A study of cytokine content in the blood serum of patients with lichen ruber planus

Introduction. Lichen ruber planus (LRP) is a chronic multifactorial dermatosis characterized by skin deterioration, intensive itchiness, and resistance to therapy. It leads to long term patient disability, therefore the main objective of the management is to define the pathogenetic factors of LRP, w...

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Main Authors: Nadiia B. BRODOVSKA, Olha I. DENYSENKO
Format: Article
Language:English
Published: Balkan Medical Union 2018-09-01
Series:Archives of the Balkan Medical Union
Subjects:
Online Access:https://umbalk.org/wp-content/uploads/2018/09/06.A-STUDY-OF-CYTOKINE-CONTENT-IN-THE-BLOOD-SERUM.pdf
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author Nadiia B. BRODOVSKA
Olha I. DENYSENKO
author_facet Nadiia B. BRODOVSKA
Olha I. DENYSENKO
author_sort Nadiia B. BRODOVSKA
collection DOAJ
description Introduction. Lichen ruber planus (LRP) is a chronic multifactorial dermatosis characterized by skin deterioration, intensive itchiness, and resistance to therapy. It leads to long term patient disability, therefore the main objective of the management is to define the pathogenetic factors of LRP, with the purpose of treatment optimization. The objective of this study was to determine and analyze the level of individual cytokines in blood serum of patients with lichen ruber planus with different clinical symptoms of dermatosis. Material and methods. The study involved 37 patients with lichen ruber planus. In 20 patients with LRP the pathology of the skin was widespread, and in 17 patients it was limited and localized. In 19 patients the dermatosis lasted for up to 6 months, in the remaining 18 patients – for more than 6 months. In patients with LRP, blood serum concentrations of individual cytokines – tumor necrotic factor-α (TNF-α), interleukin-1β (IL-1β), interleukin-4 (IL-4) and interleukin-10 (IL-10) were determined by immunoassay analysis. Results. It has been found that in blood serum of patients with LRP there is a significant increase of TNF-α and IL-1β, a mild increase of IL-4 and a tendency to decrease in IL-10 comparing to the control group. Significant changes in the content of the cytokines in the blood serum were observed for the patients with a widespread form of lichen ruber planus and the duration of the disease for more than 6 months, comparing to those with limited forms of the dermatosis and duration of the disease for up to 6 months. Conclusions. In patients with LRP, changes of the indicators of cytokine profile in the peripheral blood were observed. There was a significant increase in the level of proinflammatory cytokines (TNF-α, IL-1β), and only a a mild increase or the tendency to decrease in the levels of anti-inflammatory cytokines IL-4 and IL-10, respectively. The magnitude of these changes of cytokines was dependent on the nature of the clinical progression of the LRP. This finding indicates the significance of the cytokines in the regulation of inflammatory processes in the pathogenesis of LRP. These findings report the importance in examining levels of pro- and anti-inflammatory cytokines, as a criteria in the clinical evaluation of LRP and the effectiveness of its treatment.
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spelling doaj.art-0f4a536c4940482fa4b6b123c73400c62022-12-21T19:03:16ZengBalkan Medical UnionArchives of the Balkan Medical Union1584-92442558-815X2018-09-0153334935410.31688/ABMU.2018.53.3.06A study of cytokine content in the blood serum of patients with lichen ruber planusNadiia B. BRODOVSKA0 Olha I. DENYSENKO1 Department of Dermatoveneorology, Higher State Educational Establishment of Ukraine „Bukovinian State Medical University“ (BSMU), Chernivtsi, Ukraine Department of Dermatoveneorology, Higher State Educational Establishment of Ukraine „Bukovinian State Medical University“ (BSMU), Chernivtsi, UkraineIntroduction. Lichen ruber planus (LRP) is a chronic multifactorial dermatosis characterized by skin deterioration, intensive itchiness, and resistance to therapy. It leads to long term patient disability, therefore the main objective of the management is to define the pathogenetic factors of LRP, with the purpose of treatment optimization. The objective of this study was to determine and analyze the level of individual cytokines in blood serum of patients with lichen ruber planus with different clinical symptoms of dermatosis. Material and methods. The study involved 37 patients with lichen ruber planus. In 20 patients with LRP the pathology of the skin was widespread, and in 17 patients it was limited and localized. In 19 patients the dermatosis lasted for up to 6 months, in the remaining 18 patients – for more than 6 months. In patients with LRP, blood serum concentrations of individual cytokines – tumor necrotic factor-α (TNF-α), interleukin-1β (IL-1β), interleukin-4 (IL-4) and interleukin-10 (IL-10) were determined by immunoassay analysis. Results. It has been found that in blood serum of patients with LRP there is a significant increase of TNF-α and IL-1β, a mild increase of IL-4 and a tendency to decrease in IL-10 comparing to the control group. Significant changes in the content of the cytokines in the blood serum were observed for the patients with a widespread form of lichen ruber planus and the duration of the disease for more than 6 months, comparing to those with limited forms of the dermatosis and duration of the disease for up to 6 months. Conclusions. In patients with LRP, changes of the indicators of cytokine profile in the peripheral blood were observed. There was a significant increase in the level of proinflammatory cytokines (TNF-α, IL-1β), and only a a mild increase or the tendency to decrease in the levels of anti-inflammatory cytokines IL-4 and IL-10, respectively. The magnitude of these changes of cytokines was dependent on the nature of the clinical progression of the LRP. This finding indicates the significance of the cytokines in the regulation of inflammatory processes in the pathogenesis of LRP. These findings report the importance in examining levels of pro- and anti-inflammatory cytokines, as a criteria in the clinical evaluation of LRP and the effectiveness of its treatment.https://umbalk.org/wp-content/uploads/2018/09/06.A-STUDY-OF-CYTOKINE-CONTENT-IN-THE-BLOOD-SERUM.pdflichen ruber planusclinical coursecytokines
spellingShingle Nadiia B. BRODOVSKA
Olha I. DENYSENKO
A study of cytokine content in the blood serum of patients with lichen ruber planus
Archives of the Balkan Medical Union
lichen ruber planus
clinical course
cytokines
title A study of cytokine content in the blood serum of patients with lichen ruber planus
title_full A study of cytokine content in the blood serum of patients with lichen ruber planus
title_fullStr A study of cytokine content in the blood serum of patients with lichen ruber planus
title_full_unstemmed A study of cytokine content in the blood serum of patients with lichen ruber planus
title_short A study of cytokine content in the blood serum of patients with lichen ruber planus
title_sort study of cytokine content in the blood serum of patients with lichen ruber planus
topic lichen ruber planus
clinical course
cytokines
url https://umbalk.org/wp-content/uploads/2018/09/06.A-STUDY-OF-CYTOKINE-CONTENT-IN-THE-BLOOD-SERUM.pdf
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