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Identification and validation of a blood- based diagnostic lipidomic signature of pediatric inflammatory bowel disease

Author

Listed:
  • Samira Salihovic

    (Faculty of Medicine and Health, Örebro University)

  • Niklas Nyström

    (Uppsala University)

  • Charlotte Bache-Wiig Mathisen

    (Oslo University Hospital, Oslo, Norway and Faculty of Medicine, University of Oslo)

  • Robert Kruse

    (Faculty of Medicine and Health, Örebro University)

  • Christine Olbjørn

    (Akershus University Hospital)

  • Svend Andersen

    (Vestfold Hospital Trust)

  • Alexandra J. Noble

    (University of Oxford
    University of Oxford)

  • Maria Dorn-Rasmussen

    (Copenhagen University Hospital - Amager and Hvidovre
    Adolescents and Adults, Copenhagen University Hospital - Amager and Hvidovre)

  • Igor Bazov

    (Faculty of Medicine and Health, Örebro University)

  • Gøri Perminow

    (Oslo University Hospital)

  • Randi Opheim

    (Oslo University Hospital, Oslo, Norway and Faculty of Medicine, University of Oslo)

  • Trond Espen Detlie

    (Akershus University Hospital, Lørenskog, Norway and Faculty of Medicine, University of Oslo)

  • Gert Huppertz-Hauss

    (Telemark Hospital Trust)

  • Charlotte R. H. Hedin

    (Department of Medicine Solna
    Dermatovenereology and Rheumatology)

  • Marie Carlson

    (Uppsala University)

  • Lena Öhman

    (Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg)

  • Maria K. Magnusson

    (Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg)

  • Åsa V. Keita

    (Linköping University)

  • Johan D. Söderholm

    (Linköping University)

  • Mauro D’Amato

    (Basque Foundation for Science
    CIC bioGUNE - BRTA
    LUM University)

  • Matej Orešič

    (Faculty of Medicine and Health, Örebro University
    University of Turku and Åbo Akademi University)

  • Vibeke Wewer

    (Copenhagen University Hospital - Amager and Hvidovre
    Adolescents and Adults, Copenhagen University Hospital - Amager and Hvidovre)

  • Jack Satsangi

    (University of Oxford
    University of Oxford)

  • Carl Mårten Lindqvist

    (Faculty of Medicine and Health, Örebro University)

  • Johan Burisch

    (Adolescents and Adults, Copenhagen University Hospital - Amager and Hvidovre
    Copenhagen University Hospital - Amager and Hvidovre)

  • Holm H. Uhlig

    (University of Oxford
    University of Oxford
    University of Oxford)

  • Dirk Repsilber

    (Faculty of Medicine and Health, Örebro University)

  • Tuulia Hyötyläinen

    (Örebro University)

  • Marte Lie Høivik

    (Oslo University Hospital, Oslo, Norway and Faculty of Medicine, University of Oslo)

  • Jonas Halfvarson

    (Faculty of Medicine and Health, Örebro University)

Abstract

Improved biomarkers are needed for pediatric inflammatory bowel disease. Here we identify a diagnostic lipidomic signature for pediatric inflammatory bowel disease by analyzing blood samples from a discovery cohort of incident treatment-naïve pediatric patients and validating findings in an independent inception cohort. The lipidomic signature comprising of only lactosyl ceramide (d18:1/16:0) and phosphatidylcholine (18:0p/22:6) improves the diagnostic prediction compared with high-sensitivity C-reactive protein. Adding high-sensitivity C-reactive protein to the signature does not improve its performance. In patients providing a stool sample, the diagnostic performance of the lipidomic signature and fecal calprotectin, a marker of gastrointestinal inflammation, does not substantially differ. Upon investigation in a third pediatric cohort, the findings of increased lactosyl ceramide (d18:1/16:0) and decreased phosphatidylcholine (18:0p/22:6) absolute concentrations are confirmed. Translation of the lipidomic signature into a scalable diagnostic blood test for pediatric inflammatory bowel disease has the potential to support clinical decision making.

Suggested Citation

  • Samira Salihovic & Niklas Nyström & Charlotte Bache-Wiig Mathisen & Robert Kruse & Christine Olbjørn & Svend Andersen & Alexandra J. Noble & Maria Dorn-Rasmussen & Igor Bazov & Gøri Perminow & Randi O, 2024. "Identification and validation of a blood- based diagnostic lipidomic signature of pediatric inflammatory bowel disease," Nature Communications, Nature, vol. 15(1), pages 1-15, December.
  • Handle: RePEc:nat:natcom:v:15:y:2024:i:1:d:10.1038_s41467-024-48763-7
    DOI: 10.1038/s41467-024-48763-7
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