Antimicrobial glycoprotein 2 (GP2) in gallstones, bile fluid and peribiliary glands of patients with primary sclerosing cholangitis
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Antimicrobial glycoprotein 2 (GP2) in gallstones, bile fluid and peribiliary glands of patients with primary sclerosing cholangitis. / Lopens, Steffi; Schierack, Peter; Krause, Jenny; Piaszczyński, Michał; Król, Robert; Staroń, Robert; Krupa, Łukasz; Gutkowski, Krzysztof; Kruk, Beata; Grąt, Michał; Krawczyk, Marek; Patkowski, Waldemar; Glaser, Fabian; Rödiger, Stefan; Grossmann, Kai; Pająk, Jacek; Milkiewicz, Piotr; Lammert, Frank; Zieniewicz, Krzysztof; Schramm, Christoph; Roggenbuck, Dirk; Krawczyk, Marcin.
In: CLIN CHIM ACTA, Vol. 562, 15.08.2024, p. 119841.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Antimicrobial glycoprotein 2 (GP2) in gallstones, bile fluid and peribiliary glands of patients with primary sclerosing cholangitis
AU - Lopens, Steffi
AU - Schierack, Peter
AU - Krause, Jenny
AU - Piaszczyński, Michał
AU - Król, Robert
AU - Staroń, Robert
AU - Krupa, Łukasz
AU - Gutkowski, Krzysztof
AU - Kruk, Beata
AU - Grąt, Michał
AU - Krawczyk, Marek
AU - Patkowski, Waldemar
AU - Glaser, Fabian
AU - Rödiger, Stefan
AU - Grossmann, Kai
AU - Pająk, Jacek
AU - Milkiewicz, Piotr
AU - Lammert, Frank
AU - Zieniewicz, Krzysztof
AU - Schramm, Christoph
AU - Roggenbuck, Dirk
AU - Krawczyk, Marcin
N1 - Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.
PY - 2024/8/15
Y1 - 2024/8/15
N2 - BACKGROUND: Glycoprotein-2 (GP2) IgA is a predictor of disease severity in primary sclerosing cholangitis (PSC). We examined GP2's occurrence in the biliary tract, the site of inflammation.METHODS: GP2 was analyzed using ELISA, immunoblotting, mass spectrometry, and immunohistochemistry. The samples included: 20 bile and 30 serum samples from PSC patients, 23 bile and 11 serum samples from patients with gallstone disease (GD), 15 bile samples from healthy individuals undergoing liver-donation surgery (HILD), 20 extracts of gallstones (GE) obtained during cholecystectomy, and 101 blood-donor sera.RESULTS: Biliary GP2 concentrations were significantly higher in patients with PSC and GD than in HILD (p < 0.0001). Serum GP2 levels were similar in PSC and GD patients, and controls, but lower than in bile (p < 0.0001). GP2 was detected in all 20 GEs. Mass spectrometry identified GP2 in the bile of 2 randomly selected GD and 2 PSC patients, and in none of 2 HILD samples. GP2 was found in peribiliary glands in 8 out of 12 PSC patients, showing morphological changes in acinar cells, but not in GD-gallbladders.CONCLUSIONS: GP2 is present in bile of PSC and GD patients. It is synthesized in the peribiliary glands of PSC patients, supporting a pathogenic role for biliary GP2 in PSC.
AB - BACKGROUND: Glycoprotein-2 (GP2) IgA is a predictor of disease severity in primary sclerosing cholangitis (PSC). We examined GP2's occurrence in the biliary tract, the site of inflammation.METHODS: GP2 was analyzed using ELISA, immunoblotting, mass spectrometry, and immunohistochemistry. The samples included: 20 bile and 30 serum samples from PSC patients, 23 bile and 11 serum samples from patients with gallstone disease (GD), 15 bile samples from healthy individuals undergoing liver-donation surgery (HILD), 20 extracts of gallstones (GE) obtained during cholecystectomy, and 101 blood-donor sera.RESULTS: Biliary GP2 concentrations were significantly higher in patients with PSC and GD than in HILD (p < 0.0001). Serum GP2 levels were similar in PSC and GD patients, and controls, but lower than in bile (p < 0.0001). GP2 was detected in all 20 GEs. Mass spectrometry identified GP2 in the bile of 2 randomly selected GD and 2 PSC patients, and in none of 2 HILD samples. GP2 was found in peribiliary glands in 8 out of 12 PSC patients, showing morphological changes in acinar cells, but not in GD-gallbladders.CONCLUSIONS: GP2 is present in bile of PSC and GD patients. It is synthesized in the peribiliary glands of PSC patients, supporting a pathogenic role for biliary GP2 in PSC.
U2 - 10.1016/j.cca.2024.119841
DO - 10.1016/j.cca.2024.119841
M3 - SCORING: Journal article
C2 - 38964568
VL - 562
SP - 119841
JO - CLIN CHIM ACTA
JF - CLIN CHIM ACTA
SN - 0009-8981
ER -