Association between serum omentin-1 and mucosal disease activity in patients with ulcerative colitis

Abstract

Purpose: Mucosal inf lammation is a key feature of ulcerative colitis (UC), a chronic relapsing and remitting form of inf lammatory bowel disease. Omentin-1, a newly discovered adipokine, is reported to have anti-inf lammatory effects and has been found to be decreased in patients with inf lammatory bowel disease. The aim of our study was to investigate the association between serum omentin-1 levels and mucosal disease activity in patients with UC. Study design: A total of 126 patients with UC and 77 healthy volunteers were enrolled in the study. Serum omentin-1 expression levels were measured using enzyme-linked immunosorbent assay to evaluate its potential for monitoring disease activity, including clinical and endoscopic activity. Results: Serum omentin-1 levels were significantly lower in patients with UC compared to healthy controls (HC) (UC, 61.7 interquartile range: 51.5–72.6 versus healthy controls, 103.5 interquartile range: 48.3–156.2 ng/ml; P < .001). Furthermore, serum omentin-1 levels were associated with both clinical and endoscopic activity in patients with UC. Notably, omentin-1 levels were significantly lower in patients who achieved mucosal healing. Receiver operating characteristic curves indicated that serum omentin-1 levels could potentially serve as an activity index for evaluating UC. Conclusions: These findings provide further insight into the association between omentin-1 and UC, suggesting that omentin-1 may be a useful biomarker for monitoring mucosal disease activity in patients with UC.