Loading…
TGF-beta1 and IGF-1 production and recurrence of Crohn's disease after ileo-colonic resection
Recurrence after surgery is a major problem in the treatment of Crohn's disease (CD). Alteration of healing processes may play a role in this phenomenon. Transforming growth factor beta (TGF-beta) and insulin-like growth factor (IGF-1) have pro-fibrogenic properties and are involved in wound-he...
Saved in:
Published in: | The Journal of surgical research 2009-03, Vol.152 (1), p.26-34 |
---|---|
Main Authors: | , , , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | |
---|---|
cites | |
container_end_page | 34 |
container_issue | 1 |
container_start_page | 26 |
container_title | The Journal of surgical research |
container_volume | 152 |
creator | Scarpa, Marco Bortolami, Marina Morgan, Susan L Kotsafti, Andromachi Ferraro, Stefania Ruffolo, Cesare D'Incà, Renata Polese, Lino Barollo, Michela D'Amico, Davide F Sturniolo, Giacomo C Angriman, Imerio |
description | Recurrence after surgery is a major problem in the treatment of Crohn's disease (CD). Alteration of healing processes may play a role in this phenomenon. Transforming growth factor beta (TGF-beta) and insulin-like growth factor (IGF-1) have pro-fibrogenic properties and are involved in wound-healing mechanisms. The aim of this study was to assess their role in the CD recurrence after ileo-colonic resection.
Twenty patients with CD, who underwent ileo-colonic resection in the period between 1999 and 2005, were enrolled in this study. Tissue samples were obtained from macroscopically diseased and healthy ileum. The TGF-beta1 and IGF-1 mRNAs were quantified by real-time polymerase chain reaction using glyceraldehyde 3-phosphate dehydrogenase as the housekeeping gene. Histological severity of the disease was assessed to quantify the ileal inflammation. Patients' follow-up was investigated. Comparisons and correlations were carried out with nonparametric tests and survival analysis was performed.
Histological inflammation was moderately severe in the diseased bowel, while it was absent in healthy segments (P < 0.01). TGF-beta1 production in healthy bowels showed a direct correlation with clinical CD recurrence (tau = 0.43, P = 0.04) and survival analysis showed that patients who expressed high TGF-beta1 mRNA transcripts in healthy intestines had higher cumulative recurrence rates than those who expressed low TGF-beta1 mRNA levels (P = 0.02).
Our study suggests that the high levels of TGF-beta1 in healthy bowels of patients who undergo ileo-colonic resection for CD are associated with early clinical disease recurrence, while there seems to be no association between IGF-1 and CD recurrence. |
doi_str_mv | 10.1016/j.jss.2008.04.014 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_734123205</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>734123205</sourcerecordid><originalsourceid>FETCH-LOGICAL-p558-119ab562d826d92bc221a6dcab02bc18775d6be29f598ed94b7d4544612df52f3</originalsourceid><addsrcrecordid>eNo1UM1OwzAYi5AQG4MH4IJy26klX5qkzRFNbEyaxKVXVOXnq-jUNSNpD7w91Rgny5ZtWSbkCVgODNTLMT-mlHPGqpyJnIG4IUtgWmaVKosFuU_pyBjjuizuyAI046WGakk-6902szgaoGbwdD8zoOcY_OTGLgwXMaKbYsTBIQ0t3cTwNawT9V1Ck5CadsRIux5D5kIfhs7NgYSX-AO5bU2f8PGKK1Jv3-rNe3b42O03r4fsLGWVAWhjpeK-4sprbh3nYJR3xrKZQFWW0iuLXLdSV-i1sKUXUggF3LeSt8WKrP9q5-HfE6axOXXJYd-bAcOUmrIQwAvO5Ox8vjone0LfnGN3MvGn-T-k-AXlHmBl</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>734123205</pqid></control><display><type>article</type><title>TGF-beta1 and IGF-1 production and recurrence of Crohn's disease after ileo-colonic resection</title><source>ScienceDirect Journals</source><creator>Scarpa, Marco ; Bortolami, Marina ; Morgan, Susan L ; Kotsafti, Andromachi ; Ferraro, Stefania ; Ruffolo, Cesare ; D'Incà, Renata ; Polese, Lino ; Barollo, Michela ; D'Amico, Davide F ; Sturniolo, Giacomo C ; Angriman, Imerio</creator><creatorcontrib>Scarpa, Marco ; Bortolami, Marina ; Morgan, Susan L ; Kotsafti, Andromachi ; Ferraro, Stefania ; Ruffolo, Cesare ; D'Incà, Renata ; Polese, Lino ; Barollo, Michela ; D'Amico, Davide F ; Sturniolo, Giacomo C ; Angriman, Imerio</creatorcontrib><description>Recurrence after surgery is a major problem in the treatment of Crohn's disease (CD). Alteration of healing processes may play a role in this phenomenon. Transforming growth factor beta (TGF-beta) and insulin-like growth factor (IGF-1) have pro-fibrogenic properties and are involved in wound-healing mechanisms. The aim of this study was to assess their role in the CD recurrence after ileo-colonic resection.
Twenty patients with CD, who underwent ileo-colonic resection in the period between 1999 and 2005, were enrolled in this study. Tissue samples were obtained from macroscopically diseased and healthy ileum. The TGF-beta1 and IGF-1 mRNAs were quantified by real-time polymerase chain reaction using glyceraldehyde 3-phosphate dehydrogenase as the housekeeping gene. Histological severity of the disease was assessed to quantify the ileal inflammation. Patients' follow-up was investigated. Comparisons and correlations were carried out with nonparametric tests and survival analysis was performed.
Histological inflammation was moderately severe in the diseased bowel, while it was absent in healthy segments (P < 0.01). TGF-beta1 production in healthy bowels showed a direct correlation with clinical CD recurrence (tau = 0.43, P = 0.04) and survival analysis showed that patients who expressed high TGF-beta1 mRNA transcripts in healthy intestines had higher cumulative recurrence rates than those who expressed low TGF-beta1 mRNA levels (P = 0.02).
Our study suggests that the high levels of TGF-beta1 in healthy bowels of patients who undergo ileo-colonic resection for CD are associated with early clinical disease recurrence, while there seems to be no association between IGF-1 and CD recurrence.</description><identifier>EISSN: 1095-8673</identifier><identifier>DOI: 10.1016/j.jss.2008.04.014</identifier><identifier>PMID: 19027918</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Aged ; Crohn Disease - metabolism ; Crohn Disease - surgery ; Female ; Humans ; Insulin-Like Growth Factor I - metabolism ; Male ; Middle Aged ; Postoperative Complications - metabolism ; Recurrence ; Transforming Growth Factor beta1 - metabolism ; Young Adult</subject><ispartof>The Journal of surgical research, 2009-03, Vol.152 (1), p.26-34</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19027918$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scarpa, Marco</creatorcontrib><creatorcontrib>Bortolami, Marina</creatorcontrib><creatorcontrib>Morgan, Susan L</creatorcontrib><creatorcontrib>Kotsafti, Andromachi</creatorcontrib><creatorcontrib>Ferraro, Stefania</creatorcontrib><creatorcontrib>Ruffolo, Cesare</creatorcontrib><creatorcontrib>D'Incà, Renata</creatorcontrib><creatorcontrib>Polese, Lino</creatorcontrib><creatorcontrib>Barollo, Michela</creatorcontrib><creatorcontrib>D'Amico, Davide F</creatorcontrib><creatorcontrib>Sturniolo, Giacomo C</creatorcontrib><creatorcontrib>Angriman, Imerio</creatorcontrib><title>TGF-beta1 and IGF-1 production and recurrence of Crohn's disease after ileo-colonic resection</title><title>The Journal of surgical research</title><addtitle>J Surg Res</addtitle><description>Recurrence after surgery is a major problem in the treatment of Crohn's disease (CD). Alteration of healing processes may play a role in this phenomenon. Transforming growth factor beta (TGF-beta) and insulin-like growth factor (IGF-1) have pro-fibrogenic properties and are involved in wound-healing mechanisms. The aim of this study was to assess their role in the CD recurrence after ileo-colonic resection.
Twenty patients with CD, who underwent ileo-colonic resection in the period between 1999 and 2005, were enrolled in this study. Tissue samples were obtained from macroscopically diseased and healthy ileum. The TGF-beta1 and IGF-1 mRNAs were quantified by real-time polymerase chain reaction using glyceraldehyde 3-phosphate dehydrogenase as the housekeeping gene. Histological severity of the disease was assessed to quantify the ileal inflammation. Patients' follow-up was investigated. Comparisons and correlations were carried out with nonparametric tests and survival analysis was performed.
Histological inflammation was moderately severe in the diseased bowel, while it was absent in healthy segments (P < 0.01). TGF-beta1 production in healthy bowels showed a direct correlation with clinical CD recurrence (tau = 0.43, P = 0.04) and survival analysis showed that patients who expressed high TGF-beta1 mRNA transcripts in healthy intestines had higher cumulative recurrence rates than those who expressed low TGF-beta1 mRNA levels (P = 0.02).
Our study suggests that the high levels of TGF-beta1 in healthy bowels of patients who undergo ileo-colonic resection for CD are associated with early clinical disease recurrence, while there seems to be no association between IGF-1 and CD recurrence.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Crohn Disease - metabolism</subject><subject>Crohn Disease - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Insulin-Like Growth Factor I - metabolism</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - metabolism</subject><subject>Recurrence</subject><subject>Transforming Growth Factor beta1 - metabolism</subject><subject>Young Adult</subject><issn>1095-8673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNo1UM1OwzAYi5AQG4MH4IJy26klX5qkzRFNbEyaxKVXVOXnq-jUNSNpD7w91Rgny5ZtWSbkCVgODNTLMT-mlHPGqpyJnIG4IUtgWmaVKosFuU_pyBjjuizuyAI046WGakk-6902szgaoGbwdD8zoOcY_OTGLgwXMaKbYsTBIQ0t3cTwNawT9V1Ck5CadsRIux5D5kIfhs7NgYSX-AO5bU2f8PGKK1Jv3-rNe3b42O03r4fsLGWVAWhjpeK-4sprbh3nYJR3xrKZQFWW0iuLXLdSV-i1sKUXUggF3LeSt8WKrP9q5-HfE6axOXXJYd-bAcOUmrIQwAvO5Ox8vjone0LfnGN3MvGn-T-k-AXlHmBl</recordid><startdate>200903</startdate><enddate>200903</enddate><creator>Scarpa, Marco</creator><creator>Bortolami, Marina</creator><creator>Morgan, Susan L</creator><creator>Kotsafti, Andromachi</creator><creator>Ferraro, Stefania</creator><creator>Ruffolo, Cesare</creator><creator>D'Incà, Renata</creator><creator>Polese, Lino</creator><creator>Barollo, Michela</creator><creator>D'Amico, Davide F</creator><creator>Sturniolo, Giacomo C</creator><creator>Angriman, Imerio</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200903</creationdate><title>TGF-beta1 and IGF-1 production and recurrence of Crohn's disease after ileo-colonic resection</title><author>Scarpa, Marco ; Bortolami, Marina ; Morgan, Susan L ; Kotsafti, Andromachi ; Ferraro, Stefania ; Ruffolo, Cesare ; D'Incà, Renata ; Polese, Lino ; Barollo, Michela ; D'Amico, Davide F ; Sturniolo, Giacomo C ; Angriman, Imerio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p558-119ab562d826d92bc221a6dcab02bc18775d6be29f598ed94b7d4544612df52f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Crohn Disease - metabolism</topic><topic>Crohn Disease - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Insulin-Like Growth Factor I - metabolism</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - metabolism</topic><topic>Recurrence</topic><topic>Transforming Growth Factor beta1 - metabolism</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scarpa, Marco</creatorcontrib><creatorcontrib>Bortolami, Marina</creatorcontrib><creatorcontrib>Morgan, Susan L</creatorcontrib><creatorcontrib>Kotsafti, Andromachi</creatorcontrib><creatorcontrib>Ferraro, Stefania</creatorcontrib><creatorcontrib>Ruffolo, Cesare</creatorcontrib><creatorcontrib>D'Incà, Renata</creatorcontrib><creatorcontrib>Polese, Lino</creatorcontrib><creatorcontrib>Barollo, Michela</creatorcontrib><creatorcontrib>D'Amico, Davide F</creatorcontrib><creatorcontrib>Sturniolo, Giacomo C</creatorcontrib><creatorcontrib>Angriman, Imerio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of surgical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scarpa, Marco</au><au>Bortolami, Marina</au><au>Morgan, Susan L</au><au>Kotsafti, Andromachi</au><au>Ferraro, Stefania</au><au>Ruffolo, Cesare</au><au>D'Incà, Renata</au><au>Polese, Lino</au><au>Barollo, Michela</au><au>D'Amico, Davide F</au><au>Sturniolo, Giacomo C</au><au>Angriman, Imerio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>TGF-beta1 and IGF-1 production and recurrence of Crohn's disease after ileo-colonic resection</atitle><jtitle>The Journal of surgical research</jtitle><addtitle>J Surg Res</addtitle><date>2009-03</date><risdate>2009</risdate><volume>152</volume><issue>1</issue><spage>26</spage><epage>34</epage><pages>26-34</pages><eissn>1095-8673</eissn><abstract>Recurrence after surgery is a major problem in the treatment of Crohn's disease (CD). Alteration of healing processes may play a role in this phenomenon. Transforming growth factor beta (TGF-beta) and insulin-like growth factor (IGF-1) have pro-fibrogenic properties and are involved in wound-healing mechanisms. The aim of this study was to assess their role in the CD recurrence after ileo-colonic resection.
Twenty patients with CD, who underwent ileo-colonic resection in the period between 1999 and 2005, were enrolled in this study. Tissue samples were obtained from macroscopically diseased and healthy ileum. The TGF-beta1 and IGF-1 mRNAs were quantified by real-time polymerase chain reaction using glyceraldehyde 3-phosphate dehydrogenase as the housekeeping gene. Histological severity of the disease was assessed to quantify the ileal inflammation. Patients' follow-up was investigated. Comparisons and correlations were carried out with nonparametric tests and survival analysis was performed.
Histological inflammation was moderately severe in the diseased bowel, while it was absent in healthy segments (P < 0.01). TGF-beta1 production in healthy bowels showed a direct correlation with clinical CD recurrence (tau = 0.43, P = 0.04) and survival analysis showed that patients who expressed high TGF-beta1 mRNA transcripts in healthy intestines had higher cumulative recurrence rates than those who expressed low TGF-beta1 mRNA levels (P = 0.02).
Our study suggests that the high levels of TGF-beta1 in healthy bowels of patients who undergo ileo-colonic resection for CD are associated with early clinical disease recurrence, while there seems to be no association between IGF-1 and CD recurrence.</abstract><cop>United States</cop><pmid>19027918</pmid><doi>10.1016/j.jss.2008.04.014</doi><tpages>9</tpages></addata></record> |
fulltext | fulltext |
identifier | EISSN: 1095-8673 |
ispartof | The Journal of surgical research, 2009-03, Vol.152 (1), p.26-34 |
issn | 1095-8673 |
language | eng |
recordid | cdi_proquest_miscellaneous_734123205 |
source | ScienceDirect Journals |
subjects | Adolescent Adult Aged Crohn Disease - metabolism Crohn Disease - surgery Female Humans Insulin-Like Growth Factor I - metabolism Male Middle Aged Postoperative Complications - metabolism Recurrence Transforming Growth Factor beta1 - metabolism Young Adult |
title | TGF-beta1 and IGF-1 production and recurrence of Crohn's disease after ileo-colonic resection |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T14%3A03%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=TGF-beta1%20and%20IGF-1%20production%20and%20recurrence%20of%20Crohn's%20disease%20after%20ileo-colonic%20resection&rft.jtitle=The%20Journal%20of%20surgical%20research&rft.au=Scarpa,%20Marco&rft.date=2009-03&rft.volume=152&rft.issue=1&rft.spage=26&rft.epage=34&rft.pages=26-34&rft.eissn=1095-8673&rft_id=info:doi/10.1016/j.jss.2008.04.014&rft_dat=%3Cproquest_pubme%3E734123205%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-p558-119ab562d826d92bc221a6dcab02bc18775d6be29f598ed94b7d4544612df52f3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=734123205&rft_id=info:pmid/19027918&rfr_iscdi=true |