Identify Specific Peripheral Blood Mononuclear Cell (PBMC) MiRNA as Biomarkers for Inflammatory Bowel Disease (IBD)

  • STATUS
    Recruiting
  • participants needed
    300
  • sponsor
    Second Affiliated Hospital, School of Medicine, Zhejiang University
Updated on 16 February 2024
colitis
crohn's disease
ulcerative colitis
peripheral blood mononuclear cells
mirna
ulceration
inflammatory bowel disease
enteropathy

Summary

To find high sensitivity and specificity biomarkers to better diagnose and monitor progression of inflammatory bowel disease (IBD). In this study, we try to find miRNAs that can used to diagnose or monitor progression of IBD by exploring differential expression of miRNAs in peripheral blood mononuclear cells (PBMCs) from Crohn's disease, ulcerative colitis and healthy controls. And we further validate these miRNAs in a larger population to assess their function as biomarkers.

Description

Incidence of inflammatory bowel disease (IBD) has been rising in the past decades. However, diagnosis and differential diagnosis of IBD still lack gold standard. To diagnose IBD, physicians need to combine clinical manifestation, lab results, image examination, endoscopy examination and pathology. After diagnosis, patients still need to monitor their disease progression. The most accurate way is to do endoscopy examination, however, endoscopy examination is an invasive, expensive and uncomfortable procedure. At present, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR) and fecal calprotectin are used as main noninvasive biomarkers to monitor progression routinely. But their specificities are still unsatisfactory. So, it's urgent to find high sensitivity and specificity biomarkers to better diagnose and monitor progression of IBD. In this study, we try to find miRNAs that can used to diagnose or monitor progression of IBD by exploring differential expression of miRNAs in peripheral blood mononuclear cells (PBMCs) from Crohn's disease, ulcerative colitis and healthy controls. And we further validate these miRNAs in a larger population to assess their function as biomarkers.

Details
Condition Gastroenteritis, Gastroenteritis, Intestinal Diseases, Inflammatory bowel disease, Inflammatory bowel disease
Age 14years - 75years
Clinical Study IdentifierNCT04256538
SponsorSecond Affiliated Hospital, School of Medicine, Zhejiang University
Last Modified on16 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Diagnosed as Crohn's disease (CD) or ulcerative colitis (UC) according to World Health Organization (WHO) criteria
Vital signs are stable

Exclusion Criteria

Refuse to sign consent
Refuse to do examination to assess their disease progression
CD patients only upper gastrointestinal tract (GI) is involved (L4)
Had colectomy or in artificial opening status
Have other autoimmune comorbidity
Had severe infection within a week
Had surgery within a month
Have malignant tumor
Pregnancy or lactation
Clear my responses

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