IL-1β, IL-18 and Caspase-1 Levels in Serum as an Early Marker in Familial Mediterranean Fever Patients with Attack and Attack-free Period

Introduction: In the pathogenesis of the FMF disease, cytokines play important roles in the inflammation of the serous membranes. This study aims to investigate the relationship between serum levels of IL-1β, IL-18 and caspase-1 with CRP, ESR, fibrinogen and immune response attack/attack-free period...

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Main Authors: Köksal Deveci, Feyzanur Yıldırımtepe Çaldıran, Şenol Çitli, Ercan Çaçan
Format: Article
Language:English
Published: Rabia Yılmaz 2021-07-01
Series:Journal of Contemporary Medicine
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/1675737
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author Köksal Deveci
Feyzanur Yıldırımtepe Çaldıran
Şenol Çitli
Ercan Çaçan
author_facet Köksal Deveci
Feyzanur Yıldırımtepe Çaldıran
Şenol Çitli
Ercan Çaçan
author_sort Köksal Deveci
collection DOAJ
description Introduction: In the pathogenesis of the FMF disease, cytokines play important roles in the inflammation of the serous membranes. This study aims to investigate the relationship between serum levels of IL-1β, IL-18 and caspase-1 with CRP, ESR, fibrinogen and immune response attack/attack-free period. Material and Method: 60 patients diagnosed with FMF according to Tel-Hashomer criteria were divided into two groups as attack and attack-free period. Serum cytokine levels were examined by the ELISA method in 60 patients and 30 HCs, and the relationship between acute phase reactants and immune response was investigated. Results: A significant increase in serum concentrations of pro-inflammatory cytokines IL-1β (p = 0.001), IL-18 (p = 0.043) and caspase-1 (p = 0.043) was observed in FMF attack patients compared to control.. And also, IL-1β levels were positively correlated with neutrophils, ESR and CRP in FMF attack patients and there was a relationship between disease severity and IL-1β. In FMF attack-free patients, while a trend towards increased serum IL-1β (p=0.075) and IL-18 (p=0.516) levels were noted, it did not reach statistical significance. However, a significant difference was observed in the caspase-1 (p=0.049) levels of attack-free according to HCs. Conclusion: This study suggests that IL-1β, IL-18 and caspase-1 can serve as a useful marker not only in the attack period but also in the attack-free period, and provide a useful clue for the diagnosis and treatment of the disease.
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spelling doaj.art-03782e1403114921921a2c84e7c12f262023-03-24T19:43:25ZengRabia YılmazJournal of Contemporary Medicine2667-71802021-07-011144944991809IL-1β, IL-18 and Caspase-1 Levels in Serum as an Early Marker in Familial Mediterranean Fever Patients with Attack and Attack-free PeriodKöksal Deveci0Feyzanur Yıldırımtepe Çaldıran1Şenol Çitli2Ercan Çaçan3GAZIOSMANPASA UNIVERSITY, FACULTY OF MEDICINETOKAT GAZİOSMANPAŞA ÜNİVERSİTESİRECEP TAYYİP ERDOĞAN ÜNİVERSİTESİTOKAT GAZİOSMANPAŞA ÜNİVERSİTESİIntroduction: In the pathogenesis of the FMF disease, cytokines play important roles in the inflammation of the serous membranes. This study aims to investigate the relationship between serum levels of IL-1β, IL-18 and caspase-1 with CRP, ESR, fibrinogen and immune response attack/attack-free period. Material and Method: 60 patients diagnosed with FMF according to Tel-Hashomer criteria were divided into two groups as attack and attack-free period. Serum cytokine levels were examined by the ELISA method in 60 patients and 30 HCs, and the relationship between acute phase reactants and immune response was investigated. Results: A significant increase in serum concentrations of pro-inflammatory cytokines IL-1β (p = 0.001), IL-18 (p = 0.043) and caspase-1 (p = 0.043) was observed in FMF attack patients compared to control.. And also, IL-1β levels were positively correlated with neutrophils, ESR and CRP in FMF attack patients and there was a relationship between disease severity and IL-1β. In FMF attack-free patients, while a trend towards increased serum IL-1β (p=0.075) and IL-18 (p=0.516) levels were noted, it did not reach statistical significance. However, a significant difference was observed in the caspase-1 (p=0.049) levels of attack-free according to HCs. Conclusion: This study suggests that IL-1β, IL-18 and caspase-1 can serve as a useful marker not only in the attack period but also in the attack-free period, and provide a useful clue for the diagnosis and treatment of the disease.https://dergipark.org.tr/tr/download/article-file/1675737autoinflammatory diseasesfamilial mediterranean feverpro-inflammatory cytokinescaspase-1otoinflamatuar hastalıklarailevi akdeniz ateşipro-inflamatuar sitokinlerkazpaz-1
spellingShingle Köksal Deveci
Feyzanur Yıldırımtepe Çaldıran
Şenol Çitli
Ercan Çaçan
IL-1β, IL-18 and Caspase-1 Levels in Serum as an Early Marker in Familial Mediterranean Fever Patients with Attack and Attack-free Period
Journal of Contemporary Medicine
autoinflammatory diseases
familial mediterranean fever
pro-inflammatory cytokines
caspase-1
otoinflamatuar hastalıklar
ailevi akdeniz ateşi
pro-inflamatuar sitokinler
kazpaz-1
title IL-1β, IL-18 and Caspase-1 Levels in Serum as an Early Marker in Familial Mediterranean Fever Patients with Attack and Attack-free Period
title_full IL-1β, IL-18 and Caspase-1 Levels in Serum as an Early Marker in Familial Mediterranean Fever Patients with Attack and Attack-free Period
title_fullStr IL-1β, IL-18 and Caspase-1 Levels in Serum as an Early Marker in Familial Mediterranean Fever Patients with Attack and Attack-free Period
title_full_unstemmed IL-1β, IL-18 and Caspase-1 Levels in Serum as an Early Marker in Familial Mediterranean Fever Patients with Attack and Attack-free Period
title_short IL-1β, IL-18 and Caspase-1 Levels in Serum as an Early Marker in Familial Mediterranean Fever Patients with Attack and Attack-free Period
title_sort il 1β il 18 and caspase 1 levels in serum as an early marker in familial mediterranean fever patients with attack and attack free period
topic autoinflammatory diseases
familial mediterranean fever
pro-inflammatory cytokines
caspase-1
otoinflamatuar hastalıklar
ailevi akdeniz ateşi
pro-inflamatuar sitokinler
kazpaz-1
url https://dergipark.org.tr/tr/download/article-file/1675737
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