Ma BQ, Wang LF, Wu WY, Xing YJ. Serum glycoprotein 2 as a biomarker of severity of acute pancreatitis.
Shijie Huaren Xiaohua Zazhi 2019;
27:1271-1277. [DOI:
10.11569/wcjd.v27.i20.1271]
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Abstract
BACKGROUND
Acute pancreatitis (AP) is a main cause of acute abdominal pain. Although the pathophysiology of AP is not fully understood, it is now widely acknowledged that the activation of enzymes in zymogen granules (ZGs) plays an important role in the progression of AP. In AP animal models, the up-regulation of serum ZG glycoprotein 2 (GP2) can be used as a potential biological marker for AP.
AIM
To investigate whether serum GP2 can be used as an early biomarker of AP severity.
METHODS
In a prospective single-center cohort study, plasma samples and baseline clinical data were collected from 9 healthy subjects and 59 patients with AP within 24 h of onset. Serum GP2 levels were detected by enzyme-linked immunosorbent assay, and their correlation with the severity of AP was analyzed.
RESULTS
Of the 59 AP patients, 30 had mild AP, 16 had moderate AP, and 13 had severe AP. Serum GP2 levels were significantly increased in AP patients and positively correlated with AP severity. Using 2.3 ng/mL as the cut-off point, the sensitivity and specificity of serum GP2 to distinguish moderate AP were 96.6% and 90.0%, respectively, and the positive and negative predictive values were 90.3% and 96.4%, respectively. Using 5.1 ng/mL as the cut-off point, the sensitivity, specificity, positive predictive value, and negative predictive value to distinguish severe AP were all 100%. Serum GP2 was found to be a better prognostic marker than bedside index for severity in acute pancreatitis score, hematocrit, admission or persistent systemic inflammatory response score, and C-reactive protein.
CONCLUSION
Serum GP2 increases in AP patients, and it positively correlates with the severity of AP, suggesting its potential to predict the severity of AP.
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