Diagnostic performance of fecal eosinophil-derived neurotoxin and lipocalin-2 in pediatric inflammatory bowel disease - Report - MDSpire

Evaluating the Diagnostic Efficacy of Fecal Eosinophil-Derived Neurotoxin and Lipocalin-2 in Children with Inflammatory Bowel Disease

  • By

  • Ragaey Ahmad Eid

  • Nada Atteya Fakhry

  • Doaa Mabrouk Ahmed

  • Mahmoud Hodeib

  • July 17, 2026

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Clinical Report: Evaluating the Diagnostic Efficacy of Fecal Biomarkers in IBD

Overview

This study evaluates the diagnostic efficacy of fecal eosinophil-derived neurotoxin (fEDN) and lipocalin-2 (LCN-2) as non-invasive biomarkers for pediatric inflammatory bowel disease (IBD).

Background

Inflammatory bowel diseases (IBD) are increasingly diagnosed in children, necessitating effective diagnostic tools. Current diagnostic approaches rely heavily on endoscopic evaluations, which can be invasive. Non-invasive biomarkers like FC, fEDN, and LCN-2 could enhance diagnostic accuracy.

Data Highlights

GroupNumber of Participants
IBD Patients30
Healthy Controls30
Acute Diarrhea30

Key Findings

  • fEDN and LCN-2 are stable in feces for at least 7 days.
  • High fecal EDN concentrations are associated with active ulcerative colitis and Crohn’s disease.
  • LCN-2 expression is increased in inflamed intestinal epithelial cells in IBD patients.
  • The study compares the sensitivity and specificity of fEDN and LCN-2 against fecal calprotectin.
  • IBD diagnosis in children requires a combination of clinical, laboratory, and endoscopic evaluations.

Clinical Implications

The use of fEDN and LCN-2 as non-invasive biomarkers may support the assessment of pediatric IBD.

Conclusion

Further studies are needed to establish the clinical utility of fEDN and LCN-2 in routine practice.

Related Resources & Content

  1. European Radiology, 2025 -- Evaluation of Volumetric versus Linear Assessment of Intestinal Inflammation and Therapeutic Outcomes in Pediatric Patients with Newly Diagnosed Ileal Crohn Disease
  2. Journal of Gastroenterology, 2025 -- Evaluating the Diagnostic Precision and Threshold Levels of Serum Leucine-Rich Alpha-2 Glycoprotein in Assessing Small Bowel Activity in Crohn’s Disease
  3. Frontiers in Pediatrics, 2026 -- Baseline gut microbiome features associated with fecal calprotectin response to exclusive enteral nutrition in pediatric Crohn’s disease
  4. Journal of Gastroenterology, 2021 -- Neutrophil Gelatinase-Associated Lipocalin in Mucosal and Fecal Samples as Potential Indicators for Collagenous Colitis
  5. ECCO, 2025 -- Multi-society diagnostic guideline for Crohn’s disease and ulcerative colitis
  6. Journal of Pediatric Gastroenterology and Nutrition, 2025 -- Management of pediatric inflammatory bowel diseases in limited‐resource settings: A position paper from the Paediatric IBD Porto Group of ESPGHAN
  7. Fecal neutrophil gelatinase-associated lipocalin as a biomarker for inflammatory bowel disease
  8. https://academic.oup.com/ecco-jcc/article/19/7/jjaf106/8219802
  9. Management of pediatric inflammatory bowel diseases in limited‐resource settings: A position paper from the Paediatric IBD Porto Group of ESPGHAN - Hauer - 2025 - Journal of Pediatric Gastroenterology and Nutrition - Wiley Online Library

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