Evidence map›Paper›PMID 40411452›Full record

ArticleInflammatory bowel diseases2025

Plasma Calprotectin and Myeloperoxidase as Biomarkers in Inflammatory Bowel Disease.

Duo Hou, Akhilesh Swaminathan, Grace M Borichevsky, Chris M Frampton, Antony J Kettle, Richard B Gearry

Abstract read
In one paragraph

Article in Inflammatory bowel diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Duo HouDepartment of Medicine, University of Otago Christchurch, Christchurch, New Zealand.
Akhilesh SwaminathanDepartment of Medicine, University of Otago Christchurch, Christchurch, New Zealand.ORCID 0000-0003-1954-844X
Grace M BorichevskyMātai Hāora - Centre for Redox Biology and Medicine, Department of Pathology and Biomedical Science, University of Otago Christchurch, Christchurch, New Zealand.
Chris M FramptonDepartment of Medicine, University of Otago Christchurch, Christchurch, New Zealand.
Antony J KettleMātai Hāora - Centre for Redox Biology and Medicine, Department of Pathology and Biomedical Science, University of Otago Christchurch, Christchurch, New Zealand.ORCID 0000-0002-8218-7766
Richard B GearryDepartment of Medicine, University of Otago Christchurch, Christchurch, New Zealand.ORCID 0000-0002-2298-5141

Funding

New Zealand Society of GastroenterologyRoyal Australasian College of Physicians
6 · The paper itself

Abstract

backgroundInflammatory bowel disease (IBD) is a relapsing-remitting illness requiring proactive monitoring of gut inflammation. We aimed to determine the correlations of plasma myeloperoxidase (pMPO) and calprotectin (pCal), two neutrophil proteins, with existing measures of disease activity.

methodsAdults with IBD undergoing ileocolonoscopy were recruited prospectively. Baseline assessments included blood tests (pMPO, pCal, and C-reactive protein ([CRP]), symptom questionnaires, and endoscopic indices (simple endoscopic score for CD [SES-CD] and UC endoscopic index of severity [UCEIS]). Active IBD was defined as SES-CD > 2 and UCEIS ≥ 2. Spearman's rank correlations assessed the associations between blood markers and endoscopic activity. The area under the receiver operating characteristics curves (AUROC) and univariable logistic regression assessed the ability of blood markers (at optimal thresholds) to identify active disease.

resultsIn total, 170 participants were included (female, n = 92; Crohn's disease [CD], n = 99; median age 46 years, IQR 35-58). Plasma biomarkers more accurately identified active IBD in individuals with UC (AUROCpMPO = 0.76, P < .001; AUROCpCal = 0.66, P < .05; AUROCCRP = 0.73, P < .001) than in CD (AUROCpMPO = 0.62, P > .05; AUROCpCal = 0.65, P < .01; AUROCCRP = 0.66, P < .01). In all patients with IBD, the addition of pCal (AUROC = 0.73, P < .001) and pMPO (AUROC = 0.73, P < .001) to CRP added benefit compared to CRP (AUROC = 0.70, P < .001) alone. Plasma myeloperoxidase > 13.86 ng/mL (odds ratio [OR] = 10.13, 3.4-30.16) and pCal > 961.72 ng/mL (OR = 3.38, 1.21-9.4) were associated with an increased odds of having endoscopically active UC.

conclusionsPlasma MPO shows promise as a potential blood-based biomarker of IBD activity, especially in UC. The combined use of pMPO and CRP adds diagnostic utility in discriminating between active versus quiescent IBD.

Indexed as

BiomarkersColitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesLeukocyte L1 Antigen ComplexPeroxidaseAdultColonoscopyC-Reactive ProteinFemaleHumansMaleMiddle AgedProspective StudiesROC CurveSeverity of Illness IndexBiomarkersC-Reactive ProteinLeukocyte L1 Antigen ComplexMPO protein, humanPeroxidasebiomarkersIBDplasma biomarkers

Identifiers

PMID40411452
PMCPMC12638051

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.