PMID- 30242748 OWN - NLM STAT- MEDLINE DCOM- 20190814 LR - 20200225 IS - 1568-5608 (Electronic) IS - 0925-4692 (Linking) VI - 27 IP - 1 DP - 2019 Feb TI - IL-1beta, IL-17A and combined phototherapy predicts higher while previous systemic biologic treatment predicts lower treatment response to etanercept in psoriasis patients. PG - 57-66 LID - 10.1007/s10787-018-0530-9 [doi] AB - BACKGROUND: This study aimed to explore the correlation of circulating inflammatory cytokines' levels with treatment response to etanercept (ETN) treatment in psoriasis patients. METHODS: 97 moderate-to-severe plaque-psoriasis patients were continuously recruited in this prospective cohort study, and all patients received ETN treatment. Serum samples were collected before and at 6 months (M6) after treatment, and nine inflammatory cytokines expressions were detected by enzyme-linked immuno sorbent assay. Psoriasis Area and Severity Index (PASI) score was evaluated at baseline (M0), 1 month (M1), 3 months (M3) and M6 after treatment, and the corresponding PASI 75/90 responses' rates were calculated. RESULTS: Tumor necrosis factor-alpha (TNF-alpha), interleukin (IL)-1beta, IL-6, IL-12, IL-17A, IL-22, IL-23, and IL-32 levels were reduced, while IL-10 level was elevated at M6 after ETN treatment compared to baseline. PASI 75/90 responses' rates to ETN were 69.1 and 38.1% at M6, respectively. IL-1beta and IL-17A levels were elevated in PASI 75-response patients compared to PASI 75 non-response patients, while IL-17A level was also increased in PASI 90-response patients compared to PASI 90 non-response patients. Multivariate logistic regression revealed that IL-1beta, IL-17A and combined phototherapy during study predicted higher, while previous systemic biologic treatment predicted lower PASI 75 response to ETN independently. In addition, IL-17A independently predicted higher PASI 90 response to ETN as well. CONCLUSIONS: IL-1beta, IL-17A, and combined phototherapy predicts higher while previous systemic biologic treatment predicts lower treatment response to ETN independently in psoriasis patients. FAU - Liu, Yufang AU - Liu Y AD - Department of Dermatology, The People's Hospital of Shiyan, The Affiliated People's Hospital, Hubei University of Medicine, 39 Middle Chaoyang Road, Shiyan, 442000, China. FAU - Qin, Guifang AU - Qin G AD - Department of Dermatology, The People's Hospital of Shiyan, The Affiliated People's Hospital, Hubei University of Medicine, 39 Middle Chaoyang Road, Shiyan, 442000, China. FAU - Meng, Zudong AU - Meng Z AUID- ORCID: 0000-0002-2158-6368 AD - Department of Dermatology, The People's Hospital of Shiyan, The Affiliated People's Hospital, Hubei University of Medicine, 39 Middle Chaoyang Road, Shiyan, 442000, China. mengzudong3320@126.com. FAU - Du, Tianping AU - Du T AD - Department of Neurosurgery, The People's Hospital of Shiyan, The Affiliated People's Hospital, Hubei University of Medicine, Shiyan, China. FAU - Wang, Xiaolan AU - Wang X AD - Department of Dermatology, The People's Hospital of Shiyan, The Affiliated People's Hospital, Hubei University of Medicine, 39 Middle Chaoyang Road, Shiyan, 442000, China. FAU - Tang, Yong AU - Tang Y AD - Department of Rehabilitation, Sinopharm Dong Feng General Hospital, The Affiliated Dong Feng Hospital, Hubei University of Medicine, Shiyan, China. FAU - Cao, Jingjing AU - Cao J AD - Department of Dermatology, The People's Hospital of Shiyan, The Affiliated People's Hospital, Hubei University of Medicine, 39 Middle Chaoyang Road, Shiyan, 442000, China. LA - eng PT - Journal Article DEP - 20180921 PL - Switzerland TA - Inflammopharmacology JT - Inflammopharmacology JID - 9112626 RN - 0 (IL17A protein, human) RN - 0 (Interleukin-17) RN - 0 (Interleukin-1beta) RN - 0 (Tumor Necrosis Factor-alpha) RN - OP401G7OJC (Etanercept) MH - Etanercept/*therapeutic use MH - Female MH - Humans MH - Interleukin-17/*metabolism MH - Interleukin-1beta/*metabolism MH - Male MH - Middle Aged MH - Phototherapy/methods MH - Prospective Studies MH - Psoriasis/*drug therapy/*metabolism MH - Severity of Illness Index MH - Treatment Outcome MH - Tumor Necrosis Factor-alpha/metabolism OTO - NOTNLM OT - Inflammatory cytokines OT - PASI score OT - Psoriasis OT - Treatment response EDAT- 2018/09/23 06:00 MHDA- 2019/08/15 06:00 CRDT- 2018/09/23 06:00 PHST- 2018/07/20 00:00 [received] PHST- 2018/09/07 00:00 [accepted] PHST- 2018/09/23 06:00 [pubmed] PHST- 2019/08/15 06:00 [medline] PHST- 2018/09/23 06:00 [entrez] AID - 10.1007/s10787-018-0530-9 [pii] AID - 10.1007/s10787-018-0530-9 [doi] PST - ppublish SO - Inflammopharmacology. 2019 Feb;27(1):57-66. doi: 10.1007/s10787-018-0530-9. Epub 2018 Sep 21.