Medical Microbiology Department, Medical College, Al-Iraqia University, Baghdad, Iraq.
Medical City Complex, Internal Medicine Department, Rheumatology Unit, Baghdad, Iraq.
Arch Razi Inst. 2023 Apr 30;78(2):743-750. doi: 10.22092/ARI.2022.359861.2489. eCollection 2023 Apr.
Rheumatoid arthritis (RA) is an autoimmune condition characterized by persistent inflammation in synovial joints. Interleukine-32 (IL32) is known to have significant pro-inflammatory effects in RA, and IL37 is an anti-inflammatory cytokine that reduces the immune response and inflammation. This study aimed to investigate serum levels of IL32 and IL73 in RA patients. The sample included 50 patients (46 females and four males) with RA and 40 healthy controls. The enzyme-linked immunosorbent assay (ELISA) detected serum levels of IL32 and IL37. The disease parameters' activity was measured by the clinical disease activity index, and the Erythrocyte sedimentation rate was measured by the Westergren method. Moreover, C-Reactive protein, Rheumatoid factor, and Anti-Cyclic Citrullinated Peptide antibodies were measured using the ELISA. The results showed elevated serum levels of IL32 and IL37 in patients with RA (<0.05). The mean duration of RA in most patients was <12 years, and the level of disease activity among the cases group was mainly moderate (70%). There was no significant difference between the mean levels of IL32 and IL37 in patients with RA. This study showed that although IL32 and IL37 played an essential role in RA pathogenesis, there was no significant correlation between serum levels of IL32 and IL37 and disease duration or activity.
类风湿关节炎(RA)是一种以滑膜关节持续性炎症为特征的自身免疫性疾病。白细胞介素 32(IL32)已知在 RA 中有显著的促炎作用,而白细胞介素 37(IL37)是一种抗炎细胞因子,可降低免疫反应和炎症。本研究旨在探讨 RA 患者血清中 IL32 和 IL73 的水平。该样本包括 50 名 RA 患者(46 名女性和 4 名男性)和 40 名健康对照者。酶联免疫吸附试验(ELISA)检测血清中 IL32 和 IL37 的水平。临床疾病活动指数(DAS28)测量疾病参数的活动度,魏氏法测量红细胞沉降率。此外,采用 ELISA 法检测 C 反应蛋白、类风湿因子和抗环瓜氨酸肽抗体。结果显示,RA 患者血清中 IL32 和 IL37 的水平升高(<0.05)。大多数患者的 RA 病程<12 年,病例组的疾病活动度主要为中度(70%)。RA 患者的 IL32 和 IL37 平均水平无显著差异。本研究表明,尽管 IL32 和 IL37 在 RA 的发病机制中起重要作用,但血清中 IL32 和 IL37 的水平与疾病的病程或活动度之间没有显著的相关性。