04) resulted to be independent predictors of lactoferrin levels. Only lactoferrin levels resulted to be an independent predictor for calprotectin fecal levels (P < 0.01).
  
  
  CONCLUSIONS
  Crohn's disease patients maintain high fecal levels of lactoferrin and calprotectin at long-term follow-up after resection of the diseased bowel even in case of clinical remission. The significant correlation between the two fecal markers may be the expression of the ongoing intestinal inflammation. Only lactoferrin significantly correlated with C-reactive protein and showed a reliable threshold value for systemic inflammation. Lactoferrin fecal levels may be a reliable indicator for intestinal inflammation influencing the systemic inflammatory status. The third predictor of lactoferrin fecal level was the presence of episodes of clinical recurrence during the postoperative follow-up.
authors.affiliation: Clinica Chirurgica I, Dipartimento di Scienze Chirurgiche e Gastroenterologiche, University of Padova, Padova, Italy. marcoscarpa73@yahoo.it
authors.forename: Marco
authors.initials: M
authors.lastname: Scarpa
authors.forename: Renata
authors.initials: R
authors.lastname: D'Incà
authors.forename: Daniela
authors.initials: D
authors.lastname: Basso
authors.forename: Cesare
authors.initials: C
authors.lastname: Ruffolo
authors.forename: Lino
authors.initials: L
authors.lastname: Polese
authors.forename: Eugenia
authors.initials: E
authors.lastname: Bertin
authors.forename: Alessia
authors.initials: A
authors.lastname: Luise
authors.forename: Mauro
authors.initials: M
authors.lastname: Frego
authors.forename: Mario
authors.initials: M
authors.lastname: Plebani
authors.forename: Giacomo C
authors.initials: GC
authors.lastname: Sturniolo
authors.forename: Davide F
authors.initials: DF
authors.lastname: D'Amico
authors.forename: Imerio
authors.initials: I
authors.lastname: Angriman
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000378:metabolism; D002097:C-Reactive Protein / Q000032:analysis; D003106:Colon / Q000601:surgery; D003424:Crohn Disease / Q000378:metabolism* / Q000601:surgery; D003430:Cross-Sectional Studies; D005243:Feces / Q000737:chemistry*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D007501:Iron / Q000097:blood; D007781:Lactoferrin / Q000032:analysis*; D039841:Leukocyte L1 Antigen Complex / Q000032:analysis*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012044:Regression Analysis; D012680:Sensitivity and Specificity; D012709:Serum Albumin / Q000032:analysis
chemical_list: D015415:Biomarkers; D039841:Leukocyte L1 Antigen Complex; D012709:Serum Albumin; D002097:C-Reactive Protein; D007501:Iron; D007781:Lactoferrin