Kılıc Sevilay, Şehitoğlu Hilal, Gül Ceren
Department of Dermatology, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey.
Department of Medical Biochemistry, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey.
Postepy Dermatol Alergol. 2022 Apr;39(2):397-400. doi: 10.5114/ada.2022.115891. Epub 2022 May 9.
Vitiligo is an acquired chronic pigmentation disorder. The etiopathogenesis is still not fully understood.
To research the correlation of ADAM proteins, shown to be associated with autoimmune diseases like rheumatoid arthritis and lupus erythematosus, with vitiligo also considered to be an autoimmune disease.
The study included a patient group of 45 patients with the diagnosis of vitiligo and a control group of 45 healthy adults. The ADAM10 and ADAM17 protein serum levels and CXCL10 and thyroid autoantibody anti-TG and anti-TPO levels along with FT3, FT4, and TSH hormone levels were determined with the ELISA method. Statistical analysis of results was made with the SPSS 22.0 program.
In vitiligo patients, the ADAM10 levels (2.34 ±0.80 pg/ml) were statistically significantly low compared to the control group (10.29 ±1.71 pg/ml) ( < 0.05), while the ADAM17 levels (128.51 ±14.37 pg/ml) were statistically significantly high compared to the control group (16.30 ±6.31 pg/ml) ( < 0.05). Additionally, the CXCL10 levels were observed to be statistically significantly higher in the patient group (275.11 ±62.36) than in the control group (107.08 ±33.12). Thyroid autoimmunity test results (anti-TG, anti-TPO, and TSH) were shown to be different to a statistically significant degree in the patient group compared to the control group ( < 0.001, < 0.000, = 0.003, respectively). Statistical analyses used the Kolmogorov-Smirnov, Mann-Whitney test, and the independent -test.
We obtained data that are important in terms of understanding the pathogenesis. ADAM10 and ADAM17 proteins may be new targets for future therapeutic approaches.
白癜风是一种获得性慢性色素沉着障碍。其发病机制仍未完全明确。
研究金属蛋白酶解聚素与金属蛋白酶(ADAM)蛋白(已证明与类风湿性关节炎和红斑狼疮等自身免疫性疾病相关)与同样被认为是自身免疫性疾病的白癜风之间的相关性。
该研究纳入了45例诊断为白癜风的患者组成的患者组以及45例健康成年人组成的对照组。采用酶联免疫吸附测定(ELISA)法测定血清中ADAM10和ADAM17蛋白水平、趋化因子CXCL10水平、甲状腺自身抗体抗甲状腺球蛋白(anti-TG)和抗甲状腺过氧化物酶(anti-TPO)水平以及游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)和促甲状腺激素(TSH)激素水平。使用SPSS 22.0软件对结果进行统计分析。
白癜风患者的ADAM10水平(2.34±0.80 pg/ml)与对照组(10.29±1.71 pg/ml)相比在统计学上显著降低(P<0.05),而ADAM17水平(128.51±14.37 pg/ml)与对照组(16.30±6.31 pg/ml)相比在统计学上显著升高(P<0.05)。此外,观察到患者组的CXCL10水平(275.11±62.36)在统计学上显著高于对照组(107.08±33.12)。与对照组相比,患者组的甲状腺自身免疫检测结果(抗TG、抗TPO和TSH)在统计学上有显著差异(分别为P<0.001、P<0.000、P = 0.003)。统计分析采用柯尔莫哥洛夫-斯米尔诺夫检验、曼-惠特尼U检验和独立样本t检验。
我们获得了对理解发病机制具有重要意义的数据。ADAM10和ADAM17蛋白可能成为未来治疗方法的新靶点。