Table 2 SAA in patient managements of inflammatory bowel disease.
From: Serum amyloid protein A in inflammatory bowel disease: from bench to bedside
Patients | Outcomes | Samples | Performance | Reference |
---|---|---|---|---|
Diagnosing disease | ||||
23 healthy controls; 8 controls with non-IBD disease; 67 UC | – | Biopsies come from the terminal ileum, ascending colon, descending colon, and sigmoid colon | Fold change: 8.18 | [87] |
21 healthy controls; 106 UC | – | Biopsies come from mucosa | AUC = 0.8097 | [88] |
27 healthy controls; 105 IBD | – | Biopsies come from colon, inflamed ileum and inflamed rectum | Fold change >1.5 | [89] |
20 healthy controls; 118 IBD | – | Serum samples | Higher SAA concentration in IBD patients (P = 0.005) | [90] |
Assessing disease activity | ||||
55 CD | Clinical remission: CDAI <150 | Serum SAA concentration | Tenfolds lower in remission | [91] |
43 CD; 52 UC | Clinical activity: HBI >4 | SAA concentration | Fourfolds higher in activity | [92] |
55 CD | Endoscopic remission: SES-CD ≤3 | Serum SAA concentration | AUC = 0.77 | [91] |
94 CD | Endoscopic remission: no intestinal mucosal inflammatory findings | Serum SAA concentration | AUC = 0.77 | [93] |
108 UC | Mucosa healing: MES 0 or 1; Complete mucosal healing: MES 0 | Serum SAA concentration | Complete mucosal healing: AUC = 0.794 | [94] |
36 CD; 35 UC | Endoscopic remission: CD: SES-CD 0-3; UC: MES = 0 | Serum SAA, IL-6, IL-8, and Eotaxin-1 | AUC = 0.84 | [90] |
94 CD | Histologic remission: no lamina propria neutrophils, lymphoid aggregation and basal plasmacytosis | Serum SAA concentration | AUC = 0.81 | [93] |
Predicting prognosis | ||||
41 CD | Relapse: CDAI ≥150 | Serum SAA concentration ≥5.9 μg/dl | SAA concentration ≥5.9 μg/dl is associated with a higher rate of relapse | [91] |
32 UC | Endoscopic remission: MES 0 or 1 | Serum SAA concentration | Lower SAA concentration at week 14 is associated with endoscopic remission | [96] |