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Parameter
Biomarker Fecal lactoferrin (SL) Full name Fecal lactoferrin Molecular Type Protein (iron-binding glycoprotein)
Molecular Formula Human lactoferrin: C₆₉₀H₁₁₁₂N₁88O₂₀₀S₄ Molecular Weight ~80 kDa Core Functional Dimensions Monitoring of intestinal mucosal damage
Disease Inflammatory Bowel Disease (IBD) Disease Subtypes /
Organ Intestine Test Sample / Technology Platform Stool (ELISA, immunochromatography, POCT kit)
Pathobiological Mechanisms 1. It is mainly derived from neutrophil secondary granules, which are released into the intestinal lumen with the infiltration of neutrophils during intestinal inflammation, directly reflecting the degree of mucosal injury; (2) There was a significant correlation between SL and the degree of mucosal erosion and ulcer under UC endoscopy (r=0.72). When SL > 7.5μg/g, the mucosal healing rate of UC patients decreased by 50%; (3) Strong stability (tolerance to 3 times freezing and thawing), high repeatability (CV < 10%), can replace some endoscopic examination
Clinical Availability Status Routine clinical application
Notes and Dynamics 1. The Consensus on Diagnosis and Treatment of UC in 2024 recommends SL as a monitoring index for UC in remission, and SL < 2μg/g indicates stable remission. (2) Frontier research integrated SL and gut microbiota data to develop a joint prediction model of "inflammation-microbiota", and the accuracy of UC recurrence prediction reached 82%

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This study was supported by the Scientific Research Innovation Capability Support Project for Young Faculty (SRICSPYF-ZY2025112), the Fundamental and Interdisciplinary Disciplines Breakthrough Plan of the Ministry of Education of China (JYB2025XDXM612)

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