Evaluation of Serum Substance P Level in Chronic Urticaria and Correlation with Disease Severity

Substance P (SP) is a neurotransmitter emitted from neurons that plays a role in the pathogenesis of itching conditions including chronic urticarial (CU). The present research aims to investigate the serum level of S.P among CU patients and compare them with healthy subjects and explore how it corre...

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Main Authors: Javad Fadaee, Maryam Khoshkhui, Maryam Emadzadeh, Seyed Isaac Hashemy, Reza Farid Hosseini, Farahzad Jabbari Azad, Hamid Ahanchian, Fahimeh Lavi Arab
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2020-02-01
Series:Iranian Journal of Allergy, Asthma and Immunology
Subjects:
Online Access:https://ijaai.tums.ac.ir/index.php/ijaai/article/view/2178
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author Javad Fadaee
Maryam Khoshkhui
Maryam Emadzadeh
Seyed Isaac Hashemy
Reza Farid Hosseini
Farahzad Jabbari Azad
Hamid Ahanchian
Fahimeh Lavi Arab
author_facet Javad Fadaee
Maryam Khoshkhui
Maryam Emadzadeh
Seyed Isaac Hashemy
Reza Farid Hosseini
Farahzad Jabbari Azad
Hamid Ahanchian
Fahimeh Lavi Arab
author_sort Javad Fadaee
collection DOAJ
description Substance P (SP) is a neurotransmitter emitted from neurons that plays a role in the pathogenesis of itching conditions including chronic urticarial (CU). The present research aims to investigate the serum level of S.P among CU patients and compare them with healthy subjects and explore how it correlates with the severity of urticaria. The present research was conducted on 87 CU patients who visited the allergy clinic of Ghaem Hospital, Mashhad, Iran from October 2017 to June 2018. Besides, 86 healthy subjects were recruited as the control group. Background information of patient was collected including age, sex, duration of the disease and the co-occurrence of angioedema. S.P serum level was measured in two groups by ELISA method. In the patients group, the autologous serum skin test (ASST) was performed along with the urticaria evaluation questionnaire include Urticaria Activity Score 7 (UAS7), Urticaria Control Test (UCT) and Chronic Urticaria Quality of Life (CU-Q2OL). Among the patients, the SP serum level showed to be about two times higher than the healthy subjects (p˂0.001). SP showed to be increased as patients’ age grew (p=0.010). In patients with a positive ASST, SP level was higher (p=0.012). No correlation was found between SP and the presence of angioedema among patients. There was no correlation between the SP serum level and the scores obtained from urticaria evaluation questionnaires. SP among CU patients was higher than healthy subjects. SP was also higher among female, older and positive ASST patients. The SP value was not correlated with the severity of urticaria, angioedema. In conclusion, Using SP antagonist drugs could be a potential treatment for chronic urticaria.
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spelling doaj.art-c10cc47b333d4a4caf46ac29981a7be22022-12-21T19:51:42ZengTehran University of Medical SciencesIranian Journal of Allergy, Asthma and Immunology1735-15021735-52492020-02-0119110.18502/ijaai.v19i1.24142178Evaluation of Serum Substance P Level in Chronic Urticaria and Correlation with Disease SeverityJavad Fadaee0Maryam Khoshkhui1Maryam Emadzadeh2Seyed Isaac Hashemy3Reza Farid Hosseini4Farahzad Jabbari Azad5Hamid Ahanchian6Fahimeh Lavi Arab7Department of Immunology, Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Immunology, Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, IranClinical Research Unit, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Clinical Biochemistry, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Immunology, Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Immunology, Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Paediatric, Allergy and Immunology, Faculty of Medicine, Mashhad University of Medical Sciences, IranDepartment of Immunology, Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, IranSubstance P (SP) is a neurotransmitter emitted from neurons that plays a role in the pathogenesis of itching conditions including chronic urticarial (CU). The present research aims to investigate the serum level of S.P among CU patients and compare them with healthy subjects and explore how it correlates with the severity of urticaria. The present research was conducted on 87 CU patients who visited the allergy clinic of Ghaem Hospital, Mashhad, Iran from October 2017 to June 2018. Besides, 86 healthy subjects were recruited as the control group. Background information of patient was collected including age, sex, duration of the disease and the co-occurrence of angioedema. S.P serum level was measured in two groups by ELISA method. In the patients group, the autologous serum skin test (ASST) was performed along with the urticaria evaluation questionnaire include Urticaria Activity Score 7 (UAS7), Urticaria Control Test (UCT) and Chronic Urticaria Quality of Life (CU-Q2OL). Among the patients, the SP serum level showed to be about two times higher than the healthy subjects (p˂0.001). SP showed to be increased as patients’ age grew (p=0.010). In patients with a positive ASST, SP level was higher (p=0.012). No correlation was found between SP and the presence of angioedema among patients. There was no correlation between the SP serum level and the scores obtained from urticaria evaluation questionnaires. SP among CU patients was higher than healthy subjects. SP was also higher among female, older and positive ASST patients. The SP value was not correlated with the severity of urticaria, angioedema. In conclusion, Using SP antagonist drugs could be a potential treatment for chronic urticaria.https://ijaai.tums.ac.ir/index.php/ijaai/article/view/2178Chronic urticariaSubstance PUrticaria severity
spellingShingle Javad Fadaee
Maryam Khoshkhui
Maryam Emadzadeh
Seyed Isaac Hashemy
Reza Farid Hosseini
Farahzad Jabbari Azad
Hamid Ahanchian
Fahimeh Lavi Arab
Evaluation of Serum Substance P Level in Chronic Urticaria and Correlation with Disease Severity
Iranian Journal of Allergy, Asthma and Immunology
Chronic urticaria
Substance P
Urticaria severity
title Evaluation of Serum Substance P Level in Chronic Urticaria and Correlation with Disease Severity
title_full Evaluation of Serum Substance P Level in Chronic Urticaria and Correlation with Disease Severity
title_fullStr Evaluation of Serum Substance P Level in Chronic Urticaria and Correlation with Disease Severity
title_full_unstemmed Evaluation of Serum Substance P Level in Chronic Urticaria and Correlation with Disease Severity
title_short Evaluation of Serum Substance P Level in Chronic Urticaria and Correlation with Disease Severity
title_sort evaluation of serum substance p level in chronic urticaria and correlation with disease severity
topic Chronic urticaria
Substance P
Urticaria severity
url https://ijaai.tums.ac.ir/index.php/ijaai/article/view/2178
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