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Gut · Stool

Beta-defensin 2 (feces)

A defense protein of the intestinal lining; a research measurement whose meaning for health is not established.

At a glance

  • Measured in stool
  • In 5 test panels
  • No special preparation

Beta-defensin 2 (feces)

  • Explanation
  • Result
  • Reliability
  • Who it is for
  • Test panels
  • Sources

Explanation

Beta-defensin 2 (feces): what is measured?

Beta-defensin 2 is a small protein that cells of the intestinal lining make to kill bacteria, fungi and viruses. Production increases when the lining comes into contact with pathogens or becomes inflamed. The test measures how much beta-defensin 2 is in a stool sample.

What can it detect?

  • Activity of the intestinal lining's own defenses; the meaning for health has not been established

Result

What does the result mean?

Beta-defensin 2 (feces) too high

A raised value may fit active defenses of the lining, for example with a gut infection or inflammation of the bowel wall. There is no condition for which this measurement in stool is used to make a diagnosis. A raised value does not need treatment on its own.

Beta-defensin 2 (feces) too low

A low value is sometimes explained as weakened defenses of the intestinal lining, but this is not supported by evidence. A low value has no known meaning for your health.

After an abnormal result

With an abnormal result without symptoms, no follow-up is usually needed. With bowel symptoms, the GP can request calprotectin in the stool and blood tests, and refer you to a gastroenterologist if there are signs of a chronic inflammation of the bowel.

Reliability

How reliable is the test?

For most markers in this group, it has not been shown what an abnormal value means, in people without symptoms and also not with bowel symptoms. To detect or rule out bowel inflammation, calprotectin in the stool (a separate test) has been studied much better. Some are sometimes used in hospital for a specific question; others are mainly used in scientific research. A "leaky gut" is not a recognized diagnosis, and none of these markers can make such a diagnosis.

What can affect the result?

  • Anti-inflammatory painkillers (NSAIDs), a recent intestinal infection, blood in the stool and menstrual blood can raise the value.
  • Loose or, on the contrary, hard stool changes the concentration in a stool sample.
  • Measurement methods are not standardized; cutoff and reference values differ per laboratory.
  • The substances can break down if the stool is in transit for a long time or is stored warm.

Who it is for

Who is the test useful for?

Useful for

In people without symptoms, an abnormal result says little, because the meaning has not been established and a passing infection or a painkiller can raise the value. With long-lasting diarrhea or abdominal symptoms, the GP uses calprotectin in the stool to rule out a chronic inflammation of the bowel, and a blood test if celiac disease is suspected. With blood in the stool, unintended weight loss, diarrhea at night or new bowel symptoms after age 50, this test is no substitute for a visit to the GP.

How common is it?

Bowel symptoms are common: according to the guideline, irritable bowel syndrome affects about 4 in 100 adults in the Netherlands. Chronic inflammatory bowel diseases such as Crohn's disease and ulcerative colitis are much rarer; the guideline gives no Dutch figure for them. How often an abnormal result for these markers occurs in people without symptoms is not known.

Dutch medical specialists' guideline (FMS) on irritable bowel syndrome (NHG and NVMDL)

Get tested

Beta-defensin 2 (feces): test panels

Beta-defensin 2 (feces) is part of these test panels. You order online and have your blood drawn at a collection point or collect the sample at home.

  • 4D Specialist package

    Stool

    4D Specialist package

    Comprehensive gut health analysis for patients with complex health problems.

    € 975,00

  • Basic bowel screening

    Stool

    Basic bowel screening

    Investigation of gut microbiota, digestion, inflammation, Leaky Gut, dysbiosis, and food allergy.

    € 335,00

  • Beta-defensin 2

    Stool

    Beta-defensin 2

    Measures antimicrobial peptide in stool. Indication for non-specific mucosal immunity.

    € 90,00

  • Closed Gut/Leaky Gut screening and mucosal immunity

    Stool

    Closed Gut/Leaky Gut screening and mucosal immunity

    Distinguishes Closed Gut from Leaky Gut. Analyzes mucosal integrity and gut immunity.

    € 285,00

  • Gut therapy screening

    Stool

    Gut therapy screening

    Comprehensive screening of intestinal function and microbiome. Includes 15+ test parameters.

    € 900,00

Evidence

Sources

This explanation is based on Dutch guidelines and independent information. It is general information, not a diagnosis. Discuss an abnormal result with your GP.

More about risks and results
  • FMS Richtlijnendatabase: Prikkelbaredarmsyndroom, module Gebruik calprotectine-test
  • NHG-Standaard Prikkelbaredarmsyndroom (PDS)
  • NVKC, allesovertesten.nl: Calprotectine
  • Thuisarts.nl: Ik krijg onderzoek om uit te zoeken of ik de ziekte van Crohn heb

More explanations

Other tests: Gut

  • Acetate and propionate production
  • Acetate- and propionate-forming bacteria
  • Acetic acid (feces)
  • Acetic acid, relative (feces)
  • Akkermansia, activity
  • Alpha-1 antitrypsin (feces)
  • Anti-gliadin IgA (feces)
  • Anti-transglutaminase IgA (feces)
  • Aspergillus fumigatus (feces)
  • Aspergillus niger (feces)
  • Bacteroides group, activity
  • Bifidobacteria group, activity
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