Serum levels of IL-1beta, TNF-alpha, IL-8, and acute phase proteins in seronegative spondyloarthropathies - 01/01/02
Birkan Sonel * , Hüseyin Tutkak, Nursen Düzgün*Correspondence and reprints
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Objectives. Some immunological abnormalities have been described in seronegative spondyloarthropathies (SpA). The aim of this study is to determine the serum levels of IL-1β, TNF-α and IL-8, which are proinflammatory cytokines in active and inactive patients with SpA, to compare the results with those of controls and to investigate a relationship with clinical activity and acute phase proteins. Methods. Forty-two patients (34 males and eight females) and 22 healthy controls (17 M and 5 F) were included in the study . All patients fulfilled Amor criteria for the classification of SpA. Among patients 23 had active and 19 had inactive disease. IL-1β ,TNF-α and IL-8 were determined by enzyme-linked immunosorbent assay ( ELISA), acute phase proteins were measured by nephelometric assay. Results. There was no statistically significant difference between mean IL-1β levels of patient groups and controls. Serum mean TNF-α levels in active and inactive patients were significantly increased as compared to that in the controls (P < 0.05, P < 0.05, respectively). Serum mean IL-8 levels in active patients was significantly increased as compared to that in the controls and in inactive patients (P < 0.01, P < 0.01, respectively). High serum IL-8 levels correlated well with C-reactive protein and haptoglobulin, but there was no correlation between IL-1β or TNF-α levels and acute phase proteins such as C-reactive protein, α-1 acid glycoprotein, α-1 antitrypsin and haptoglobulin. Conclusions. These results suggest that serum IL-8 may reflect clinical activity of the disease and may be helpful for monitoring patients with SpA.
Mots clés : acute phase proteins ; IL-8 ; IL-1 beta ; seronegative spondyloarthritis ; TNF-alpha.
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Vol 69 - N° 5
P. 463-467 - octobre 2002 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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