Evaluation of Serum Zonulin Level and Intestinal Permeability in Patients with Chronic Spontaneous Urticaria and the Relationship Between Serum Zonulin Level and Disease Severity
Introduction: An emerging hypothesis suggests a potential link between enhanced intestinal permeability and the advancement of chronic spontaneous urticaria (CSU). Objective: This study aimed to investigate the role of intestinal permeability in the etiopathogenesis of CSU by measuring serum zonu...
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Mattioli1885
2025-01-01
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| Series: | Dermatology Practical & Conceptual |
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| Online Access: | https://dpcj.org/index.php/dpc/article/view/4237 |
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| author | Simge Ünal Selda Pelin Kartal Ahmet Ozsoy Fevzi Nuri Aydın |
| author_facet | Simge Ünal Selda Pelin Kartal Ahmet Ozsoy Fevzi Nuri Aydın |
| author_sort | Simge Ünal |
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Introduction: An emerging hypothesis suggests a potential link between enhanced intestinal permeability and the advancement of chronic spontaneous urticaria (CSU).
Objective: This study aimed to investigate the role of intestinal permeability in the etiopathogenesis of CSU by measuring serum zonulin levels, a marker of intestinal permeability, in both CSU patients and control subjects. Additionally, the study sought to explore the correlation between the severity of the illness and zonulin levels.
Methods: The study involved 61 patients with CSU and 59 healthy control individuals. For the CSU patients, comprehensive data was collected, encompassing various aspects: age at onset of the condition, duration of the most recent attack, presence of any comorbid conditions, dosage of antihistamines being used, the urticaria activity score, as well as detailed personal and family medical histories. Additionally, demographic information for these patients was also meticulously documented.
Result: The study revealed a statistically significant difference in zonulin levels between the CSU patient group and the control group, with a p-value of 0.000 indicating a highly significant disparity. Furthermore, among the CSU patients, those who were presented with angioedema exhibited considerably higher zonulin levels compared to those without angioedema. This variation in zonulin levels based on the presence of angioedema was also statistically significant, with a p-value of 0.023.
Conclusion: The observed results suggest that increased intestinal permeability, as indicated by elevated zonulin levels, may play a crucial role in the pathophysiology of both CSU and angioedema. This association highlights the potential significance of intestinal permeability in the development and manifestation of these conditions.
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| format | Article |
| id | doaj-art-eaef502374d64a618fb9b900ba1fa0e1 |
| institution | Kabale University |
| issn | 2160-9381 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Mattioli1885 |
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| series | Dermatology Practical & Conceptual |
| spelling | doaj-art-eaef502374d64a618fb9b900ba1fa0e12025-02-04T15:41:44ZengMattioli1885Dermatology Practical & Conceptual2160-93812025-01-0115110.5826/dpc.1501a4237Evaluation of Serum Zonulin Level and Intestinal Permeability in Patients with Chronic Spontaneous Urticaria and the Relationship Between Serum Zonulin Level and Disease SeveritySimge Ünal0Selda Pelin Kartal1Ahmet Ozsoy2Fevzi Nuri Aydın3Dışkapı Yıldırım Beyazıt Hospital, Department of Dermatology and Venereology, Ankara, TurkeyDışkapı Yıldırım Beyazıt Hospital, Department of Dermatology and Venereology, Ankara, TurkeyDışkapı Yıldırım Beyazıt Hospital, Department of Clinic Biochemistry, Ankara, TurkeyDışkapı Yıldırım Beyazıt Hospital, Department of Clinic Biochemistry, Ankara, Turkey Introduction: An emerging hypothesis suggests a potential link between enhanced intestinal permeability and the advancement of chronic spontaneous urticaria (CSU). Objective: This study aimed to investigate the role of intestinal permeability in the etiopathogenesis of CSU by measuring serum zonulin levels, a marker of intestinal permeability, in both CSU patients and control subjects. Additionally, the study sought to explore the correlation between the severity of the illness and zonulin levels. Methods: The study involved 61 patients with CSU and 59 healthy control individuals. For the CSU patients, comprehensive data was collected, encompassing various aspects: age at onset of the condition, duration of the most recent attack, presence of any comorbid conditions, dosage of antihistamines being used, the urticaria activity score, as well as detailed personal and family medical histories. Additionally, demographic information for these patients was also meticulously documented. Result: The study revealed a statistically significant difference in zonulin levels between the CSU patient group and the control group, with a p-value of 0.000 indicating a highly significant disparity. Furthermore, among the CSU patients, those who were presented with angioedema exhibited considerably higher zonulin levels compared to those without angioedema. This variation in zonulin levels based on the presence of angioedema was also statistically significant, with a p-value of 0.023. Conclusion: The observed results suggest that increased intestinal permeability, as indicated by elevated zonulin levels, may play a crucial role in the pathophysiology of both CSU and angioedema. This association highlights the potential significance of intestinal permeability in the development and manifestation of these conditions. https://dpcj.org/index.php/dpc/article/view/4237Chronic Spontaneous UrticariaAutoimmune Urticariaanti-IgEIntestinal PermeabilityZonulin |
| spellingShingle | Simge Ünal Selda Pelin Kartal Ahmet Ozsoy Fevzi Nuri Aydın Evaluation of Serum Zonulin Level and Intestinal Permeability in Patients with Chronic Spontaneous Urticaria and the Relationship Between Serum Zonulin Level and Disease Severity Dermatology Practical & Conceptual Chronic Spontaneous Urticaria Autoimmune Urticaria anti-IgE Intestinal Permeability Zonulin |
| title | Evaluation of Serum Zonulin Level and Intestinal Permeability in Patients with Chronic Spontaneous Urticaria and the Relationship Between Serum Zonulin Level and Disease Severity |
| title_full | Evaluation of Serum Zonulin Level and Intestinal Permeability in Patients with Chronic Spontaneous Urticaria and the Relationship Between Serum Zonulin Level and Disease Severity |
| title_fullStr | Evaluation of Serum Zonulin Level and Intestinal Permeability in Patients with Chronic Spontaneous Urticaria and the Relationship Between Serum Zonulin Level and Disease Severity |
| title_full_unstemmed | Evaluation of Serum Zonulin Level and Intestinal Permeability in Patients with Chronic Spontaneous Urticaria and the Relationship Between Serum Zonulin Level and Disease Severity |
| title_short | Evaluation of Serum Zonulin Level and Intestinal Permeability in Patients with Chronic Spontaneous Urticaria and the Relationship Between Serum Zonulin Level and Disease Severity |
| title_sort | evaluation of serum zonulin level and intestinal permeability in patients with chronic spontaneous urticaria and the relationship between serum zonulin level and disease severity |
| topic | Chronic Spontaneous Urticaria Autoimmune Urticaria anti-IgE Intestinal Permeability Zonulin |
| url | https://dpcj.org/index.php/dpc/article/view/4237 |
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