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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1987-8-28
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pubmed:abstractText |
Endotoxins have been suggested to be a factor in the pathophysiology of Crohn's disease (CD). We determined circulating antibodies against lipid A, a component common to endotoxins of gram-negative bacteria. Lipid A antibody titers in 91 patients with CD were significantly higher than in 56 patients with ulcerative colitis and 68 healthy subjects. In active CD lipid A antibodies were higher than in quiescent CD and markedly elevated titers of lipid A antibodies were associated with a severe course of CD. Duration, extent and localisation of CD showed no relationship to antibody titers against lipid A. Patients with prior bowel resection had a tendency towards lower antibody titers in comparison with non-operated patients. After total removal of inflamed bowel tissue, lipid A antibodies frequently disappeared. Medical therapy had different effects: prednisone and sulfasalazine did not influence antibody formation against lipid A, whereas antibody titers dropped significantly after therapy with ampicillin. These results confirm elevated circulating lipid A antibodies in patients with CD. Although it remains unclear whether lipid A antibodies are only an epiphenomenon in CD, on the basis of this clinical study further evidence is provided for the involvement of lipid A in the pathophysiology of CD.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0172-6390
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
123-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:3610019-Adolescent,
pubmed-meshheading:3610019-Adult,
pubmed-meshheading:3610019-Aged,
pubmed-meshheading:3610019-Antibodies, Bacterial,
pubmed-meshheading:3610019-Colitis, Ulcerative,
pubmed-meshheading:3610019-Crohn Disease,
pubmed-meshheading:3610019-Female,
pubmed-meshheading:3610019-Humans,
pubmed-meshheading:3610019-Lipid A,
pubmed-meshheading:3610019-Male,
pubmed-meshheading:3610019-Middle Aged,
pubmed-meshheading:3610019-Prognosis
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pubmed:year |
1987
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pubmed:articleTitle |
Circulating lipid A antibodies and their relationship to different clinical conditions of patients with Crohn's disease.
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pubmed:publicationType |
Journal Article
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