Evidence map›Paper›PMID 42834155›Full record

ArticlePediatric research2026

Claudin-3 as a marker of intestinal permeability and its relation to inflammatory status in adolescents with functional gastrointestinal disorders.

Azza Abd El-Shaheed, Nermine N Mahfouz, Heba H Metwaly, Hiba Sibaii, Safa N Abd El-Fattah

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Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Azza Abd El-ShaheedDepartment of Child Health, Medical Research and Clinical Studies Institute, National Research Centre, Cairo, Egypt.ORCID http://orcid.org/0000-0002-2521-7076
Nermine N MahfouzDepartment of Child Health, Medical Research and Clinical Studies Institute, National Research Centre, Cairo, Egypt.ORCID http://orcid.org/0000-0002-4207-218X
Heba H MetwalyMedical Biochemistry Department, Medical Research and Clinical Studies Institute, National Research Centre, Cairo, Egypt.ORCID http://orcid.org/0009-0002-4555-3760
Hiba SibaiiMedical Physiology Department, Medical Research and Clinical Studies Institute, National Research Centre, Cairo, Egypt.ORCID http://orcid.org/0000-0002-0414-0567
Safa N Abd El-FattahClinical and Chemical Pathology Department, Medical Research and Clinical Studies Institute, National Research Centre, Cairo, Egypt. safanabil17@gmail.com.ORCID http://orcid.org/0000-0003-0028-5803

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFunctional Gastrointestinal disorders (FGIDs) are highly prevalent among adolescents. Increased intestinal permeability plays a potential role in the pathogenesis of FGIDs. Claudin-3 (CLDN3) may serve as an indicator of gut barrier integrity. We aimed to assess serum level of CLDN3 as a noninvasive biomarker of intestinal permeability in adolescents with FGIDs, and its relation with inflammatory markers.

methodsThis study included 70 adolescents with FGIDs and 65 healthy controls. Serum levels of CLDN3 and inflammatory markers; C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor alpha (TNFα), and haptoglobin, were measured using enzyme-linked immunosorbent assay.

resultsSerum levels of CLDN3 and inflammatory markers; CRP, Il-6, TNFα and haptoglobin, were significantly higher in cases compared to controls (p = 0.02, 0.039, 0.04, 0.021 and 0.001, respectively). We detected significant positive correlations between serum level of CLDN3 and that of CRP, IL-6 and haptoglobin in cases.

conclusionOur results revealed significant elevations in serum levels of CLDN3 and inflammatory markers in adolescents with FGIDs. Significant positive correlations were detected between levels of CLDN3 and that of CRP, IL-6 and haptoglobin, suggesting an association between intestinal barrier dysfunction and low-grade systemic inflammation. Thus, CLDN3 represents a potential noninvasive biomarker of intestinal permeability in FGIDs. IMPACT: This research investigated the potential role of Claudin-3 (CLDN3) as a noninvasive biomarker of intestinal permeability in adolescents with Functional Gastrointestinal Disorders (FGIDs), and its relation to the inflammatory status of these patients. To the best of our knowledge, this is the first study to assess serum CLDN3 as a noninvasive biomarker of intestinal permeability in FGIDs; previous researches have assessed intestinal barrier disruption in FGIDs based on intestinal biopsies. Our findings suggest that impaired intestinal barrier function may promote development of FGIDs by inducing inflammation. Thus, restoration of intestinal barrier integrity may represent a potential therapeutic target for FGIDs.

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