Evaluation of IL-29 in Euthyroid Patients with Graves’ Orbitopathy: A Preliminary Study

Background. The most frequent cause of hyperthyroidism is Graves’ disease (GD). Orbitopathy is the most prevalent and recognizable extrathyroidal manifestation of Graves’ disease with unrevealed pathogenesis. Interleukin 29 (IL-29) is a relatively newly discovered inflammatory cytokine. Thus, the ai...

Full description

Saved in:
Bibliographic Details
Main Authors: Bogusz Falkowski, Ewelina Szczepanek-Parulska, Nadia Sawicka-Gutaj, Aleksandra Krygier, Marek Ruchala
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2020/4748612
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565872240099328
author Bogusz Falkowski
Ewelina Szczepanek-Parulska
Nadia Sawicka-Gutaj
Aleksandra Krygier
Marek Ruchala
author_facet Bogusz Falkowski
Ewelina Szczepanek-Parulska
Nadia Sawicka-Gutaj
Aleksandra Krygier
Marek Ruchala
author_sort Bogusz Falkowski
collection DOAJ
description Background. The most frequent cause of hyperthyroidism is Graves’ disease (GD). Orbitopathy is the most prevalent and recognizable extrathyroidal manifestation of Graves’ disease with unrevealed pathogenesis. Interleukin 29 (IL-29) is a relatively newly discovered inflammatory cytokine. Thus, the aim of this study was to evaluate the relationship between IL-29 and Graves’ orbitopathy (GO) in euthyroid patients. Methods. Thirty-one euthyroid patients with Graves’ disease and with active GO [clinical activity score CAS≥3/7], seventeen euthyroid patients with GD but without GO, and seventy-two healthy control subjects (CS) matched for age and gender were enrolled in the study. The following parameters were evaluated in every participant: thyroid-related hormones and autoantibodies and inflammatory markers (white blood cells, hsCRP). ELISA assay was applied to measure the concentration of IL-29. Results. We found higher level of IL-29 in GO group in comparison with CS [165 (133-747) vs. 62 (62-217) pg/mL, p<0.001]. Furthermore, participants in the subgroup with GD with GO as compared with GD without GO had higher concentration of IL-29 [165 (133-747) vs. 62 (62-558) pg/mL, p=0.031]. The ROC analysis for IL-29 revealed IL-29 cut-off of 105 pg/mL (sensitivity 1.000 and specificity 0.597) as the best value significantly indicating the presence of GO in GD [area under the ROC curve (AUC): 0.739, 95% confidence interval (CI): 0.646-0.833, p<0.001]. Conclusions. The present study revealed for the first time an elevated level of IL-29 in the serum of patients with GD and GO that might suggest its involvement in the pathogenesis of GD ocular complications.
format Article
id doaj-art-967466ea8bce4c9d9ec830ce7caf235b
institution Kabale University
issn 0962-9351
1466-1861
language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Mediators of Inflammation
spelling doaj-art-967466ea8bce4c9d9ec830ce7caf235b2025-02-03T01:06:17ZengWileyMediators of Inflammation0962-93511466-18612020-01-01202010.1155/2020/47486124748612Evaluation of IL-29 in Euthyroid Patients with Graves’ Orbitopathy: A Preliminary StudyBogusz Falkowski0Ewelina Szczepanek-Parulska1Nadia Sawicka-Gutaj2Aleksandra Krygier3Marek Ruchala4Department of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355 Poznan, PolandDepartment of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355 Poznan, PolandDepartment of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355 Poznan, PolandDepartment of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355 Poznan, PolandDepartment of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355 Poznan, PolandBackground. The most frequent cause of hyperthyroidism is Graves’ disease (GD). Orbitopathy is the most prevalent and recognizable extrathyroidal manifestation of Graves’ disease with unrevealed pathogenesis. Interleukin 29 (IL-29) is a relatively newly discovered inflammatory cytokine. Thus, the aim of this study was to evaluate the relationship between IL-29 and Graves’ orbitopathy (GO) in euthyroid patients. Methods. Thirty-one euthyroid patients with Graves’ disease and with active GO [clinical activity score CAS≥3/7], seventeen euthyroid patients with GD but without GO, and seventy-two healthy control subjects (CS) matched for age and gender were enrolled in the study. The following parameters were evaluated in every participant: thyroid-related hormones and autoantibodies and inflammatory markers (white blood cells, hsCRP). ELISA assay was applied to measure the concentration of IL-29. Results. We found higher level of IL-29 in GO group in comparison with CS [165 (133-747) vs. 62 (62-217) pg/mL, p<0.001]. Furthermore, participants in the subgroup with GD with GO as compared with GD without GO had higher concentration of IL-29 [165 (133-747) vs. 62 (62-558) pg/mL, p=0.031]. The ROC analysis for IL-29 revealed IL-29 cut-off of 105 pg/mL (sensitivity 1.000 and specificity 0.597) as the best value significantly indicating the presence of GO in GD [area under the ROC curve (AUC): 0.739, 95% confidence interval (CI): 0.646-0.833, p<0.001]. Conclusions. The present study revealed for the first time an elevated level of IL-29 in the serum of patients with GD and GO that might suggest its involvement in the pathogenesis of GD ocular complications.http://dx.doi.org/10.1155/2020/4748612
spellingShingle Bogusz Falkowski
Ewelina Szczepanek-Parulska
Nadia Sawicka-Gutaj
Aleksandra Krygier
Marek Ruchala
Evaluation of IL-29 in Euthyroid Patients with Graves’ Orbitopathy: A Preliminary Study
Mediators of Inflammation
title Evaluation of IL-29 in Euthyroid Patients with Graves’ Orbitopathy: A Preliminary Study
title_full Evaluation of IL-29 in Euthyroid Patients with Graves’ Orbitopathy: A Preliminary Study
title_fullStr Evaluation of IL-29 in Euthyroid Patients with Graves’ Orbitopathy: A Preliminary Study
title_full_unstemmed Evaluation of IL-29 in Euthyroid Patients with Graves’ Orbitopathy: A Preliminary Study
title_short Evaluation of IL-29 in Euthyroid Patients with Graves’ Orbitopathy: A Preliminary Study
title_sort evaluation of il 29 in euthyroid patients with graves orbitopathy a preliminary study
url http://dx.doi.org/10.1155/2020/4748612
work_keys_str_mv AT boguszfalkowski evaluationofil29ineuthyroidpatientswithgravesorbitopathyapreliminarystudy
AT ewelinaszczepanekparulska evaluationofil29ineuthyroidpatientswithgravesorbitopathyapreliminarystudy
AT nadiasawickagutaj evaluationofil29ineuthyroidpatientswithgravesorbitopathyapreliminarystudy
AT aleksandrakrygier evaluationofil29ineuthyroidpatientswithgravesorbitopathyapreliminarystudy
AT marekruchala evaluationofil29ineuthyroidpatientswithgravesorbitopathyapreliminarystudy