Interleukin-6 and soluble interleukin-6 receptor are elevated in large-vessel vasculitis: a cross-sectional and longitudinal study

To investigate serum levels of IL- 6 and soluble IL-6 receptor (sIL-6R) in patients with large-vessel vasculitis and their relationship with disease activity. Sera were obtained from 33 Takayasu's arteritis (TAK) patients and 14 giant cell arteritis (GCA) patients, and from 60 age-matched norma...

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Veröffentlicht in:Clinical and experimental rheumatology 2017-03, Vol.35 Suppl 103 (1), p.102-110
Hauptverfasser: Pulsatelli, Lia, Boiardi, Luigi, Assirelli, Elisa, Pazzola, Giulia, Muratore, Francesco, Addimanda, Olga, Dolzani, Paolo, Versari, Annibale, Casali, Massimiliano, Magnani, Luca, Pignotti, Elettra, Pipitone, Nicolò, Croci, Stefania, Meliconi, Riccardo, Salvarani, Carlo
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container_issue 1
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container_title Clinical and experimental rheumatology
container_volume 35 Suppl 103
creator Pulsatelli, Lia
Boiardi, Luigi
Assirelli, Elisa
Pazzola, Giulia
Muratore, Francesco
Addimanda, Olga
Dolzani, Paolo
Versari, Annibale
Casali, Massimiliano
Magnani, Luca
Pignotti, Elettra
Pipitone, Nicolò
Croci, Stefania
Meliconi, Riccardo
Salvarani, Carlo
description To investigate serum levels of IL- 6 and soluble IL-6 receptor (sIL-6R) in patients with large-vessel vasculitis and their relationship with disease activity. Sera were obtained from 33 Takayasu's arteritis (TAK) patients and 14 giant cell arteritis (GCA) patients, and from 60 age-matched normal controls (NCs). Disease activity was assessed using 18F-FDG PET/CT and clinical indices including NIH/Kerr criteria and ITAS. Among TAK patients with active disease at baseline, clinical records and serum samples from 11 TAK patients were available for the longitudinal study. IL-6 and sIL-6R serum levels were evaluated using commercial ELISA kits. IL-6 and sIL-6R serum levels were significantly higher in both GCA and TAK patients compared to NCs. IL-6 levels in TAK patients were significantly increased irrespective of disease phase, while a significant increase in sIL-6R concentrations was only found in TAK patients with active disease. Conversely, in GCA, IL-6 levels were significantly raised only in patients with active diseases, whereas sIL-6R levels appeared to be significantly higher irrespective of disease activity. Longitudinal analysis showed that levels of sIL-6R in TAK patients were significantly higher only at baseline, compared to NCs, whereas IL-6 levels were found to be significantly increased at each follow-up time point. These overall results might suggest a role for sIL-6R as a potential biomarker for disease activity in TAK patients, whereas in GCA, modifications of IL-6 might better identify patients with active disease.
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identifier ISSN: 0392-856X
ispartof Clinical and experimental rheumatology, 2017-03, Vol.35 Suppl 103 (1), p.102-110
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source MEDLINE; Alma/SFX Local Collection
subjects Aged
Biomarkers - blood
Case-Control Studies
Cluster Analysis
Cross-Sectional Studies
Enzyme-Linked Immunosorbent Assay
Female
Fluorodeoxyglucose F18 - administration & dosage
Giant Cell Arteritis - blood
Giant Cell Arteritis - diagnostic imaging
Giant Cell Arteritis - immunology
Humans
Interleukin-6 - blood
Longitudinal Studies
Male
Middle Aged
Positron Emission Tomography Computed Tomography
Predictive Value of Tests
Prognosis
Radiopharmaceuticals - administration & dosage
Receptors, Interleukin-6 - blood
Severity of Illness Index
Takayasu Arteritis - blood
Takayasu Arteritis - diagnostic imaging
Takayasu Arteritis - immunology
Time Factors
Up-Regulation
title Interleukin-6 and soluble interleukin-6 receptor are elevated in large-vessel vasculitis: a cross-sectional and longitudinal study
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