PMID- 25551469 OWN - NLM STAT- MEDLINE DCOM- 20151005 LR - 20181113 IS - 1471-230X (Electronic) IS - 1471-230X (Linking) VI - 14 DP - 2014 Dec 31 TI - Anti-Outer membrane protein C and anti-glycoprotein 2 antibodies in inflammatory bowel disease and their association with complicated forms of Crohn's disease. PG - 190 LID - 10.1186/s12876-014-0190-1 [doi] LID - 190 AB - BACKGROUND: Precise diagnostics of inflammatory bowel disease (IBD) and identification of potentially more aggressive phenotypes of Crohn's disease (CD) is urgently needed. The aim of our prospective study was to assess the relationship between serum anti-OmpC IgA (Outer membrane protein C), anti-GP2 (anti-glycoprotein 2) IgG and anti-GP2 IgA antibodies with IBD and their association with complicated forms of CD. METHODS: The study included 86 patients with CD, 25 patients with UC and 45 controls, blood donors. In CD group, 24/86 (28%) had B1 phenotype, 20/86 (23%) B2, 13/86 (15%) B3 and 29/86 (34%) B2 + B3. L1 involvement was present in 13/86 (15%), L2 in 13/86 (15%), L3 in 60/86 (70%). Serum anti-OmpC IgA, anti-GP2 IgG and IgA antibodies were investigated by means of ELISA. The data obtained were tested statistically by means of descriptive statistics, non-paired t-test, Mann-Whitney rank sum test, Spearman rank order correlation and Pearson product moment correlation using SigmaStat software. RESULTS: Anti-OmpC IgA were noted to be significantly higher in CD (median 32.6, inter-quartile range (IQR) 18.9-60.7) compared to the controls (median 18.3, IQR 11.1-23.1), p < 0.001. Anti-GP2 IgG were significantly higher in CD (median 13.9, IQR 8.6-25.6) compared to the controls (median 8.0, IQR 4.7-10.8), p < 0.001. Anti-GP2 IgA were significantly higher in CD (median 20.1, IQR 9.1-40.4) compared to the controls (median 9.8, IQR 5.6-16.9), p < 0.001. Significant difference was found in anti-OmpC IgA between UC (median 26.2, IQR 20.2-36.4) and the controls (median 18.3, IQR 11.1-23.1), p < 0.001. In CD anti-OmpC IgA were significantly higher in B2 compared to B1: p = 0.041 and in B2 + B3 compared to B1: p = 0.036. Anti-GP2 IgA were significantly higher in B2 + B3 compared to B1: p = 0.009 and in B3 compared to B1: p = 0.029. In CD there was a significant difference in anti-OmpC IgA between patients with surgery and without surgery, p = 0.005. CONCLUSIONS: We have confirmed association between anti-OmpC IgA and IBD (CD and UC) and an association between anti-GP2 (IgG and IgA) and CD. Patients with complicated forms of CD have significantly higher levels of anti-OmpC IgA and anti-GP2 IgA. FAU - Kohoutova, Darina AU - Kohoutova D FAU - Drahosova, Marcela AU - Drahosova M FAU - Moravkova, Paula AU - Moravkova P FAU - Rejchrt, Stanislav AU - Rejchrt S FAU - Bures, Jan AU - Bures J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141231 PL - England TA - BMC Gastroenterol JT - BMC gastroenterology JID - 100968547 RN - 0 (Glycoproteins) RN - 0 (Immunoglobulin A) RN - 0 (Immunoglobulin G) RN - 0 (OmpC protein) RN - 0 (Porins) SB - IM MH - Adult MH - Aged MH - Crohn Disease/*diagnosis/immunology MH - Female MH - Glycoproteins/*immunology MH - Humans MH - Immunoglobulin A/*blood MH - Immunoglobulin G/*blood MH - Inflammatory Bowel Diseases/*diagnosis/immunology MH - Male MH - Middle Aged MH - Porins/*immunology MH - Prospective Studies MH - Young Adult PMC - PMC4296537 EDAT- 2015/01/01 06:00 MHDA- 2015/10/06 06:00 PMCR- 2014/12/31 CRDT- 2015/01/01 06:00 PHST- 2014/01/29 00:00 [received] PHST- 2014/10/17 00:00 [accepted] PHST- 2015/01/01 06:00 [entrez] PHST- 2015/01/01 06:00 [pubmed] PHST- 2015/10/06 06:00 [medline] PHST- 2014/12/31 00:00 [pmc-release] AID - s12876-014-0190-1 [pii] AID - 190 [pii] AID - 10.1186/s12876-014-0190-1 [doi] PST - epublish SO - BMC Gastroenterol. 2014 Dec 31;14:190. doi: 10.1186/s12876-014-0190-1.