Potential of intestinal fatty acid binding protein (I-FABP) as a biomarker in ischemia and intestinal damage
https://doi.org/10.21518/akh2024-030
Abstract
Violation of mesenteric circulation and intestinal damage are life-threatening conditions that require early diagnosis and, if necessary, prompt surgical intervention. Currently, the diagnosis of these conditions remains a difficult task due to the nonspecific nature of clinical symptoms andlimitations of existing diagnostic tools. The aim of the study is to study the potential of intestinal fatty acid binding protein (I-FABP) as a biomarker of mesenteric circulatory disorders and intestinal damage. The article discusses the structure and function of I-FABP, its expression and distribution in the small intestine, the mechanisms of release of I-FABP. Clinical studies of I-FABP levels in patients with these conditions are analyzed, assessing the accuracy of diagnosis and potential thresholds. The results of this study show that I-FABP has significant potential as a biomarker of OMI, intestinal ischemia and intestinal damage. Elevated levels of I-FABP have been observed in patients, and the diagnostic accuracy of I-FABP appears to be superior to other currently used biomarkers. However, further research is needed to determine optimal thresholds and establish standardized I-FABP measurement protocols. Thus, the introduction of I-FABP as a biomarker into clinical practice may lead to earlier diagnosis and improved outcomes in patients with intestinal ischemia.
About the Authors
M. R. KuznetsovRussian Federation
Maxim R. Kuznetsov, Dr. Sci. (Med.), Professor of the Institute of Cluster Oncology named after L.L. Levshin
8, Bldg. 2, Trubetskaya St., Moscow, 119991, Russia
A. I. Chernookov
Russian Federation
Alexandr I. Chernookov, Dr. Sci. (Med.), Professor of the Department of Injury Surgery of the Medical Institute of Continuing Education; Professor of the Department of Topographic Anatomy and Operative Surgery named after Academician Yu.M. Lopukhin
11, Volokolamskoe Shosse, Moscow, 125080, Russia
1, Ostrovityanov St., Moscow, 117997, Russia
A. A. Atayan
Russian Federation
Andrey A. Atayan, Cand. Sci. (Med.), Associate Professor, Department of Hospital Surgery
8, Bldg. 2, Trubetskaya St., Moscow, 119991, Russia
A. A. Ramazanov
Russian Federation
Artur A. Ramazanov, Surgeon
2, Klinskaya St., Moscow, 125414, Russia
O. N. Antonov
Russian Federation
Oleg N. Antonov, Dr. Sci. (Med.), Professor, Department of Hospital Surgery
8, Bldg. 2, Trubetskaya St., Moscow, 119991, Russia
E. N. Belykh
Russian Federation
Elena N. Belykh, Cand. Sci. (Med.), Associate Professor, Department of Hospital Surgery
8, Bldg. 2, Trubetskaya St., Moscow, 119991, Russia
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Review
For citations:
Kuznetsov M.R., Chernookov A.I., Atayan A.A., Ramazanov A.A., Antonov O.N., Belykh E.N. Potential of intestinal fatty acid binding protein (I-FABP) as a biomarker in ischemia and intestinal damage. Ambulatornaya khirurgiya = Ambulatory Surgery (Russia). 2024;21(2):229-237. (In Russ.) https://doi.org/10.21518/akh2024-030

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