PMID- 28076310 OWN - NLM STAT- MEDLINE DCOM- 20170821 LR - 20220330 IS - 1437-4331 (Electronic) IS - 1434-6621 (Linking) VI - 55 IP - 9 DP - 2017 Aug 28 TI - The serum concentrations of leptin and MCP-1 independently predict low back pain duration. PG - 1368-1374 LID - 10.1515/cclm-2016-0942 [doi] AB - BACKGROUND: Low back pain (LBP) is a very frequent condition, affecting most people at some point throughout their life. This cross-sectional study was aimed to investigate a selected panel of cytokines and inflammatory biomarkers in patients with or without LBP. METHODS: The study population consisted of 104 patients diagnosed with LBP (52 non-persistent and 52 persistent) and 52 healthy subjects with no LBP. Blood samples were collected for assessment of adiponectin, leptin, monocyte chemoattractant protein-1 (MCP-1) and C reactive protein (CRP). The duration of LBP was categorized as "no pain", "non-persistent LBP" and "persistent LBP". RESULTS: Higher values of CRP and lower concentrations of both leptin and MCP-1 were found in LBP patients compared to controls, whereas adiponectin did not differ among groups. MCP-1 was also lower in patients with non-persistent than in those with persistent LBP. Age, leptin (relative risk, 11.8; 95% CI, 3.9-35.8) and MCP-1 (relative risk, 2.7; 95% CI, 1.7-4.4) were independently associated with presence and duration of LBP. The combination of age, leptin and MCP-1 predicted 61% of the risk of LBP duration. The area under the curve of MCP-1 for distinguishing persistent from non-persistent LBP was 0.65 (95% CI, 0.54-0.76). CONCLUSIONS: Then results of our study suggest that leptin and MCP-1 may be promising biomarkers for diagnosis of acute LBP and its risk to become chronic. FAU - Lippi, Giuseppe AU - Lippi G AUID- ORCID: 0000-0001-9523-9054 AD - . FAU - Dagostino, Concetta AU - Dagostino C AD - . FAU - Buonocore, Ruggero AU - Buonocore R AD - . FAU - Aloe, Rosalia AU - Aloe R AD - . FAU - Bonaguri, Chiara AU - Bonaguri C AD - . FAU - Fanelli, Guido AU - Fanelli G AD - . FAU - Allegri, Massimo AU - Allegri M AD - . LA - eng PT - Journal Article PL - Germany TA - Clin Chem Lab Med JT - Clinical chemistry and laboratory medicine JID - 9806306 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Leptin) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Aged MH - C-Reactive Protein/analysis MH - Chemokine CCL2/*blood MH - Chronic Pain/blood/diagnosis MH - Female MH - Humans MH - Leptin/*blood MH - Low Back Pain/*blood/*diagnosis MH - Male MH - Middle Aged MH - Prognosis MH - Time Factors OTO - NOTNLM OT - MCP-1 OT - biomarkers OT - leptin OT - low back pain OT - pain EDAT- 2017/01/12 06:00 MHDA- 2017/08/22 06:00 CRDT- 2017/01/12 06:00 PHST- 2016/11/10 00:00 [received] PHST- 2016/12/03 00:00 [accepted] PHST- 2017/01/12 06:00 [pubmed] PHST- 2017/08/22 06:00 [medline] PHST- 2017/01/12 06:00 [entrez] AID - /j/cclm.ahead-of-print/cclm-2016-0942/cclm-2016-0942.xml [pii] AID - 10.1515/cclm-2016-0942 [doi] PST - ppublish SO - Clin Chem Lab Med. 2017 Aug 28;55(9):1368-1374. doi: 10.1515/cclm-2016-0942.