SOME FEATURES OF CYTOKINE PROFILE IN PATIENTS WITH GOUT AND INSULIN RESISTANCE SYNDROME

Blood serum levels of cytokines (Il-1β, TNFα, IL-2, IL-4, IL-6, IL-8, IL-10, IL-20, IL-23), cytokine soluble receptors (SRp55 TNFα, SR IL-6), as well as markers of insulin resistance were studied in a group of male patients with primary gout. Increased levels of the above cytokines and deficiency of soluble IL-6 receptors in blood serum were most pronounced in gouty patients with insulin resistance syndrome. Close links were revealed between serum uric acid and insulin contents in gouty patients. Significant correlations were found between the levels of insulin, some cytokines (IL-4, IL-6, TNFα), and soluble receptors (SRp55 TNFα, SR IL-6), thus presuming a certain role of impaired cytokine profile for development of insulin resistance syndrome in such cohort of patients. (Med. Immunol., 2011, vol. 13, N 6, pp 627-630)