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YOSHIMURA SHOHEI, OKATA YUICHI, OOI MAKOTO, HORINOUCHI TOMOKO, IWABUCHI SERENA, KAMEOKA YASUYUKI, WATANABE AYA, KONDO ATSUSHI, UEMURA KOTARO, TOMIOKA YUICHIRO, SAMEJIMA YOSHITOMO, NAKAI YUMIKO, NOZU KANDAI, KODAMA YUZO, BITOH YUKO. Significance of Serum Leucine-rich Alpha-2 Glycoprotein as a Diagnostic Marker in Pediatric Inflammatory Bowel Disease. Kobe J Med Sci 2024; 69:E122-E128. [PMID: 38379274 PMCID: PMC11006238 DOI: 10.24546/0100486228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 11/02/2023] [Indexed: 02/22/2024]
Abstract
Serum leucine-rich alpha-2 glycoprotein (LRG) has been utilized for adult inflammatory bowel disease (IBD); however, its efficacy in pediatric IBD remains unknown. The aim of this study was to compare the diagnostic accuracy of serum LRG for pediatric IBD with that of current inflammatory markers, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). This retrospective case-control study included pediatric patients, aged <16 years, who underwent colonoscopy and/or esophagogastroduodenoscopy between April 2017 and March 2022. All eligible patients were divided into two groups: patients with IBD, diagnosed with ulcerative colitis and Crohn's disease, and non-IBD controls. The optimal cut-off value of serum LRG for IBD diagnosis was determined from receiver operating characteristic analysis, and diagnostic accuracy of serum LRG was compared to serum ESR and CRP. A total of 53 patients (24 with IBD and 29 non-IBD controls) met the inclusion criteria. The cut-off value of serum LRG for IBD diagnosis was determined to be 19.5 μg/ml. At this cut-off value, serum LRG had a positive predictive value (PPV) of 0.80 and negative predictive value (NPV) of 0.88. In contrast, PPV and NPV were 0.78 and 0.70 for serum ESR and 0.82 and 0.72 for serum CRP, respectively. Serum LRG can be a potential diagnostic marker for pediatric IBD, with higher diagnostic accuracy than that of the conventional serum markers ESR and CRP.
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Affiliation(s)
- SHOHEI YOSHIMURA
- Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - YUICHI OKATA
- Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - MAKOTO OOI
- Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan
| | - TOMOKO HORINOUCHI
- Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan
| | - SERENA IWABUCHI
- Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - YASUYUKI KAMEOKA
- Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - AYA WATANABE
- Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - ATSUSHI KONDO
- Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan
| | - KOTARO UEMURA
- Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - YUICHIRO TOMIOKA
- Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - YOSHITOMO SAMEJIMA
- Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - YUMIKO NAKAI
- Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - KANDAI NOZU
- Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan
| | - YUZO KODAMA
- Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan
| | - YUKO BITOH
- Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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Kawakami K, Takahashi K, Yamagata K, MORIKAWA S, HARADA T, NAGASAKI M, KATOH T, MORIKAWA K, MIYATA K, TAKAYA K, TAKAGI T, KIMURA M, OSOGOE B, MORIGUCHI K, HIRAI KI, SUZUKI H, YAMAZAKI H, DAIMON T, UCHIDA K, MIZUHIRA V, KANZAKI M, KIMURA H, OCHI J, HOSAKA M, NODA Y, ORITO T, MORI M, Okabe H, Kusuzaki K, Takeshita H, Kuzuhara H, Kamachi M, Fujimoto T, Tsuchihashi Y, Ashihara T, NAGAI N, TAKESHITA N, HIRABAYASHI Y, YAMADA K, Morotomi N, Kagawa K, Fujimiya T, YAMASHITA F, SAKAKIDA K, KUZUHARA A, SHIMAZAKI C, NISHIO A, HARUYAMA H, ISEMURA T, NAKAGAWA M, IJICHI H, Yun K, Scott RE, Sugihara H, TAKAMATSU T, HAYASHI S, FUJITA S, Fukuda M, Miyoshi N, Koishi K, IKEBE H, YASUDA N, MIZUKOSHI F, TACHIBANA M, MIZUKOSHI O, HAMADA S, NAKANISHI K, Hiraoka T, Uyeda T, MIYATA K, YAMAMOTO A, ARAKI T, FUJIMORI K, UMEDA T, TAKASUGI M, YAMADA MO, UEKI O, HISAZUMI H, HOSOKAWA Y, SUGIHARA H, KOISHI K, FUKUDA M, YAMAMOTO A, CHIKAMORI K, TOHNO Y, TAKAKUSU A, NAGATA T, USUDA N, Matsuura T, Sano Y, SAKANAKA M, MAGARI S, SHIOSAKA S, KIYAMA H, TOHYAMA M, SHIOTANI Y, KUROSUMI K, KOYAMA T, TOKUYASU K, Soji T, Ogawa K, Ohira A, OYAIZU N, HARA F, NISHIMURA T, TSUBURA A, MORII S, KAMEDA Y, KAWAOI A, TSUNEDA M, KAWANO R, MISHIMA N, IKEDA A, HARADA T, OKAMURA Y, MURAKOSHI M, OSAMURA R, YOSHIMURA S, WATANABE K, YONEMITSU N, MIYABARA S, ITO M, KARASAWA N, YOSHIDA M, NAGATSU I, Seguchi H, Kobayashi T, Taniguchi H, Ishihara K, Ejiri K, Hara Y, Baba S, Shiroza S, NAGURA H, KOSHIKAWA T, HAIMOTO H, ASAI J, FUKUDA Y, TAKEKOSHI S, YAMAMOTO I, OSAMURA Y, Mizuno M, Yamada G, Nagashima H, YOKOI Y, MATSUZAKI K, MIYAZAKI A, TAJIMA J, USUI K, KURODA H, NAMIHISA T, IWAI M, TAKINO T, IBATA Y. GENERAL SESSION. Acta Histochem Cytochem 1984. [DOI: 10.1267/ahc.17.702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- K. Kawakami
- Department of Anatomy, Osaka City University
| | | | - K. Yamagata
- Department of Anatomy, Osaka City University
| | | | | | | | - Taiji KATOH
- Otorhinolaryngology Shimane Medical University
| | | | - Kenji MIYATA
- Department of Anatomy, Toyama Medical and Pharmaceutical University
| | - Kenichi TAKAYA
- Department of Anatomy, Toyama Medical and Pharmaceutical University
| | - Toshiko TAKAGI
- Department of Anatomy, Toyama Medical and Pharmaceutical University
| | - Michio KIMURA
- Department of Anatomy, Toyama Medical and Pharmaceutical University
| | | | | | - Kei-Ichi HIRAI
- Department of Anatomy, Kanazawa Medical University
- First Department of Anatomy, Kanazawa Med. Univ
| | - Hidenori SUZUKI
- Department of Cardiovascular Research, The Tokyo Metropolitan Institute of Medical Science
| | - Hiroh YAMAZAKI
- Department of Cardiovascular Research, The Tokyo Metropolitan Institute of Medical Science
| | - Tateo DAIMON
- Department of Anatomy, School of Medicine, Teikyo University
| | - Kazuko UCHIDA
- Department of Anatomy, School of Medicine, Teikyo University
| | - Vinci MIZUHIRA
- Department of Cell Biology, Tokyo Medical and Dental University
| | - Mitsuya KANZAKI
- Department of Anatomy II, Shiga University of Medical Science
| | - Hiroshi KIMURA
- Department of Anatomy II, Shiga University of Medical Science
| | - Junzo OCHI
- Department of Anatomy II, Shiga University of Medical Science
| | | | - Yohko NODA
- Department of Oral Surgery, Gifu College of Dentistry
| | - Tadashi ORITO
- Department of Oral Surgery, Gifu College of Dentistry
| | - Masahiko MORI
- Department of Oral Surgery, Gifu College of Dentistry
| | - H. Okabe
- Dept. Lab. Med., Shiga Univ. Med. Scl
- Lab., Shiga Univ. Med. Sci
- Pathology Kyoto Pref. Univ. of Medicine
- Depts. of Pathology Kyoto Pref. Univ. of Med
| | - K. Kusuzaki
- Dept. Orthoped., kyoto Pref. Univ
- Orth. Surg., Kyoto Pref. Univ. Med
- Depts. of Orthop. Surg. Kyoto Pref. Univ. of Medicine
- Orthopaedic Surgery, Kyoto Pref. Univ. of Med
| | - H. Takeshita
- Dept. Pathol., Kyoto Pref. Univ
- Dept. Path. Kyoto Pref. Univ. Med
- Pathology Kyoto Pref. Univ. of Medicine
- Depts. of Pathology Kyoto Pref. Univ. of Med
| | | | - M. Kamachi
- Dept. Pathol., Kyoto Pref. Univ
- Dept. Path. Kyoto Pref. Univ. Med
- Pathology Kyoto Pref. Univ. of Medicine
- Depts. of Pathology Kyoto Pref. Univ. of Med
| | - T. Fujimoto
- Dept. Pathol., Kyoto Pref. Univ
- Dept. Path. Kyoto Pref. Univ. Med
| | - Y. Tsuchihashi
- Dept. Pathol., Kyoto Pref. Univ
- Dept. Path. Kyoto Pref. Univ. Med
| | - T. Ashihara
- Dept. Pathol., Kyoto Pref. Univ
- Dept. Path. Kyoto Pref. Univ. Med
- Pathology Kyoto Pref. Univ. of Medicine
- Depts. of Pathology Kyoto Pref. Univ. of Med
| | - Noriyuki NAGAI
- Department of Oral Pathology, Okayama University Dental School
| | | | | | - Kazuyori YAMADA
- Department of Anatomy, Nagoya City University Medical School
| | | | | | | | - F. YAMASHITA
- Depts. of Orthop. Surg. Kyoto Pref. Univ. of Medicine
- Orthopaedic Surgery, Kyoto Pref. Univ. of Med
| | - K. SAKAKIDA
- Depts. of Orthop. Surg. Kyoto Pref. Univ. of Medicine
- Orthopaedic Surgery, Kyoto Pref. Univ. of Med
| | - A. KUZUHARA
- Pathology Kyoto Pref. Univ. of Medicine
- Depts. of Pathology Kyoto Pref. Univ. of Med
| | - Chihiro SHIMAZAKI
- Department of Internal Medicine, Kyoto Prefectural University of Medicine
| | - Akira NISHIO
- Department of Internal Medicine, Kyoto Prefectural University of Medicine
| | - Harue HARUYAMA
- Department of Internal Medicine, Kyoto Prefectural University of Medicine
| | - Takuji ISEMURA
- Department of Internal Medicine, Kyoto Prefectural University of Medicine
| | - Masao NAKAGAWA
- Department of Internal Medicine, Kyoto Prefectural University of Medicine
| | - Hamao IJICHI
- Department of Internal Medicine, Kyoto Prefectural University of Medicine
| | | | | | | | - Tetsuro TAKAMATSU
- Dept. Pathol., Kyoto Pref. Univ. Med
- Kyoto-Prefectural University of Medicine Department of Pathology
- Dept. of Ophthalmol. and Pathol., Kyoto Pref. univ. Med
- Kyoto Pref. Univ. of Med
| | - Shosei HAYASHI
- Dept. Pathol., Kyoto Pref. Univ. Med
- Kyoto-Prefectural University of Medicine Department of Pathology
| | - Setsuya FUJITA
- Dept. Pathol., Kyoto Pref. Univ. Med
- Kyoto-Prefectural University of Medicine Department of Pathology
- Dept. of Ophthalmol. and Pathol., Kyoto Pref. univ. Med
- Kyoto Pref. Univ. of Med
| | | | - Norio Miyoshi
- Department of Pathology, Fukui Medical School
- Dep. of Path., Fukui Med. Sch., FUKUI
| | | | - Hitoshi IKEBE
- Dept. of Ophthalmol. and Pathol., Kyoto Pref. univ. Med
| | | | | | | | | | | | | | | | | | - Kazuyoshi MIYATA
- Department ot pharmacy School of Medicine, Tokushima University
- Department of Anatomy, School of Medicine, Tokushima University
| | - Akira YAMAMOTO
- Department ot pharmacy School of Medicine, Tokushima University
| | - Tsutomu ARAKI
- Department ot pharmacy School of Medicine, Tokushima University
- Department of Anatomy, School of Medicine, Tokushima University
| | - Ken FUJIMORI
- Department ot pharmacy School of Medicine, Tokushima University
| | - Takabumi UMEDA
- Department ot pharmacy School of Medicine, Tokushima University
| | | | - Masa-oki YAMADA
- Department ot pharmacy School of Medicine, Tokushima University
- Department of Anatomy, School of Medicine, Tokushima University
| | - O. UEKI
- Dep. of Urol., Med. Sch., Kanazawa Univ
| | | | | | | | - K. KOISHI
- Dep. of Path., Fukui Med. Sch., FUKUI
| | - M. FUKUDA
- Dep. of Path., Fukui Med. Sch., FUKUI
| | - Akira YAMAMOTO
- Department of Anatomy, School of Medicine, Tokushima University
| | | | | | | | - Tetsuji NAGATA
- Department of Anatomy, Shinshu University School of Medicine
| | - Nobuteru USUDA
- Department of Anatomy, Shinshu University School of Medicine
| | - Tadao Matsuura
- Department of Anatomy, Kyoto Prefectural University of Medicine
| | - Yutaka Sano
- Department of Anatomy, Kyoto Prefectural University of Medicine
| | | | - Sumiko MAGARI
- Department of Anatomy, Osaka Medical College, Takatsuki
| | - Sadao SHIOSAKA
- Department of Neuroanatomy, Institute of Higher Nervous Activity, Osaka University Medical School
| | - Hiroshi KIYAMA
- Department of Neuroanatomy, Institute of Higher Nervous Activity, Osaka University Medical School
| | - Masaya TOHYAMA
- Department of Neuroanatomy, Institute of Higher Nervous Activity, Osaka University Medical School
| | | | | | - Takashi KOYAMA
- Dept. of Morphology, Institute of Endocrinology, Gunma University
| | - Kinuko TOKUYASU
- Dept. of Morphology, Institute of Endocrinology, Gunma University
| | | | - Koichi Ogawa
- Department of Anatomy Schl. of Med., Fukuoka Univ
| | - Akihiro Ohira
- Department of Ophthalmology. Schl. of Med., Fukuoka Univ
| | - Naoki OYAIZU
- Department of Pathology, Kansai Medical University
| | - Fumio HARA
- Department of Pathology, Kansai Medical University
| | | | - Airo TSUBURA
- Department of Pathology, Kansai Medical University
| | | | - Yoko KAMEDA
- Department of Anatomy, Fukuoka University School of Medicine
| | - Akira KAWAOI
- Department of Pathology, Yamanashi Medical College
| | | | - Ryo KAWANO
- Division of Endocrine Surgery, Department of Surgery, Kawasaki Medical School
| | | | - Akira IKEDA
- Department of Anatomy, Kawasaki Medical School
| | - Tanekazu HARADA
- Division of Endocrine Surgery, Department of Surgery, Kawasaki Medical School
| | - Yasuhiko OKAMURA
- Division of Endocrine Surgery, Department of Surgery, Kawasaki Medical School
| | - M. MURAKOSHI
- Department of Pathology, Tokai University School of Medicine
- Dept. Pathol. Sch. Med. Total. Univ
| | - R.Y. OSAMURA
- Department of Pathology, Tokai University School of Medicine
| | - S. YOSHIMURA
- Division of Cell Biology ResearchLaboratory Tokai University School of Medicine
- Div. Cell. Biol, Res. Lab. Tokai. Univ
| | - K. WATANABE
- Department of Pathology, Tokai University School of Medicine
- Dept. Pathol. Sch. Med. Total. Univ
| | | | | | - Masako ITO
- Department of Anatomy, School of Medicine Fujita-Gakuen Health University
| | - Nobuyuki KARASAWA
- Department of Anatomy, School of Medicine Fujita-Gakuen Health University
| | - Masami YOSHIDA
- Department of Anatomy, School of Medicine Fujita-Gakuen Health University
| | - Ikuko NAGATSU
- Department of Anatomy, School of Medicine Fujita-Gakuen Health University
| | | | | | | | | | - K. Ejiri
- Dept. Int. Med., Sch. Med., Kobe Univ
| | - Y. Hara
- Dept. Int. Med., Sch. Med., Kobe Univ
| | - S. Baba
- Dept. Int. Med., Sch. Med., Kobe Univ
| | | | - Hiroshi NAGURA
- Inst. Disease Mechanism & Control, Dept. Pathol., & Dept. Medicine, Nagoya Univ. Sch. Med
| | - Takashi KOSHIKAWA
- Inst. Disease Mechanism & Control, Dept. Pathol., & Dept. Medicine, Nagoya Univ. Sch. Med
| | - Hajime HAIMOTO
- Inst. Disease Mechanism & Control, Dept. Pathol., & Dept. Medicine, Nagoya Univ. Sch. Med
| | - Junpei ASAI
- Inst. Disease Mechanism & Control, Dept. Pathol., & Dept. Medicine, Nagoya Univ. Sch. Med
| | - Yoshihide FUKUDA
- Inst. Disease Mechanism & Control, Dept. Pathol., & Dept. Medicine, Nagoya Univ. Sch. Med
| | | | | | | | - M. Mizuno
- The First Dept. of Internal Medicine, Okayama University Medical School
| | - G. Yamada
- The First Dept. of Internal Medicine, Okayama University Medical School
| | - H. Nagashima
- The First Dept. of Internal Medicine, Okayama University Medical School
| | - Y. YOKOI
- Liver Unit, Dept. of Medicine, Juntendo University
| | - K. MATSUZAKI
- Liver Unit, Dept. of Medicine, Juntendo University
| | - A. MIYAZAKI
- Liver Unit, Dept. of Medicine, Juntendo University
| | - J. TAJIMA
- Liver Unit, Dept. of Medicine, Juntendo University
| | - K. USUI
- Liver Unit, Dept. of Medicine, Juntendo University
| | - H. KURODA
- Liver Unit, Dept. of Medicine, Juntendo University
| | - T. NAMIHISA
- Liver Unit, Dept. of Medicine, Juntendo University
| | - Masaki IWAI
- Department of Internal Medicine, Kyoto Prefectural University of Medicine
| | - Tatsuro TAKINO
- Department of Internal Medicine, Kyoto Prefectural University of Medicine
| | - Yasuhiko IBATA
- Department of-Anatomy, Kyoto Prefectural University of Medicine
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