Increased interleukin (IL)-17 serum levels in patients with hidradenitis suppurativa: Implications for treatment with anti-IL-17 agents - 18/04/17
Abstract |
Background |
Biologics seem to offer a promising nonsurgical approach in hidradenitis suppurativa (HS), especially in disease with highly pronounced inflammation. Recent studies revealed increased expression of a broad range of cytokines in lesional HS skin, including interleukin (IL)-17.
Objective |
This study was undertaken to determine IL-17 serum levels in this group of patients.
Methods |
Our study was conducted on a group of 86 patients between 16 and 72 years of age with HS. A total of 86 matched healthy volunteers constituted the control group. Enzyme-linked immunosorbent assay kits were used to quantify IL-17 serum concentration.
Results |
The mean IL-17 serum level of patients with HS was 3.68 ± 2.08 pg/mL, which was significantly elevated (P < .0001) compared with that found in healthy volunteers (2.5 ± 1.11 pg/mL). Moreover, there was a tendency toward higher serum concentrations of IL-17 in patients with more advanced disease (P = .005). Disease duration; patient sex, age, and body mass index; and smoking habits were not determining factors for IL-17 serum concentration.
Limitations |
Hospital-based study population was a limitation, as was a lack of posttreatment assessment.
Conclusion |
In light of our findings and literature on increased expression of IL-17 in HS lesions, evaluating the clinical effectiveness of using anti-IL-17 agents in the treatment of patients with HS is justified.
Le texte complet de cet article est disponible en PDF.Key words : acne inversa, biologics, brodalumab, hidradenitis suppurativa, interleukin 17, ixekizumab, secukinumab, treatment
Abbreviations used : BMI, CRP, HS, IL, mRNA, Th, TNF, WBC
Plan
Supported by Wroclaw Medical University (grant no. ST-943: Studies on the pathogenesis and treatment of hidradenitis suppurativa). |
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Conflicts of interest: None declared. |
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Reprints not available from the authors. |
Vol 76 - N° 4
P. 670-675 - avril 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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