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SAL_11341 details
Primary information
SALIDSAL_11341
Biomarker nameCalprotectin
Biomarker TypeDiagnostic
Sampling MethodUnstimulated saliva was collected by means of passive drooling, and stimulated saliva through chewing on a 0.5 g paraffin tablet for 5 min (Ivoclar Vivadent, Schaan, Liechtenstein), spitting into a collection tube.
Collection MethodUnstimulated and stimulated
Analysis MethodELISA
Collection SiteWhole Saliva
Disease CategoryGastrointestinal Disorder
Disease/Conditioninflammatory bowel disease
Disease SubtypeNA
Fold Change/ Concentration4
Up/DownregulatedUpregulated
ExosomalNA
OrganismHomo sapiens
PMID31442931
Year of Publication2019
Biomarker IDP05109
Biomarker CategoryProtein
SequenceMLTELEKALNSIIDVYHKYSLIKGNFHAVYRDDLKKLLETECPQYIRKKGADVWFKELDINTDGAVNFQEFLILVIKMGVAAHKKSHEESHKE
Title of studySalivary calprotectin is elevated in patients with active inflammatory bowel disease
Abstract of studyOBJECTIVES: To assess the concentration of calprotectin, a heterodimer of S100A8 and S100A9 implicated in inflammatory bowel disease (IBD), in saliva of IBD patients compared to controls.METHODS: Unstimulated and stimulated saliva, and serum was collected from 23 IBD patients with active intestinal inflammation, verified by endoscopy. Fifteen patients were re-sampled after treatment. Saliva was collected from 15 controls for protocol validation and group comparisons. Calprotectin concentrations were measured by enzyme-linked immunosorbent assay, correlated to clinical data/indexes and routine laboratory parameters.RESULTS: Calprotectin was 4.0-fold (median) elevated in stimulated saliva of IBD patients compared to controls and tended to be elevated in unstimulated saliva (P = 0.001, P = 0.090). Crohn's (CD) patients had significantly elevated calprotectin in both unstimulated and stimulated saliva compared to controls (P = 0.011, P = 0.002). Newly diagnosed, treatment naïve CD patients had 8.2-fold (median) higher calprotectin concentrations in unstimulated saliva and 1.5-fold in stimulated saliva, compared to CD patients with established disease (P = 0.059, P = 0.019). Calprotectin decreased in serum of IBD patients after treatment (P = 0.011), and in unstimulated saliva of newly diagnosed, treatment naïve CD patients (P = 0.046, P = 0.028).CONCLUSION: Salivary calprotectin is elevated in IBD, which suggests subclinical inflammatory responses in the oral cavity as a manifestation of IBD.