Table 1 Faecal markers of inflammation
Faecal markerFunctionMain sourceDifferentiating IBD from IBSCorrelation* to IBD activity†Stability at RT
S100A8/S100A9 (Calprotectin)DAMPNeutrophils (cytoplasm), monocytes, epithelium+++7 days12
S100A12DAMPNeutrophils (cytoplasm)+++>7 days13
LactoferrinLeukocyte degranulation markerBrush-border cells, neutrophils, monocytes, macrophages, lymphocytes++4 days14
Polymorphonuclear elastaseLeukocyte degranulation markerNeutrophils (azurophilic granules)ND++1 day15
α1-AntitrypsinMarker of protein lossHepatocytes, epitheliumND+7 days16
Tumour necrosis factor αCytokineMonocytes, macrophages, T cellsND(+)Not stable17 18
Eosinophil cationic proteinLeukocyte degranulation markerEosinophils (specific granules)ND3 days19
Eosinophilic protein XLeukocyte degranulation markerEosinophils (specific granules)ND(+)7 days19
MyeloperoxidaseLeukocyte degranulation markerNeutrophils (azurophilic granules), monocytes, macrophages, T cellsND1 day15
LysozymeLeukocyte degranulation markerNeutrophils (azurophilic granules), macrophages, epitheliumND+1 day15
Faecal occult bloodMarker of blood lossErythrocytes (haemoglobulin; mucosal damage)NDStable
  • *Significance: −, all studies negative; (+), some studies positive; +, most studies positive (some not in both Crohn’s disease and ulcerative colitis); ++, all studies positive.

  • †Disease activity measures depending on study definition: Classification of active/inactive disease; CDAI/CAI; endoscopy; histology.

  • CAI, colitis activity index; CDAI, Crohn’s disease activity index; DAMP, damage-associated molecular pattern; IBD, inflammatory bowel disease; IBS, inflammatory bowel syndrome; ND, not determined; RT, room temperature.