PMID- 27020638 OWN - NLM STAT- MEDLINE DCOM- 20170103 LR - 20191113 IS - 1499-3872 (Print) VI - 15 IP - 2 DP - 2016 Apr TI - Monocyte chemoattractant protein-1, transforming growth factor-beta1, nerve growth factor, resistin and hyaluronic acid as serum markers: comparison between recurrent acute and chronic pancreatitis. PG - 209-15 AB - BACKGROUND: Diagnostic parameters that can predict the presence of chronic pancreatitis (CP) in patients with recurrent pain due to pancreatitis would help to direct appropriate therapy. This study aimed to compare the serum levels of monocyte chemoattractant protein-1 (MCP-1), transforming growth factor-beta1 (TGF-beta1), nerve growth factor (NGF), resistin and hyaluronic acid (HA) in patients with recurrent acute pancreatitis (RAP) and CP to assess their ability to differentiate the two conditions. METHODS: Levels of serum markers assessed by enzyme-linked immunosorbent assay (ELISA) were prospectively compared in consecutive patients with RAP, CP and in controls, and stepwise discriminant analysis was performed to identify the markers differentiating RAP from CP. RESULTS: One hundred and thirteen consecutive patients (RAP=32, CP=81) and 78 healthy controls were prospectively enrolled. The mean (SD) age of the patients was 32.0 (14.0) years; 89 (78.8%) were male. All markers were significantly higher in CP patients than in the controls (P<0.001); MCP-1, NGF and HA were significantly higher in RAP patients than in the controls (P<0.001). Stepwise discriminant analysis showed significant difference (P=0.002) between RAP and CP for resistin with an accuracy of 61.9%, discriminant scores of /=0.189 indicating RAP and CP, respectively. The other markers had no differential value between RAP and CP. CONCLUSION: Serum resistin is a promising marker to differentiate between RAP and CP and needs validation in future studies, especially in those with early CP. FAU - Kamath, M Ganesh AU - Kamath MG AD - Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal University, Manipal, India. cgpai@yahoo.co.in. FAU - Pai, C Ganesh AU - Pai CG FAU - Kamath, Asha AU - Kamath A FAU - Kurien, Annamma AU - Kurien A LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Singapore TA - Hepatobiliary Pancreat Dis Int JT - Hepatobiliary & pancreatic diseases international : HBPD INT JID - 101151457 RN - 0 (Biomarkers) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (NGF protein, human) RN - 0 (RETN protein, human) RN - 0 (Resistin) RN - 0 (TGFB1 protein, human) RN - 0 (Transforming Growth Factor beta1) RN - 9004-61-9 (Hyaluronic Acid) RN - 9061-61-4 (Nerve Growth Factor) SB - IM MH - Acute Disease MH - Adolescent MH - Adult MH - Biomarkers/blood MH - Case-Control Studies MH - Chemokine CCL2/*blood MH - Diagnosis, Differential MH - Discriminant Analysis MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Hyaluronic Acid/*blood MH - Male MH - Middle Aged MH - Nerve Growth Factor/*blood MH - Pancreatitis/*blood/diagnosis MH - Pancreatitis, Chronic/*blood/diagnosis MH - Predictive Value of Tests MH - Prospective Studies MH - Recurrence MH - Resistin/*blood MH - Transforming Growth Factor beta1/*blood MH - Young Adult EDAT- 2016/03/30 06:00 MHDA- 2017/01/04 06:00 CRDT- 2016/03/30 06:00 PHST- 2016/03/30 06:00 [entrez] PHST- 2016/03/30 06:00 [pubmed] PHST- 2017/01/04 06:00 [medline] AID - S1499-3872(15)60029-7 [pii] AID - 10.1016/s1499-3872(15)60029-7 [doi] PST - ppublish SO - Hepatobiliary Pancreat Dis Int. 2016 Apr;15(2):209-15. doi: 10.1016/s1499-3872(15)60029-7.