Association between follistatin-related protein 1 and the functional status of patients with anti-neutrophil cytoplasmic antibody-associated vasculitis

Abstract. Background:. Follistatin-like 1 (FSTL1) plays both pro-inflammatory and anti-inflammatory roles in the inflammatory processes. We investigated whether serum FSTL1 could predict the current anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV)-specific indices. Methods:. We rando...

Full description

Bibliographic Details
Main Authors: Taejun Yoon, Sung Soo Ahn, Jung Yoon Pyo, Jason Jungsik Song, Yong-Beom Park, Sang-Won Lee, Li-Shao Guo
Format: Article
Language:English
Published: Wolters Kluwer 2021-05-01
Series:Chinese Medical Journal
Online Access:http://journals.lww.com/10.1097/CM9.0000000000001454
_version_ 1797449528864931840
author Taejun Yoon
Sung Soo Ahn
Jung Yoon Pyo
Jason Jungsik Song
Yong-Beom Park
Sang-Won Lee
Li-Shao Guo
author_facet Taejun Yoon
Sung Soo Ahn
Jung Yoon Pyo
Jason Jungsik Song
Yong-Beom Park
Sang-Won Lee
Li-Shao Guo
author_sort Taejun Yoon
collection DOAJ
description Abstract. Background:. Follistatin-like 1 (FSTL1) plays both pro-inflammatory and anti-inflammatory roles in the inflammatory processes. We investigated whether serum FSTL1 could predict the current anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV)-specific indices. Methods:. We randomly selected 74 patients with AAV from a prospective and observational cohort of Korean patients with AAV. Clinical and laboratory data and AAV-specific indices were recorded. FSTL1 concentration was determined using the stored sera. The lowest tertile of the short-form 36-item health survey (SF-36) was defined as the current low SF-36. The cutoffs of serum FSTL1 for the current low SF-36 physical component summary (PCS) and SF-36 mental component summary (MCS) were extrapolated by the receiver operator characteristic curve. Results:. The median age was 62.5 years (55.4% were women). Serum FSTL1 was significantly correlated with SF-36 PCS (r =  − 0.374), SF-36 MCS (r = −0.377), and C-reactive protein (CRP) (r = 0.307), but not with Birmingham vasculitis activity score (BVAS). In the multivariable linear regression analyses, BVAS, CRP, and serum FSTL1 were independently associated with the current SF-36 PCS (β = −0.255, β = −0.430, and β = −0.266, respectively) and the current SF-36 MCS (β = −0.234, β =−0.229, and β = −0.296, respectively). Patients with serum FSTL1 ≥779.8 pg/mL and those with serum FSTL1 ≥841.6 pg/mL exhibited a significantly higher risk of having the current low SF-36 PCS and SF-36 MCS than those without (relative risk 7.583 and 6.200, respectively). Conclusion:. Serum FSTL1 could predict the current functional status in AAV patients.
first_indexed 2024-03-09T14:27:19Z
format Article
id doaj.art-e39a6fe5783c4964984ca6f4f95a7c24
institution Directory Open Access Journal
issn 0366-6999
2542-5641
language English
last_indexed 2024-03-09T14:27:19Z
publishDate 2021-05-01
publisher Wolters Kluwer
record_format Article
series Chinese Medical Journal
spelling doaj.art-e39a6fe5783c4964984ca6f4f95a7c242023-11-28T07:08:32ZengWolters KluwerChinese Medical Journal0366-69992542-56412021-05-01134101168117410.1097/CM9.0000000000001454202105200-00006Association between follistatin-related protein 1 and the functional status of patients with anti-neutrophil cytoplasmic antibody-associated vasculitisTaejun YoonSung Soo AhnJung Yoon PyoJason Jungsik SongYong-Beom ParkSang-Won LeeLi-Shao GuoAbstract. Background:. Follistatin-like 1 (FSTL1) plays both pro-inflammatory and anti-inflammatory roles in the inflammatory processes. We investigated whether serum FSTL1 could predict the current anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV)-specific indices. Methods:. We randomly selected 74 patients with AAV from a prospective and observational cohort of Korean patients with AAV. Clinical and laboratory data and AAV-specific indices were recorded. FSTL1 concentration was determined using the stored sera. The lowest tertile of the short-form 36-item health survey (SF-36) was defined as the current low SF-36. The cutoffs of serum FSTL1 for the current low SF-36 physical component summary (PCS) and SF-36 mental component summary (MCS) were extrapolated by the receiver operator characteristic curve. Results:. The median age was 62.5 years (55.4% were women). Serum FSTL1 was significantly correlated with SF-36 PCS (r =  − 0.374), SF-36 MCS (r = −0.377), and C-reactive protein (CRP) (r = 0.307), but not with Birmingham vasculitis activity score (BVAS). In the multivariable linear regression analyses, BVAS, CRP, and serum FSTL1 were independently associated with the current SF-36 PCS (β = −0.255, β = −0.430, and β = −0.266, respectively) and the current SF-36 MCS (β = −0.234, β =−0.229, and β = −0.296, respectively). Patients with serum FSTL1 ≥779.8 pg/mL and those with serum FSTL1 ≥841.6 pg/mL exhibited a significantly higher risk of having the current low SF-36 PCS and SF-36 MCS than those without (relative risk 7.583 and 6.200, respectively). Conclusion:. Serum FSTL1 could predict the current functional status in AAV patients.http://journals.lww.com/10.1097/CM9.0000000000001454
spellingShingle Taejun Yoon
Sung Soo Ahn
Jung Yoon Pyo
Jason Jungsik Song
Yong-Beom Park
Sang-Won Lee
Li-Shao Guo
Association between follistatin-related protein 1 and the functional status of patients with anti-neutrophil cytoplasmic antibody-associated vasculitis
Chinese Medical Journal
title Association between follistatin-related protein 1 and the functional status of patients with anti-neutrophil cytoplasmic antibody-associated vasculitis
title_full Association between follistatin-related protein 1 and the functional status of patients with anti-neutrophil cytoplasmic antibody-associated vasculitis
title_fullStr Association between follistatin-related protein 1 and the functional status of patients with anti-neutrophil cytoplasmic antibody-associated vasculitis
title_full_unstemmed Association between follistatin-related protein 1 and the functional status of patients with anti-neutrophil cytoplasmic antibody-associated vasculitis
title_short Association between follistatin-related protein 1 and the functional status of patients with anti-neutrophil cytoplasmic antibody-associated vasculitis
title_sort association between follistatin related protein 1 and the functional status of patients with anti neutrophil cytoplasmic antibody associated vasculitis
url http://journals.lww.com/10.1097/CM9.0000000000001454
work_keys_str_mv AT taejunyoon associationbetweenfollistatinrelatedprotein1andthefunctionalstatusofpatientswithantineutrophilcytoplasmicantibodyassociatedvasculitis
AT sungsooahn associationbetweenfollistatinrelatedprotein1andthefunctionalstatusofpatientswithantineutrophilcytoplasmicantibodyassociatedvasculitis
AT jungyoonpyo associationbetweenfollistatinrelatedprotein1andthefunctionalstatusofpatientswithantineutrophilcytoplasmicantibodyassociatedvasculitis
AT jasonjungsiksong associationbetweenfollistatinrelatedprotein1andthefunctionalstatusofpatientswithantineutrophilcytoplasmicantibodyassociatedvasculitis
AT yongbeompark associationbetweenfollistatinrelatedprotein1andthefunctionalstatusofpatientswithantineutrophilcytoplasmicantibodyassociatedvasculitis
AT sangwonlee associationbetweenfollistatinrelatedprotein1andthefunctionalstatusofpatientswithantineutrophilcytoplasmicantibodyassociatedvasculitis
AT lishaoguo associationbetweenfollistatinrelatedprotein1andthefunctionalstatusofpatientswithantineutrophilcytoplasmicantibodyassociatedvasculitis