PMID- 33162992 OWN - NLM STAT- MEDLINE DCOM- 20210614 LR - 20231213 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 11 DP - 2020 TI - Clinical Significance of Serum Soluble TNF Receptor I/II Ratio for the Differential Diagnosis of Tumor Necrosis Factor Receptor-Associated Periodic Syndrome From Other Autoinflammatory Diseases. PG - 576152 LID - 10.3389/fimmu.2020.576152 [doi] LID - 576152 AB - Objectives: Genetic analysis of TNFRSF1A can confirm the diagnosis of tumor necrosis factor receptor-associated periodic syndrome (TRAPS), but interpretation of the pathogenesis of variants of unknown significance is sometimes required. The aim of this study was to evaluate the clinical significance of serum soluble tumor necrosis factor receptor type I (sTNFR-I)/II ratio to differentiate TRAPS from other autoinflammatory diseases. Methods: Serum sTNFR-I and sTNFR-II levels were measured using an enzyme-linked immunosorbent assay in patients with TRAPS (n = 5), familial Mediterranean fever (FMF) (n = 14), systemic juvenile idiopathic arthritis (s-JIA) (n = 90), and Kawasaki disease (KD) (n = 37) in the active and inactive phase, along with healthy controls (HCs) (n = 18). Results: In the active phase, the serum sTNFR-I/II ratio in patients with s-JIA, KD, and FMF was significantly elevated compared with that in HCs, whereas it was not elevated in patients with TRAPS. In the inactive phase, the serum sTNFR-I/II ratio in patients with s-JIA and FMF was significantly higher compared with that in HCs, and the ratio was lower in TRAPS patients than in patients with s-JIA and FMF. Conclusions: Low serum sTNFR-I/II ratio in the active and inactive phase might be useful for the differential diagnosis of TRAPS and other autoinflammatory diseases. CI - Copyright (c) 2020 Yasumura, Shimizu, Toma, Yashiro, Yachie and Okada. FAU - Yasumura, Junko AU - Yasumura J AD - Department of Pediatrics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan. FAU - Shimizu, Masaki AU - Shimizu M AD - Department of Pediatrics, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan. FAU - Toma, Tomoko AU - Toma T AD - Department of Pediatrics, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan. FAU - Yashiro, Masato AU - Yashiro M AD - Department of Pediatrics, Okayama University Hospital, Okayama, Japan. FAU - Yachie, Akihiro AU - Yachie A AD - Department of Pediatrics, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan. FAU - Okada, Satoshi AU - Okada S AD - Department of Pediatrics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan. LA - eng PT - Comparative Study PT - Journal Article DEP - 20201014 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Biomarkers) RN - 0 (Receptors, Tumor Necrosis Factor, Type I) RN - 0 (Receptors, Tumor Necrosis Factor, Type II) RN - 0 (TNFRSF1A protein, human) RN - 0 (TNFRSF1B protein, human) RN - Periodic fever, familial, autosomal dominant SB - IM MH - Adolescent MH - Adult MH - Biomarkers/blood MH - Case-Control Studies MH - Child MH - Child, Preschool MH - Diagnosis, Differential MH - *Enzyme-Linked Immunosorbent Assay MH - Familial Mediterranean Fever/blood/*diagnosis/immunology MH - Female MH - Fever/blood/*diagnosis/immunology MH - Hereditary Autoinflammatory Diseases/blood/*diagnosis/immunology MH - Humans MH - Hyaline Fibromatosis Syndrome/blood/*diagnosis/immunology MH - Infant MH - Infant, Newborn MH - Male MH - Middle Aged MH - Mucocutaneous Lymph Node Syndrome/blood/*diagnosis/immunology MH - Predictive Value of Tests MH - Receptors, Tumor Necrosis Factor, Type I/*blood MH - Receptors, Tumor Necrosis Factor, Type II/*blood MH - Young Adult PMC - PMC7591697 OTO - NOTNLM OT - Kawasaki disease (KD) OT - familial Mediterranean fever OT - soluble tumor necrosis factor receptor OT - systemic juvenile idiopathic arthritis (sJIA) OT - tumor necrosis factor receptor associated periodic syndrome (TRAPS) EDAT- 2020/11/10 06:00 MHDA- 2021/06/16 06:00 PMCR- 2020/01/01 CRDT- 2020/11/09 05:31 PHST- 2020/06/25 00:00 [received] PHST- 2020/09/07 00:00 [accepted] PHST- 2020/11/09 05:31 [entrez] PHST- 2020/11/10 06:00 [pubmed] PHST- 2021/06/16 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2020.576152 [doi] PST - epublish SO - Front Immunol. 2020 Oct 14;11:576152. doi: 10.3389/fimmu.2020.576152. eCollection 2020.