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Serological and faecal markers of irritable bowel syndrome: a systematic review and meta-analysis - PubMed

4 days ago
  • #IBS biomarkers
  • #systematic review
  • #meta-analysis
  • IBS has biological signatures in immune, microbiome, and enteric nervous systems, but lacks clear biomarkers for diagnosis.
  • Systematic review and meta-analysis identified serum and fecal markers distinguishing IBS from healthy controls and organic diseases.
  • Top serum discriminators for IBS vs. healthy controls: TNF-α, IL-6, and IFN-γ.
  • Fecal calprotectin was higher in IBS patients compared to controls, but lower than in organic diseases.
  • Serum albumin and fecal calprotectin effectively differentiated IBS from organic diseases.
  • IBS-D subtype distinguished by lower serum albumin and higher IL-6 levels compared to controls.
  • Increased peripheral cytokine levels in IBS suggest epithelial permeability and potential for subgroup differentiation.
  • Study highlights biological signatures in IBS that could aid clinical diagnosis and understanding disease mechanisms.