Promising Biomarkers of Environmental Enteric Dysfunction: A Prospective Cohort study in Pakistani Children.

ABSTRACT: Environmental Enteric Dysfunction (EED), a syndrome characterized by chronic gut inflammation, contributes towards stunting and poor response to enteric vaccines in children in developing countries. In this study, we evaluated major putative biomarkers of EED using growth faltering as its clinical proxy. Newborns (n?=?380) were enrolled and followed till 18 months with monthly anthropometry. Biomarkers associated with gut and systemic inflammation were assessed at 6 and 9 months. Linear mixed effects model was used to determine the associations of these biomarkers with growth faltering between birth and 18 months. Fecal myeloperoxidase (neutrophil activation marker) at 6 months [??=?-0.207, p?=?0.005], and serum GLP 2 (enterocyte proliferation marker) at 6 and 9 months [6M: ??=?-0.271, p?=?0.035; 9M: ??=?-0.267, p?=?0.045] were associated with decreasing LAZ score. Ferritin at 6 and 9 months was associated with decreasing LAZ score [6M: ??=?-0.882, p?

SUBMITTER: Iqbal NT 

PROVIDER: S-EPMC5813024 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature