Yıl: 2004 Cilt: 15 Sayı: 4 Sayfa Aralığı: 238 - 242 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases

Öz:
Amaç: Perinükleer antinötrofilik sitoplazmik antikor ülseratif kolit için bir gösterge, anti-Saccharomyces cerevisiae ise Crohn hastalığına eşlik eden bir antikordur. Bu çalışmanın amacı, perinükleer antinötrofilik sitoplazmik antikor ve anti-Saccharomyces cerevisiae antikounun Türk inflamatuvar barsak hastalarındaki önemini ve yerini ortaya koymaktır.Yöntem: 80 ülseratif kolit, 61 Crohn hastası ve 40 sağlıklı bireyden serum örnekleri alınmıştır. Perinükleer antinötrofil sitoplazmik antikor ve “anti-Saccharomyces cerevisiae” antikorları standardize edilmiş ELİZA yöntemi ile ölçülmüştür.Bulgular: Perinükleer antinötrofil sitoplazmik antikor, ülseratif kolitli olguların %65’inde, sağlıklı bireylerin %2.5’inde seropozitif bulunmuştur. Anti-Saccharomyces cerevisiae antikorları ise Crohn hastalarının %63.9’unda, sağlıklı bireylerin %2.5’inde seropozitif bulunmuştur. Perinükleer antinötrofil sitoplazmik antikor seronegatifliği ve “anti-Saccharomyces cerevisiae” antikorunun seropozitifliğinin birlikte tanı duyarlılığı ve özgüllüğü sırasıyla %32.0 ve %97.5’tir. Perinükleer antinötrofil sitoplazmik antikor seropozitifliği ve “anti-Saccharomyces cerevisiae” antikorunun seronegatifliğinin birlikte tanı duyarlılığı ve özgüllüğü sırasıyla %44.2 ve %97.5’tir.Sonuç: Her iki serolojik test, inflamatuvar barsak hastalığı tanısında yardımcı testler olabilir.
Anahtar Kelime: Antikorlar, antinötrofil sitoplazmik Saccharomyces cerevisiae Enflamatuvar bağırsak hastalıkları Antikorlar, fungal

Konular: Cerrahi

İnflamatuvar barsak hastalıklarında antinötrofil sitoplazmik antikor ve “anti-Saccharomyces cerevisiae” antikorları

Öz:
Background/aims: Perinuclear antineutrophil cytoplasmic autoantibody is a marker for ulcerative colitis, and anti-Saccharomyces cerevisiae antibody is known to be associated with Crohn's disease. The purpose of this study was to search the value of detecting perinuclear antineutrophil cytoplasmic autoantibody and anti-Saccharomyces cerevisiae antibody for the diagnosis of Turkish inflammatory bowel disease patients.Methods: Serum samples were obtained from 80 patients with ulcerative colitis, 61 patients with Crohn's disease and 40 healthy controls. Determination of both anti-Saccharomyces cerevisiae antibody and antineutrophil cytoplasmic autoantibody was performed with the standardized enzyme-linked immunosorbent assay.Results: In cases with ulcerative colitis, 65% tested seropositive for antineutrophil cytoplasmic autoantibody, whereas the controls showed 2.5% positivity. In cases with Crohn's disease, 63.9% tested seropositive for anti-Saccharomyces cerevisiae antibody, whereas the controls showed 2.5% seropositivity. The combination of a positive anti-Saccharomyces cerevisiae antibody test and a negative antineutrophil cytoplasmic autoantibody yielded a sensitivity and specificity of 32.0% and 97.5%, respectively. The combination of a positive perinuclear antineutrophil cytoplasmic autoantibody and a negative anti-Saccharomyces cerevisiae antibody test yielded a sensitivity and specificity of 44.2% and 97.5%, respectively.Conclusions: Both serologic tests may aid in the differential diagnosis of inflammatory bowel disease.
Anahtar Kelime: Saccharomyces cerevisiae Inflammatory Bowel Diseases Antibodies, Fungal Antibodies, Antineutrophil Cytoplasmic

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1.Lee KS, Medline A, Shockey S. Indeterminate colitis in the spectrum of inflammatory bowel disease. Arch Pathol Lab Med 1979; 103: 173-6.
  • 2.Lennard-Jones JE. Classification of inflammatory bowel disease. Scand J Gastroenterol 1989; 24(Suppl): 2-6.
  • 3.Price AB. Overlap in the spectrum of non-specific inflammatory bowel disease-'colitis indeterminate". J Clin Pathol 1978; 31: 567-77.
  • 4.Hamilton SR. The differential diagnosis of idiopathic inflammatory bowel disease by colorectal biopsy. Int J Colorectal Dis 1987; 2: 113-7.
  • 5.Giaffer MH, Clark A, Holdsworth CD. Antibodies to selected strains of Saccharomyces cerevisiae (baker's and brewer's yeast) and Candida albicans in Crohn's disease. Gut 1990; 31: 536-8.
  • 6.Pokorny CS, Norton ID, McCaughan GW, et al. Anti-neutrophil cytoplasmic antibody: a prognostic indicator in primary sclerosing cholangitis. J Gastroenterol Hepatol 1994; 9: 40-4.
  • 7.Rutgeerts P, Vermeire S. Clinical value of detection of an tibodies in the serum for diagnosis and treatment of inflammatory bowel disease. Gastroenterology 1998; 115: 1006-9.
  • 8.Arslan S, Akçan Y, Bakkaloğlu A, et al. The significance of p-ANCA in differing chronic amebic colitis from ulcerative colitis complicated with amebic colitis. Turk J Gastroenterol 2000; 11(1): 39-44.
  • 9.Bernstein CN, Orr K, Blanchard JF, et al. Development of an assay for antibodies to Saccharomyces cerevisiae: easy, cheap and specific for Crohn's disease. Can J Gastroenterol 2001; 15(8): 499-504.
  • 10.Quinton JF, Sendid B, Reumax D, et al. Anti-Saccharomyces cerevisiae mannan antibodies combined with antineutrophil cytoplasmic autoantibodies in inflammatory bowel disease: prevalence and diagnostic role. Gut 1998; 42: 788-91.
  • 11.Koutrobakis IE, Petinaki E, Mouzas IA, et al. Anti-Saccharomyces cerevisiae Mannan antibodies and antineutrophil cytoplasmic autoantibodies in Greek patients with inflammatory bowel disease. Am J Gastroenterol 2001; 96(2): 449- 54.
  • 12.Moore MM, Fabricatorian D, Selby WS. Assessment and relevance of enzyme-linked immunosorbent assay for antibodies to Saccharomyces cerevisiae in Australian patients with inflammatory bowel disease. Int Med J 2002; 32: 349- 52.
  • 13.Peeters M, Joossens S, Vermeire S, et al. Am J Gastroenterol 2001; 96(3): 730-4.
  • 14.Halme L, Turunen U, Hello T, et al. Familial and sporadic inflammatory bowel disease. Scand J Gastroenteol 2002; 6: 692-8.
  • 15.Hoffenberg EJ, Fidanza S, Sauaia A. Serologic testing for inflammatory bowel disease. J Pediatrics 1999; 134(4): 447-52.
  • 16.Vasiliauskas EA, Plevy SE, Landers CJ, et al. Perinuclear antineutrophil cytoplasmic antibodies in patients with Crohn's disease define a clinical group. Gastroenterology 1996; 112(1): 316-7.
  • 17.Targan SR. The utility of ANCA and ASCA in inflammatory bowel disease. Inflammatory Bowel Disease 1999; 5(1): 61-3.
  • 18.Vermeire S, Peeters M, Vlietnick R, et al. Anti-Saccharomyces cerevisiae antibodies (ASCA), phenotypes of IBD, and intestinal permeability: a study in IBD families. Inflamm Bowel Dis 2001; 7(1): 8-15.
APA KILIÇ Z, TUNÇ B, AYAZ S, Filik L, AKTAŞ S, PARLAK E, ÜLKER A (2004). Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases. , 238 - 242.
Chicago KILIÇ Z. Mesut Yalın,TUNÇ Bilge,AYAZ Selime,Filik Levent,AKTAŞ Semra,PARLAK Erkan,ÜLKER Aysel Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases. (2004): 238 - 242.
MLA KILIÇ Z. Mesut Yalın,TUNÇ Bilge,AYAZ Selime,Filik Levent,AKTAŞ Semra,PARLAK Erkan,ÜLKER Aysel Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases. , 2004, ss.238 - 242.
AMA KILIÇ Z,TUNÇ B,AYAZ S,Filik L,AKTAŞ S,PARLAK E,ÜLKER A Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases. . 2004; 238 - 242.
Vancouver KILIÇ Z,TUNÇ B,AYAZ S,Filik L,AKTAŞ S,PARLAK E,ÜLKER A Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases. . 2004; 238 - 242.
IEEE KILIÇ Z,TUNÇ B,AYAZ S,Filik L,AKTAŞ S,PARLAK E,ÜLKER A "Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases." , ss.238 - 242, 2004.
ISNAD KILIÇ, Z. Mesut Yalın vd. "Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases". (2004), 238-242.
APA KILIÇ Z, TUNÇ B, AYAZ S, Filik L, AKTAŞ S, PARLAK E, ÜLKER A (2004). Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases. Turkish Journal of Gastroenterology, 15(4), 238 - 242.
Chicago KILIÇ Z. Mesut Yalın,TUNÇ Bilge,AYAZ Selime,Filik Levent,AKTAŞ Semra,PARLAK Erkan,ÜLKER Aysel Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases. Turkish Journal of Gastroenterology 15, no.4 (2004): 238 - 242.
MLA KILIÇ Z. Mesut Yalın,TUNÇ Bilge,AYAZ Selime,Filik Levent,AKTAŞ Semra,PARLAK Erkan,ÜLKER Aysel Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases. Turkish Journal of Gastroenterology, vol.15, no.4, 2004, ss.238 - 242.
AMA KILIÇ Z,TUNÇ B,AYAZ S,Filik L,AKTAŞ S,PARLAK E,ÜLKER A Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases. Turkish Journal of Gastroenterology. 2004; 15(4): 238 - 242.
Vancouver KILIÇ Z,TUNÇ B,AYAZ S,Filik L,AKTAŞ S,PARLAK E,ÜLKER A Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases. Turkish Journal of Gastroenterology. 2004; 15(4): 238 - 242.
IEEE KILIÇ Z,TUNÇ B,AYAZ S,Filik L,AKTAŞ S,PARLAK E,ÜLKER A "Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases." Turkish Journal of Gastroenterology, 15, ss.238 - 242, 2004.
ISNAD KILIÇ, Z. Mesut Yalın vd. "Antineutrophil cytoplasmic autoantibodies and anti-Saccharomyces cerevisiae antibodies in inflammatory bowel diseases". Turkish Journal of Gastroenterology 15/4 (2004), 238-242.