Ebrahim Adel Ali, Salem Rehab Mohammed, El Fallah Asmaa Adel, Younis Esraa Taha
Department of Dermatology, Faculty of Medicine, Benha University, Qalubia, Egypt.
Department of Clinical and Chemical Pathology, Faculty of Medicine, Benha University, Qalubia, Egypt.
Int J Trichology. 2019 Jan-Feb;11(1):26-30. doi: 10.4103/ijt.ijt_80_18.
Interleukin-15 (IL-15) is a cytokine that is involved in many inflammatory and autoimmune diseases. Although alopecia areata (AA) is an autoimmune disease, serum levels of IL-15 have not been studied well in AA patients.
We aims at evaluating the serum levels of IL-15 in active AA.
This case-control study included 40 AA patients and 40 apparently healthy matched controls. Written informed consents were obtained from all the participants. The scalp was examined to assess sites, number, and size of alopecia patches, and the severity of AA lesions was assessed using the Severity of Alopecia Tool score (SALT score) which determine the percentage of hair loss in the scalp. The body was carefully examined to detect any alopecia patches in any hairy area. Nail examination was carried out to detect any nail involvement. Serum IL-15 levels were measured using an ELISA kits.
Serum levels of IL-15 in patients were significantly higher than those in the control group ( < 0.001). Serum levels in alopecia totalis were significantly higher than those with one or two patches, and serum levels in patients with both scalp and body involvement were significantly elevated than the levels of patients with either scalp or body involvement. There was a statistically significant positive correlation between SALT score and serum levels of IL-15 ( < 0.001).
Serum IL-15 may be a marker of AA severity.
白细胞介素-15(IL-15)是一种参与多种炎症和自身免疫性疾病的细胞因子。虽然斑秃(AA)是一种自身免疫性疾病,但AA患者血清中IL-15水平尚未得到充分研究。
我们旨在评估活动期AA患者血清中IL-15水平。
本病例对照研究纳入40例AA患者和40例明显健康的匹配对照。所有参与者均签署了书面知情同意书。检查头皮以评估脱发斑的部位、数量和大小,并使用脱发严重程度工具评分(SALT评分)评估AA病变的严重程度,该评分可确定头皮脱发的百分比。仔细检查身体以检测任何毛发区域的脱发斑。进行指甲检查以检测是否有指甲受累。使用酶联免疫吸附测定(ELISA)试剂盒测量血清IL-15水平。
患者血清中IL-15水平显著高于对照组(<0.001)。全秃患者的血清水平显著高于有一或两个脱发斑的患者,头皮和身体均受累患者的血清水平显著高于仅头皮或仅身体受累患者的水平。SALT评分与血清IL-15水平之间存在统计学显著的正相关(<0.001)。
血清IL-15可能是AA严重程度的一个标志物。