Yıl: 2021 Cilt: 31 Sayı: 2 Sayfa Aralığı: 86 - 92 Metin Dili: İngilizce DOI: 10.5336/dermato.2021-81122 İndeks Tarihi: 16-06-2022

Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study

Öz:
Objective: Indolamine-2,3-dioxygenase (IDO), neopterin, periostin, tenascin-C (TN-C), chitinase-3-like protein 1 (CHI3L1/YKL40) YKL-40 have been previously described as diagnostic markers for a number of pathologies. The aim of our study is to compare the levels of some immune system-related biomarkers in itchy dermatological diseases with healthy people and to evaluate the diagnostic importance of these markers in dermatological diseases. Material and Methods: Our study included 55 patients diagnosed with neurodermatitis, generalised pruritus and lichen planus. The control group was composed of 30 healthy adult volunteers with no history of allergic skin conditions. All participants provided informed consent for the use of their medical data in the study. The serum samples were centrifuged. Centrifuged samples were stored at -80 ˚C. IDO, neopterin, periostin, TN-C, YKL-40 levels were determined by an enzyme-linked immunosorbent assay. The MannWhitney U test, Kruskal-Wallis test, and Conover post-hoc method were used for statistical analysis. Results: Demographic characteristics were recorded and no statistically significant difference was found between demographic differences. IDO, neopterin, periostin, TN-C, YKL-40 levels were higher in patients than in controls (p<0.05). The Th1/Th2-mediated immune response activation has been observed in allergic skin diseases. A positive correlation was found between all measured parameters (p<0.01). Conclusion: In our study, non-invasive current biomarkers that can be used in the diagnosis of dermatological pathologies yielded significant results. We found higher levels of serum biomarkers in patients compared to controls. It remains uncertain whether the examined protein is related only to inflammation or is released also as a result of specific biochemical processes due to allergy. However, these indicators may still have an important place in terms of early diagnosis.
Anahtar Kelime:

Kaşıntılı Dermatolojik Hastalıklarda Bazı Biyobelirteçlerin Tanısal Öneminin Değerlendirilmesi: Bir Vaka Kontrol Çalışması

Öz:
Amaç: İndolamin-2,3-dioksijenaz (IDO), neopterin, periostin, tenascin-C (TN-C), kitinaz-3-benzeri protein 1 (CHI3L1/YKL-40), daha önce bir dizi patolojinin tanısal belirteçleri olarak tanımlanmıştı. Çalışmamızın amacı, kaşıntılı dermatolojik hastalıklarda immün sistem ilişkili bazı biyobelirteçlerin düzeylerini sağlıklılarla karşılaştırmak ve bu belirteçlerin dermatolojik hastalıklardaki tanısal önemini değerlendirmektir. Gereç ve Yöntemler: Çalışmamıza nörodermatit, jeneralize kaşıntı, liken planus tanısı almış 55 hasta dâhil edildi. Kontrol grubu, alerjik cilt rahatsızlığı öyküsü olmayan 30 sağlıklı yetişkin gönüllüden oluşturuldu. Tüm katılımcılardan, çalışmada tıbbi verilerinin kullanılması için bilgilendirilmiş onam alındı serum örnekleri santrifüjlendi. Santrifüjlenen örnekler -80 ˚C’de saklandı. IDO, neopterin, periostin, TN-C, YKL-40 seviyeleri, enzime bağlı immünosorbent deneyi ile belirlendi. İstatistiksel analiz için Mann-Whitney U testi, Kruskal-Wallis testi ve Conover “post hoc” yöntemi kullanıldı. Bulgular: Demografik özellikler kaydedildi ve demografik farklılıklar arasında istatistiksel olarak anlamlı bir fark bulunmadı. IDO, neopterin, periostin, TN-C YKL-40 seviyeleri hastalarda kontrole göre yüksekti (p<0.05). Alerjik cilt hastalıklarında Th1/Th2 aracılı immün yanıt aktivasyonu gözlenmiştir. Ölçülen tüm parametreler arasında pozitif yönde bir korelasyon bulundu (p<0.01). Sonuç: Çalışmamızda, dermatolojik patolojilerin tanısında kullanılabilen noninvaziv güncel biyobelirteçler önemli sonuçlar vermiştir. Kontrollere kıyasla hastalarda daha yüksek serum biyobelirteç seviyeleri bulduk. İncelenen proteinin yalnızca iltihaplanma ile ilişkili olup olmadığı veya aynı zamanda alerjiye bağlı spesifik biyokimyasal süreçlerin bir sonucu olarak da salgılanıp salgılanmadığı belirsizliğini korumaktadır. Ancak bu göstergeler, erken tanı açısından hâlâ önemli bir yere sahip olabilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Fonacier LS, Dreskin SC, Leung DY. Allergic skin diseases. J Allergy Clin Immunol. 2010; 125(2 Suppl 2):S138-49. [Crossref] [Pubmed]
  • 2. Murota H, Lingli Y, Katayama I. Periostin in the pathogenesis of skin diseases. Cell Mol Life Sci. 2017;74(23):4321-8. [Crossref] [Pubmed]
  • 3. Kuwatsuka Y, Murota H. Involvement of periostin in skin function and the pathogenesis of skin diseases. Adv Exp Med Biol. 2019; 1132:89-98. [Crossref] [Pubmed]
  • 4. Ünüvar S, Aslanhan H, Tanrıverdi Z, Karakuş F. The relationship between neopterin and hepatitis B surface antigen positivity. Pte ridines. 2018;29(1):1-5. [Crossref]
  • 5. Ünüvar S, Erge D, Kılıçarslan B, Gözükara Bağ HG, Çatal F, Girgin G, et al. Neopterin levels and indoleamine 2,3-dioxygenase activity as biomarkers of immune system activation and childhood allergic diseases. Ann Lab Med. 2019;39(3):284-90. [Crossref] [Pubmed] [PMC]
  • 6. Khattab FM, Said NM. Chitinase-3-like protein 1 (YKL-40): novel biomarker of lichen planus. Int J Dermatol. 2019;58(9):993-6. [Crossref] [Pubmed]
  • 7. Midwood KS, Chiquet M, Tucker RP, Orend G. Tenascin-C at a glance. J Cell Sci. 2016; 129(23):4321-27. [Crossref] [Pubmed]
  • 8. von Bubnoff D, Bieber T. The indoleamine 2,3-dioxygenase (IDO) pathway controls allergy. Allergy. 2012;67(6):718-25. [Crossref] [Pubmed]
  • 9. Masuoka M, Shiraishi H, Ohta S, Suzuki S, Arima K, Aoki S, et al. Periostin promotes chro nic allergic inflammation in response to Th2 cytokines. J Clin Invest. 2012;122(7):2590- 600. [Crossref] [Pubmed] [PMC]
  • 10. Shiraishi H, Masuoka M, Ohta S, Suzuki S, Arima K, Taniguchi K, et al. Periostin contributes to the pathogenesis of atopic dermatitis by inducing TSLP production from keratinocytes. Allergol Int. 2012;61(4):563-72. [Crossref] [Pubmed]
  • 11. Izuhara K, Nunomura S, Nanri Y, Ogawa M, Ono J, Mitamura Y, et al. Periostin in inflammation and allergy. Cell Mol Life Sci. 2017; 74(23):4293-303. [Crossref] [Pubmed]
  • 12. Yamaguchi Y. Periostin in Skin Tissue SkinRelated Diseases. Allergol Int. 2014;63(2): 161-70. [Crossref] [Pubmed]
  • 13. Sung M, Lee KS, Ha EG, Lee SJ, Kim MA, Lee SW, et al. An association of periostin levels with the severity and chronicity of atopic dermatitis in children. Pediatr Allergy Immunol. 2017;28(6):543-50. [Crossref] [Pubmed]
  • 14. Ozceker D, Yucel E, Sipahi S, Dilek F, Ozkaya E, Guler EM, et al. Evaluation of periostin level for predicting severity and chronicity of childhood atopic dermatitis. Postepy Dermatol Alergol. 2019;36(5):616-9. [Crossref] [Pubmed] [PMC]
  • 15. Kou K, Okawa T, Yamaguchi Y, Ono J, Inoue Y, Kohno M, et al. Periostin levels correlate with disease severity and chronicity in patients with atopic dermatitis. Br J Dermatol. 2014; 171(2):283-91. [Crossref] [Pubmed]
  • 16. Yamaguchi Y, Ono J, Masuoka M, Ohta S, Izuhara K, Ikezawa Z, et al. Serum periostin levels are correlated with progressive skin sclerosis in patients with systemic sclerosis. Br J Dermatol. 2013;168(4):717-25. [Crossref] [Pubmed]
  • 17. Hashimoto T, Kursewicz CD, Fayne RA, Nanda S, Shah SM, Nattkemper L, et al. Pathophysiologic mechanisms of itch in bullous pemphigoid. J Am Acad Dermatol. 2020;83(1):53-62. [Crossref] [Pubmed]
  • 18. Hashimoto T, Satoh T, Yokozeki H. Pruritus in ordinary scabies: IL-31 from macrophages induced by overexpression of thymic stromal lymphopoietin and periostin. Allergy. 2019; 74(9):1727-37. [Crossref] [Pubmed]
  • 19. Maraee AH, Farag AG, El Tahmody MA, Metawea, HY. Tenascin-C expression in lichen planus. Menoufia Med. J. 2015;28(2):514-20. [Crossref]
  • 20. Ogawa K, Ito M, Takeuchi K, Nakada A, Heishi M, Suto H, et al. Tenascin-C is upregulated in the skin lesions of patients with atopic derma titis. J Dermatol Sci. 2005;40(1):35-41. [Crossref] [Pubmed]
  • 21. Simon D, Aeberhard C, Erdemoglu Y, Simon HU. Th17 cells and tissue remodeling in atopic and contact dermatitis. Allergy. 2014;69(1): 125-31. [Crossref] [Pubmed]
  • 22. Latijnhouwers MA, Bergers M, Kuijpers AL, van der Vleuten CJ, Dijkman H, van de Kerkhof PC, et al. Tenascin-C is not a useful marker for disease activity in psoriasis. Acta Derm Venereol. 1998;78(5):331-4. [Crossref] [Pubmed]
  • 23. Kusubata M, Hirota A, Ebihara T, Kuwaba K, Matsubara Y, Sasaki T, et al. Spatiotemporal changes of fibronectin, tenascin-C, fibulin-1, and fibulin-2 in the skin during the development of chronic contact dermatitis. J Invest Dermatol. 1999;113(6):906-12. [Crossref] [Pubmed]
  • 24. Xie Z, Zhang M, Xiong W, Wan HY, Zhao XC, Xie T, et al. Immunotolerant indoleamine-2,3- dioxygenase is increased in condyloma acuminata. Br J Dermatol. 2017;177(3):809- 17. [Crossref] [Pubmed]
  • 25. Schallreuter KU, Salem MA, Gibbons NC, Maitland DJ, Marsch E, Elwary SM, et al. Blunted epidermal L-tryptophan metabolism in vitiligo affects immune response and ROS scavenging by Fenton chemistry, part 2: Epidermal H2O2/ONOO(-)-mediated stress in vitiligo hampers indoleamine 2,3-dioxygenase and aryl hydrocarbon receptor-mediated immune response signaling. FASEB J. 2012; 26(6):2471-85. [Crossref] [Pubmed]
  • 26. Scheler M, Wenzel J, Tüting T, Takikawa O, Bieber T, von Bubnoff D. Indoleamine 2,3- dioxygenase (IDO): the antagonist of type I interferon-driven skin inflammation? Am J Pathol. 2007;171(6):1936-43. [Crossref] [Pubmed] [PMC]
  • 27. Brunner PM, Israel A, Leonard A, Pavel AB, Kim HJ, Zhang N, et al. Distinct transcriptomic profiles of early-onset atopic dermatitis in blood and skin of pediatric patients. Ann Allergy Asthma Immunol. 2019;122(3):318- 330.e3. [Crossref] [Pubmed]
  • 28. Zinkevičienė A, Kainov D, Girkontaitė I, Lastauskienė E, Kvedarienė V, Fu Y, et al. Activation of Tryptophan and Phenylalanine Catabolism in the Remission Phase of Allergic Contact Dermatitis: A Pilot Study. Int Arch Allergy Immunol. 2016;170(4):262-8. [Crossref] [Pubmed]
  • 29. Salomon J, Piotrowska A, Matusiak Ł, Dzięgiel P, Szepietowski JC. Chitinase-3-like Protein 1 (YKL-40) Is Expressed in Lesional Skin in Hid radenitis Suppurativa. In Vivo. 2019;33(1): 141-3. [Crossref] [Pubmed] [PMC]
  • 30. Abu El-Hamd M, Adam El Taieb M, Mahmoud AA, Mahmoud Samy O. Serum YKL-40 in patients with psoriasis vulgaris treated by narrow-band UVB phototherapy. J Dermatolog Treat. 2019;30(6):545-8. [Crossref] [Pubmed]
  • 31. Salomon J, Matusiak Ł, Nowicka-Suszko D, Szepietowski JC. Chitinase-3-like protein 1 (YKL-40) Reflects the severity of symptoms in atopic dermatitis. J Immunol Res. 2017; 2017:5746031. [Crossref] [Pubmed] [PMC]
  • 32. Johansen JS, Jensen BV, Roslind A, Nielsen D, Price PA. Serum YKL-40, a new prognostic biomarker in cancer patients? Cancer Epidemiol Biomarkers Prev. 2006;15(2):194-202. [Crossref] [Pubmed]
APA başak türkmen n, Türkmen D, yüce h, Marsak M, Tanrıverdi z, ünüvar s (2021). Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study. , 86 - 92. 10.5336/dermato.2021-81122
Chicago başak türkmen neşe,Türkmen Dursun,yüce hande,Marsak Mücahit,Tanrıverdi zübeyde,ünüvar songül Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study. (2021): 86 - 92. 10.5336/dermato.2021-81122
MLA başak türkmen neşe,Türkmen Dursun,yüce hande,Marsak Mücahit,Tanrıverdi zübeyde,ünüvar songül Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study. , 2021, ss.86 - 92. 10.5336/dermato.2021-81122
AMA başak türkmen n,Türkmen D,yüce h,Marsak M,Tanrıverdi z,ünüvar s Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study. . 2021; 86 - 92. 10.5336/dermato.2021-81122
Vancouver başak türkmen n,Türkmen D,yüce h,Marsak M,Tanrıverdi z,ünüvar s Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study. . 2021; 86 - 92. 10.5336/dermato.2021-81122
IEEE başak türkmen n,Türkmen D,yüce h,Marsak M,Tanrıverdi z,ünüvar s "Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study." , ss.86 - 92, 2021. 10.5336/dermato.2021-81122
ISNAD başak türkmen, neşe vd. "Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study". (2021), 86-92. https://doi.org/10.5336/dermato.2021-81122
APA başak türkmen n, Türkmen D, yüce h, Marsak M, Tanrıverdi z, ünüvar s (2021). Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study. Türkiye Klinikleri Dermatoloji Dergisi, 31(2), 86 - 92. 10.5336/dermato.2021-81122
Chicago başak türkmen neşe,Türkmen Dursun,yüce hande,Marsak Mücahit,Tanrıverdi zübeyde,ünüvar songül Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study. Türkiye Klinikleri Dermatoloji Dergisi 31, no.2 (2021): 86 - 92. 10.5336/dermato.2021-81122
MLA başak türkmen neşe,Türkmen Dursun,yüce hande,Marsak Mücahit,Tanrıverdi zübeyde,ünüvar songül Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study. Türkiye Klinikleri Dermatoloji Dergisi, vol.31, no.2, 2021, ss.86 - 92. 10.5336/dermato.2021-81122
AMA başak türkmen n,Türkmen D,yüce h,Marsak M,Tanrıverdi z,ünüvar s Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study. Türkiye Klinikleri Dermatoloji Dergisi. 2021; 31(2): 86 - 92. 10.5336/dermato.2021-81122
Vancouver başak türkmen n,Türkmen D,yüce h,Marsak M,Tanrıverdi z,ünüvar s Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study. Türkiye Klinikleri Dermatoloji Dergisi. 2021; 31(2): 86 - 92. 10.5336/dermato.2021-81122
IEEE başak türkmen n,Türkmen D,yüce h,Marsak M,Tanrıverdi z,ünüvar s "Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study." Türkiye Klinikleri Dermatoloji Dergisi, 31, ss.86 - 92, 2021. 10.5336/dermato.2021-81122
ISNAD başak türkmen, neşe vd. "Evaluation of the Diagnostic Significance of Some Biomarkers in Pruritic Dermatological Diseases: A Case-Control Study". Türkiye Klinikleri Dermatoloji Dergisi 31/2 (2021), 86-92. https://doi.org/10.5336/dermato.2021-81122