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논문 기본 정보

자료유형
학술저널
저자정보
Nagla H. Abu Faddan (Faculty of Medicine Assiut University) Tahra M. K. Sherif (Faculty of Medicine Assiut University) Omnia A. Mohammed (Faculty of Medicine Assiut University) Khalid A. Nasif (Department of Biochemistry Faculty of Medicine Minya University) Ebtesam M. El Gezawy (Faculty of Medicine Assiut University)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.15 No.1
발행연도
2017.1
수록면
118 - 123 (6page)

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Background/Aims: The safety of the human body is maintained by effective monitoring of the mucosal surface integrity andprotection against potentially harmful compounds. This function of the gut called intestinal barrier function can be affected bycholestasis and the absence of bile in the intestinal lumen. We aimed to determine whether the gut barrier integrity is impairedin infants with cholestasis by evaluation of the intestinal fatty acid binding proteins (I-FABP) and ileal bile acid binding protein(I-BABP) as markers of intestinal epithelial cell damage and plasma D-lactate level as a marker of gut wall permeability. Methods:This case-control study included 53 infants with cholestasis and 29 controls. Serum levels of I-FABP, I-BABP, and D-lactatewere measured in all subjects. Results: Both groups of patients with neonatal hepatitis and biliary atresia showed significantlyhigher levels of I-FABP and I-BABP than the controls. There were no differences in the serum D-lactate level between the casesand controls. There was no difference between the two groups of patients (I and II) regarding any of the parameters studied. No significant correlations between serum levels of I-FABP, I-BABP, or D-lactate and total or direct bilirubin levels were foundin the cholestatic infants. Conclusions: The intestinal epithelial barrier integrity is breached nearly in all parts of the intestinein infants with cholestasis. Further research is recommended to determine the impact of this finding on the management ofthese infants. The relationship between physical intestinal barrier damage and its functional failure remains subject for furtherresearch.

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