Abstract | OBJECTIVE: Previous studies have shown that a number of cytokines participate in the regulation of ankylosing spondylitis (AS). To investigate the potential role of interleukin (IL)-6 and tumor necrosis factor- α (TNF-α) in AS pathogenesis, this study examined the serum levels of IL-6 and TNF-α in patients with AS and its clinical association with disease activity. MATERIALS AND METHODS: The serum concentrations of IL-6 and TNF-α from 80 patients with AS and 46 healthy control patients (HCs) were examined by electrochemiluminescence immunoassay. The correlations between the serum IL-6 and TNF-α levels and the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), computed tomography (CT) imaging-based classification, and laboratory indicators were analyzed using the Spearman correlation test. RESULTS: Compared to HCs, patients with AS showed higher levels of IL-6 and TNF-α. There was also a positive correlation between the serum IL-6 and TNF-α levels and the BASDAI, the progression of AS, and the CT imaging-based classification. The serum levels of IL-6 correlated closely with C-reactive protein and the erythrocyte sedimentation rate. More important, patients with AS with hip joint involvement exhibited a significant elevation of serum levels of TNF-α, and higher IL-6 was detected in patients with the involvement of joints other than the hip and sacroiliac joints. CONCLUSION: The serum levels of IL-6 and TNF-α can function as important indicators for auxiliary diagnosis and disease activity evaluation of AS.
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Authors | Jing Du, Jinxia Sun, Zhanpeng Wen, Zhicheng Wu, Qian Li, Yuhao Xia, Qiannan Yang, Chao Yang |
Journal | Laboratory medicine
(Lab Med)
Vol. 53
Issue 2
Pg. 149-155
(Mar 07 2022)
ISSN: 1943-7730 [Electronic] England |
PMID | 34415341
(Publication Type: Journal Article)
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Copyright | © American Society for Clinical Pathology, 2021. All rights reserved. For permissions, please e-mail: [email protected]. |
Chemical References |
- IL6 protein, human
- Interleukin-6
- TNF protein, human
- Tumor Necrosis Factor-alpha
- C-Reactive Protein
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Topics |
- C-Reactive Protein
(metabolism)
- Humans
- Interleukin-6
(blood)
- Severity of Illness Index
- Spondylitis, Ankylosing
(diagnosis, pathology)
- Tumor Necrosis Factor-alpha
(blood, metabolism)
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