Document Detail


Similarity in the metabolic profile in macroscopically involved and un-involved colonic mucosa in patients with inflammatory bowel disease: an in vitro proton ((1)H) MR spectroscopy study.
MedLine Citation:
PMID:  20418044     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The histological extent of inflammatory bowel disease (IBD) is greater than that evident by colonoscopic evaluation. We hypothesized that metabolic profile in macroscopically un-involved colonic mucosa in IBD is similar to that of controls with healthy colon. We thus assessed the differences in metabolic profile in macroscopically involved and un-involved colonic mucosa of IBD patients to further substantiate the extent of disease.
PATIENTS AND METHODS: Colonic mucosal biopsies were obtained and snap frozen from both the macroscopically un-involved and involved colonic mucosa of IBD patients and macroscopically normal colonic mucosa of controls and were subjected to in-vitro high-resolution proton ((1)H) magnetic resonance (MR) spectroscopy and the concentrations of metabolites were determined.
RESULTS: Thirty-two metabolites were assigned in the proton MR spectrum of colonic mucosa of IBD patients. The concentrations of amino acids (isoleucine, leucine, valine, arginine, lysine, glutamine/glutamate, alanine), membrane metabolites (choline, glycerophosphorylcholine/phosphorylcholine), glycolytic product (lactate) and short chain fatty acid (formate) were significantly lower while significantly high level of glucose were observed in the macroscopically un-involved colonic mucosa of IBD patients compared to the macroscopically normal mucosa of controls. There was no significant difference in the concentrations of metabolites in macroscopically involved and un-involved colonic mucosa of IBD patients.
CONCLUSIONS: The metabolic profile in macroscopically un-involved colonic mucosa of IBD patients is similar to that of macroscopically involved mucosa but different from colonic mucosa of controls. This suggests that even macroscopically un-involved colonic mucosa is metabolically abnormal and may explain the increase in extent of disease with time.
Authors:
Uma Sharma; Rajiv R Singh; Vineet Ahuja; Govind K Makharia; Naranamangalam R Jagannathan
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Publication Detail:
Type:  Journal Article     Date:  2010-04-24
Journal Detail:
Title:  Magnetic resonance imaging     Volume:  28     ISSN:  1873-5894     ISO Abbreviation:  Magn Reson Imaging     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-09     Completed Date:  2011-01-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8214883     Medline TA:  Magn Reson Imaging     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1022-9     Citation Subset:  IM    
Affiliation:
Department of NMR and MRI Facility, All India Institute of Medical Sciences, New Delhi, India.
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MeSH Terms
Descriptor/Qualifier:
Adult
Biological Markers / metabolism*
Biopolymers / metabolism*
Colon / metabolism*
Humans
Inflammatory Bowel Diseases / metabolism*
Intestinal Mucosa / metabolism*
Magnetic Resonance Spectroscopy / methods*
Protons / diagnostic use
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Biopolymers; 0/Protons

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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