Review Article

Immunomodulatory Effects of Chitotriosidase Enzyme

Table 1

Human diseases associated with elevated chitotriosidase enzyme.

Disease groupDiseaseProposed clinical value (sample type)References

Lysosomal storage diseasesGaucherScreening, therapeutic monitoring (P/S)[1, 62]
Niemann-Pick A/B and CScreening, therapeutic monitoring (P/S)[65]
CystinosisTherapeutic monitoring (P/S)[50]
FabryTherapeutic monitoring (P/S)[66]
KrabbeScreening, marker of severity (P/S)[67]
Wolman Therapeutic monitoring (P/S)[68]
FarberScreening (P/S)[69]
GM1Screening (P/S)[70]
Sialidosis type IIScreening (P/S)[71]

Infectious diseasesSystemic fungal infections: Candida albicans, Madurella mycetomatis, and Cryptococcus neoformansPrognosis, therapeutic monitoring (P/S)[1517]
MalariaPrognosis (P/S)[13]
Filariasis Screening (P/S)[14]
TuberculosisPrognosis, therapeutic monitoring (P/S)[72]
BrucellosisTherapeutic monitoring (P/S)[73]
LeprosyPrognosis, therapeutic monitoring (P/S)[74]
Crimean-Congo hemorrhagic feverPrognosis (P/S)[34]

Respiratory diseasesAsthmaMarker of severity (P/S)[19, 21]
COPDMarker of severity (P/S, BAL)[21, 51]
Interstitial lung diseaseScreening, marker of severity (BAL)[52, 75]

Endocrinological diseases DiabetesMarker of endothelial damage (P/S)[76]
Marker of nephropathy progression (P/S)[53]

Cardiovascular diseasesAtherosclerosisMarker of severity (P/S)[77, 78]
StrokePrognosis (P/S)[79]
Coronary artery diseasePrognosis (P/S)[80]
Erectile dysfunctionMarker of severity (P/S)[81]

Neurological diseasesAmyotrophic lateral sclerosisScreening, marker of severity (P/S, CSF)[24, 82]
Alzheimer’s diseasePrognosis, marker of severity (CSF)[23, 83]
Cerebral adrenoleukodystrophyPrognosis (P/S, CSF)[84]
Neuromyelitis opticaScreening (CSF)[50]
Multiple sclerosisScreening, prognosis (CSF)[50]

Gynecological and obstetrical diseasesPCOSPrognosis (P/S)[85]
EndometriosisMarker of severity (P/S)[86]
PreeclampsiaMarker of fetal compromise (UC)[87]

MiscellaneousNAFLDMarker of severity (P/S)[22]
FMFScreening, marker of severity (P/S)[88]
β-ThalassemiaMarker of severity, therapeutic monitoring (P/S)[89]
SarcoidosisMarker of severity, therapeutic monitoring (P/S)[63]
Acute appendicitis Screening (P/S)[90]
Juvenile idiopathic arthritisScreening, marker of severity (SV)[91]
Prostate cancerPrognosis (P/S)[92]

BAL: bronchoalveolar lavage; COPD: chronic obstructive pulmonary disease; CSF: cerebrospinal fluid; FMF: familial Mediterranean fever; GM1: gangliosidosis M1; NAFLD: nonalcoholic fatty liver disease; PCOS: polycystic ovarian syndrome; P/S: plasma or serum; SV: synovial fluid; UC: umbilical cord blood.