Diagnostic tests for inflammatory bowel diseases

Chemistry: molecular biology and microbiology – Measuring or testing process involving enzymes or... – Involving viable micro-organism

Reexamination Certificate

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Reexamination Certificate

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07972807

ABSTRACT:
Disclosed are diagnostic tests helpful in indicating presence of an inflammatory bowel disease (IBD) in a human patient. In one embodiment, the test comprises obtaining a sample of mucosal tissue from the ileum or sigmoid colon of the patient; evaluating sample quality by testing for cadaverine and continuing the diagnostic test if the sample has no detectable cadaverine; testing the cadaverine negative sample for N-acetylated spermine; and correlating a detectable level of N-acetylated spermine in the sample with presence of IBD in the patient. Another, less invasive, method disclosed includes a diagnostic test comprising isolating mononuclear leukocytes from the patient's blood; testing the isolated mononuclear leukocytes for level of spermidine; and correlating a level of spermidine higher than that in mononuclear leukocytes of normal subjects as indicative of an inflammatory bowel disease in the patient.

REFERENCES:
Villanueva et al. “Chromatography, flow injection analysis and electrophoresis in computer-assisted comparative biochemistry: its application and possibilities in clinical research”, J of Chromatography, 1988, 440, 261-273.
Obayashi et al. “Polyamine metabolism in colonic mucosa from patients with ulcerative colitis”, The American Journal of Gastroenoterology, 1992, 87(6):736-740.
Weiss et al. “Intracellular polyamine levels of intestinal epithelial cells in inflammatory bowel disease”, Inflamm Bowel Dis., 2004, 10(5):529-535.
Macfarlane et al. “Mucosal bacteria in ulcerative colitis”, British Journal of Nutrition, 2005, 93, Suppl. 1:S67-S72.

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