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CXCL-9, CXCL-10, CXCL-10, IFN-γ elevated in adult-onset Still’s disease

9 days ago

Increased serum levels of C-X-C motif chemokine (CXCL)-11, CXCL-9, CXCL-10 and interferon (IFN)-γ are associated with clinical manifestations of adult-onset Still’s disease (AOSD), reports a new study.

The study included 39 patients with untreated AOSD, 30 with rheumatoid arthritis (RA) and 28 healthy controls. Those with autoimmune, neoplastic and infectious disorders were excluded. Baseline demographic information, clinical characteristics, AOSD activity and laboratory findings were recorded.

Enzyme-linked immunosorbent assays (ELISA) were used to measure serum levels of CXCL-11, CXCL-9, CXCL-10, IFN-β, IFN-α and IFN-γ. Skin biopsies from 34 AOSD patients were subjected to histopathological analysis to determine disease activity.

Among the three groups, there were no significant differences in gender or age. The most common symptoms of AOSD were high spiking fevers (94.9 percent) followed by skin rashes (87.2 percent), arthritis (53.8 percent), sore throat (56.4 percent) and splenomegaly (20.5 percent). At baseline, all AOSD patients had high levels of disease activity.

AOSD patients had significantly higher levels of IFN-γ (50.5±34.4 pg/mL) compared with RA patients (27.7±21.4 pg/mL; p=0.001) and healthy controls (23.7±11.1 pg/mL; p<0.001). Similarly, CXCL-9 (595.6±790.8 pg/mL) and CXCL-10 (229.5±188.1 pg/mL) levels were significantly higher in AOSD patients than in RA patients (p<0.001 for both) and healthy controls (p<0.001 for both).

Further analysis showed that levels of CXCL-9 (p=0.004), CXCL-10 (p=0.003) and CXCL-11 (p=0.017) were significantly greater in AOSD patients with reactive haemophagocytic syndrome (RHS) than those without. IFN-γ levels were not significantly different between the two groups.

Finally, in follow-up samples collected 8.1±6 months after initial collections, mean levels of CXCL-9, CXCL-10 and CXCL-11 decreased significantly compared with initial samples. The level of IFN-γ did not change significantly.

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Most Read Articles
Pearl Toh, 13 days ago
Short-term use of oral corticosteroids was associated with increased risks of adverse events such as fracture, sepsis, and venous thromboembolism (VTE), a large US cohort study showed.
28 days ago
Lifestyle and physiological factors determine the wrinkling patterns between men and women, a recent study suggests. Less wrinkling is associated with sunburn tendency in men and with female pattern hair loss in women, whereas increased wrinkling is linked to age and current smoking in both genders.
one month ago
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Tristan Manalac, one month ago
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