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318238

The study of monocyte chemoattractant protein-1 gene expression and ascetic fluid calprotectin biomarker levels in spontaneous bacterial peritonitis patients with liver cirrhosis

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Medical bacteriology

Abstract

Background and rationale:  Spontaneous bacterial peritonitis (SBP) stands as a primary complication and the most common bacterial infection in individuals suffering from decompensated liver cirrhosis. It is linked to substantial morbidity and mortality rates. The study aimed to determine the level of MCP-1 gene expression in the ascitic fluid of liver cirrhotic patients with or without SBP to evaluate its role in SBP diagnosis and to evaluate the role of ascitic fluid (AF) calprotectin as a diagnostic biomarker for SBP in liver cirrhosis (LC) patients. Methods: A cross-sectional hospital-based study was conducted at Internal Medicine, Gastroenterology and Hepatology Unit at AL-Rajhi Hospital in the period between 2020 and 2022. Participants were divided into two groups, a SBP group (n = 37) and a non-SBP group (LC patients with ascites only) (n = 48). AF levels of MCP-1, calprotectin and blood chemistry tests were estimated in all patients. Results: Both studied groups had no significant differences as regards demographic and laboratory data, except lower potassium levels among the SBP group. Monocyte chemoattractant protein-1 (MCP-1) was significantly higher among the SBP group (p= 0.000) compared to the non-SBP group. Also, both groups had significant differences as regards calprotectin (p= 0.01). Only three patients in the SBP group had positive ascitic fluid cultures (Escherichia coli, Klebsiella pneumonia, and Acinetobacter baumannii) while the non-SBP groups were negative for bacterial growth. Only in the control group, did MCP-1 have a positive correlation with serum albumin and total bilirubin. Conclusion: Ascitic fluid MCP-1 and calprotectin are considered promising biomarkers for early diagnosis of SBP.

DOI

10.21608/mid.2023.227066.1580

Keywords

Keywords: ascitic fluid, Calprotectin, MCP-1

Authors

First Name

Amany

Last Name

Adwy

MiddleName

Mohammed

Affiliation

Department of Microbiology and Immunology, Faculty of Medicine, Assiut University, Assiut, 71515, Egypt

Email

amany.nafea@med.aun.edu.eg

City

ASSIUT

Orcid

-

First Name

Ahmed

Last Name

Ashmawy

MiddleName

Mostafa

Affiliation

Department of Internal Medicine, Gastroenterology and Hepatology Unit, Faculty of Medicine, Assiut University, Assiut, 71515, Egypt

Email

dr.ashmawy@aun.edu.eg

City

ASSIUT

Orcid

-

First Name

Mohammed

Last Name

Badary

MiddleName

Saad

Affiliation

Department of Microbiology and Immunology, Faculty of Medicine, Assiut University, Assiut, 71515, Egypt

Email

msb64@aun.edu.eg

City

assiut

Orcid

-

First Name

Yossra

Last Name

kamel

MiddleName

Mahmoud

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Assiut University, Assiut, 71515, Egypt

Email

ysra_pg1220284@med.aun.edu.eg

City

assiut

Orcid

-

First Name

mai

Last Name

mostafa

MiddleName

ahmed

Affiliation

Department of Microbiology and Immunology, Faculty of pharmacy, Assiut University, 71515, Egypt

Email

mai_92_mostafa@yahoo.com

City

-

Orcid

-

First Name

Amal

Last Name

Elkhawaga

MiddleName

Ahmed

Affiliation

Department of Microbiology and Immunology, Faculty of Medicine, Assiut University, Assiut, 71515, Egypt

Email

amy.elkhawaga@yahoo.com

City

assiut

Orcid

-

Volume

4

Article Issue

4

Related Issue

43799

Issue Date

2023-11-01

Receive Date

2023-08-03

Publish Date

2023-11-01

Page Start

1,383

Page End

1,395

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_318238.html

Detail API

https://mid.journals.ekb.eg/service?article_code=318238

Order

35

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

The study of monocyte chemoattractant protein-1 gene expression and ascetic fluid calprotectin biomarker levels in spontaneous bacterial peritonitis patients with liver cirrhosis

Details

Type

Article

Created At

25 Dec 2024