Year 2022 / Volume 114 / Number 1
Original
Usefulness of peripheral blood monocyte count to predict relapse in patients with inflammatory bowel disease: a prospective longitudinal cohort study

10-15

DOI: 10.17235/reed.2021.7683/2020

Rocío Ferreiro-Iglesias, Manuel Barreiro-de Acosta, Javier López-Díaz, Iria Bastón Rey, Juan Enrique Domínguez-Muñoz,

Abstract
Background: monocytes play an important role in the pathogenesis of inflammatory bowel disease but data are scarce regarding activity biomarkers, above all in patients under biologic therapies. Objective: the aim of this study was to evaluate the value of monocyte measurements in predicting flares in inflammatory bowel disease patients under maintenance treatment with anti-TNF. Methods: a prospective, observational cohort study was designed. Relapse was defined as a Harvey-Bradshaw score > 4 in Crohn’s disease, and a partial Mayo score ≥ 2 in ulcerative colitis. Monocyte concentration was quantified at 4-month intervals for twelve months. A total of 95 consecutive patients were included. Median age was 42 years, 50.5 % were female, and 75 % had Crohn’s disease. Results: sixteen months after inclusion, 65 (68.4 %) patients remained in clinical remission. Mean monocyte count preceding a relapse was 563 (standard deviation: 144) compared to 405 (standard deviation: 177) in patients who remained in remission. Final monocyte count was significantly different between relapse and remission in Crohn’s disease (0.82; 95 % CI: 0.71-0.90; p < 0.005). According to the multivariate analysis, only monocytes and fecal calprotectin were related to more relapses. Conclusion: in conclusion, in inflammatory bowel disease patients under anti-TNF therapy, repeat monocyte counts could help monitor patients, at least in Crohn’s disease.
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Ferreiro-Iglesias R, Barreiro-de Acosta M, López-Díaz J, Bastón Rey I, Domínguez-Muñoz J. Usefulness of peripheral blood monocyte count to predict relapse in patients with inflammatory bowel disease: a prospective longitudinal cohort study. 7683/2020


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Publication history

Received: 25/11/2020

Accepted: 14/01/2021

Online First: 25/01/2021

Published: 10/01/2022

Article revision time: 45 days

Article Online First time: 61 days

Article editing time: 411 days


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