PMID- 38504407 OWN - NLM STAT- MEDLINE DCOM- 20240321 LR - 20240321 IS - 1536-4801 (Electronic) IS - 0277-2116 (Linking) VI - 78 IP - 3 DP - 2024 Mar TI - Role of peripheral and tissue eosinophils and eosinophil cationic protein in pediatric inflammatory bowel disease. PG - 653-661 LID - 10.1002/jpn3.12076 [doi] AB - OBJECTIVES: Inflammatory bowel disease (IBD), eosinophilic gastrointestinal disease (EGID), and functional abdominal pain disorder (FAPD) present with nonspecific gastrointestinal (GI) symptoms clinically and also have some similarities in pathogeneses associated with eosinophils. Therefore, we aimed to evaluate the role of eosinophils in IBD compared to EGID and FAPD by investigating eosinophils in peripheral blood and GI tissue and eosinophil cationic protein (ECP). METHODS: Pediatric patients with chronic GI symptoms who underwent endoscopic biopsies were enrolled. Complete blood cell counts, inflammatory markers, immunoglobulin E (IgE), serum ECP levels, and endoscopic and histopathologic findings were retrospectively reviewed. RESULTS: A total of 387 patients were included: 179 with EGID, 107 with IBDs, and 82 with FAPD. Peripheral absolute eosinophil count (AEC), total IgE, and serum ECP were significantly higher in both IBD and EGID than in FAPD (all p < 0.05). Statistically significant differences were noted among the three groups in tissue eosinophil counts in each segment of GI tract except for the esophagus (p < 0.05). Significant differences were observed in tissue eosinophil counts in the ascending, sigmoid colon, and rectum between EGID and IBD (p < 0.05). Peripheral and tissue eosinophils in the stomach and duodenum revealed positive correlation in both EGID and IBD (both p < 0.001). CONCLUSION: Elevated eosinophil-related markers, as well as increased tissue eosinophilic infiltration in the affected areas of the GI tract in both IBD and EGID compared to FAPD, suggest that eosinophils might play a common important role in the pathogeneses of both diseases. CI - (c) 2023 European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. FAU - Kim, You Ie AU - Kim YI AUID- ORCID: 0000-0002-6839-9244 AD - Department of Pediatrics, Seoul National University College of Medicine, Seoul, Republic of Korea. AD - Department of Pediatrics, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. FAU - Yang, Hye Ran AU - Yang HR AD - Department of Pediatrics, Seoul National University College of Medicine, Seoul, Republic of Korea. AD - Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. LA - eng GR - None/ PT - Journal Article DEP - 20231210 PL - United States TA - J Pediatr Gastroenterol Nutr JT - Journal of pediatric gastroenterology and nutrition JID - 8211545 RN - EC 3.1.27.- (Eosinophil Cationic Protein) RN - 37341-29-0 (Immunoglobulin E) RN - Eosinophilic enteropathy SB - IM MH - Humans MH - Child MH - *Eosinophils/pathology MH - Eosinophil Cationic Protein MH - Retrospective Studies MH - *Inflammatory Bowel Diseases/pathology MH - Immunoglobulin E MH - Leukocyte Count MH - *Enteritis MH - *Eosinophilia MH - *Gastritis OTO - NOTNLM OT - eosinophil OT - eosinophilic enteropathy OT - functional abdominal pain disorder OT - inflammatory bowel disease EDAT- 2024/03/20 06:45 MHDA- 2024/03/21 12:45 CRDT- 2024/03/20 00:59 PHST- 2023/11/06 00:00 [revised] PHST- 2023/09/06 00:00 [received] PHST- 2023/11/20 00:00 [accepted] PHST- 2024/03/21 12:45 [medline] PHST- 2024/03/20 06:45 [pubmed] PHST- 2024/03/20 00:59 [entrez] AID - 10.1002/jpn3.12076 [doi] PST - ppublish SO - J Pediatr Gastroenterol Nutr. 2024 Mar;78(3):653-661. doi: 10.1002/jpn3.12076. Epub 2023 Dec 10.