{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:58:28Z","timestamp":1768525108945,"version":"3.49.0"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T00:00:00Z","timestamp":1496275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"St. Vincent's Clinic Foundation Research","award":["2013"],"award-info":[{"award-number":["2013"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aliment Pharmacol Ther"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Serum macrophage inhibitory cytokine\u20101 (<jats:styled-content style=\"fixed-case\">MIC<\/jats:styled-content>\u20101\/<jats:styled-content style=\"fixed-case\">GDF<\/jats:styled-content>15) concentration has been associated with colonic adenomas and carcinoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine whether circulating <jats:styled-content style=\"fixed-case\">MIC<\/jats:styled-content>\u20101\/<jats:styled-content style=\"fixed-case\">GDF<\/jats:styled-content>15 serum concentrations are higher in the presence of adenomas and whether the level decreases after excision.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients were recruited prospectively from a single centre and stratified into five groups: no polyps (<jats:styled-content style=\"fixed-case\">NP<\/jats:styled-content>); hyperplastic polyps (<jats:styled-content style=\"fixed-case\">HP<\/jats:styled-content>); sessile serrated ademona (<jats:styled-content style=\"fixed-case\">SSA<\/jats:styled-content>); adenomas (<jats:styled-content style=\"fixed-case\">AP<\/jats:styled-content>); and colorectal carcinoma (<jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content>). Blood samples were collected immediately before and 4 weeks after colonoscopy. <jats:styled-content style=\"fixed-case\">MIC<\/jats:styled-content>\u20101\/<jats:styled-content style=\"fixed-case\">GDF<\/jats:styled-content>15 serum levels were quantified using <jats:styled-content style=\"fixed-case\">ELISA<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants (n=301) were stratified as: <jats:styled-content style=\"fixed-case\">NP<\/jats:styled-content>; n=116 (52%), <jats:styled-content style=\"fixed-case\">HP<\/jats:styled-content>; n=37 (12%), <jats:styled-content style=\"fixed-case\">SSA<\/jats:styled-content>; n=19 (7%), <jats:styled-content style=\"fixed-case\">AP<\/jats:styled-content>; n=68 (23%); and <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content>; n=3 (1%). Patients were excluded from the study due to nondiagnostic pathology (n=9, 3%) and exclusion criteria (n=20, 6%). In the 272 remaining subjects (M=149; F=123), age (<jats:italic>P<\/jats:italic>=.005), history of colonic polyps (<jats:italic>P<\/jats:italic>=.003) and family history of colonic polyps (<jats:italic>P<\/jats:italic>=.002) were associated with presence of adenomas. Baseline median <jats:styled-content style=\"fixed-case\">MIC<\/jats:styled-content>\u20101\/<jats:styled-content style=\"fixed-case\">GDF<\/jats:styled-content>15 serum levels increased significantly from <jats:styled-content style=\"fixed-case\">NP<\/jats:styled-content> 609 (460\u2010797) pg\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> HP<\/jats:styled-content> 582 (466\u2010852) pg\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> SSA<\/jats:styled-content> 561 (446\u2010837) pg\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content> to <jats:styled-content style=\"fixed-case\">AP<\/jats:styled-content> 723 (602\u20101122) pg\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content> 1107 (897\u20101107) pg\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>; (<jats:italic>P<\/jats:italic>&lt;.001). In the pre\u2010 and postpolypectomy paired adenoma samples median <jats:styled-content style=\"fixed-case\">MIC<\/jats:styled-content>\u20101\/<jats:styled-content style=\"fixed-case\">GDF<\/jats:styled-content>15 reduced significantly from 722 (603\u20101164) pg\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content> to 685 (561\u2010944) pg\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content> (<jats:italic>P<\/jats:italic>=.002). A <jats:styled-content style=\"fixed-case\">ROC<\/jats:styled-content> analysis for serum <jats:styled-content style=\"fixed-case\">MIC<\/jats:styled-content>\u20101\/<jats:styled-content style=\"fixed-case\">GDF<\/jats:styled-content>15 to identify adenomatous polyps indicated an area under the curve of 0.71.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our data suggest that serum <jats:styled-content style=\"fixed-case\">MIC<\/jats:styled-content>\u20101\/<jats:styled-content style=\"fixed-case\">GDF<\/jats:styled-content>15 has the diagnostic characteristics to increase the detection of colonic neoplasia and improve screening.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apt.14156","type":"journal-article","created":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T10:36:43Z","timestamp":1496313403000},"page":"347-354","source":"Crossref","is-referenced-by-count":16,"title":["Macrophage inhibitory cytokine\u20101\/growth differentiation factor\u201015 as a predictor of colonic neoplasia"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5551-6811","authenticated-orcid":false,"given":"M.","family":"Danta","sequence":"first","affiliation":[{"name":"St Vincent's Clinical School Faculty of Medicine UNSW Sydney NSW Australia"},{"name":"Department of Gastroenterology St Vincent's Hospital Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. 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