PMID- 33647713 OWN - NLM STAT- MEDLINE DCOM- 20220113 LR - 20220113 IS - 1096-0023 (Electronic) IS - 1043-4666 (Linking) VI - 141 DP - 2021 May TI - Elevated interleukin-37 associated with tophus and pro-inflammatory mediators in Chinese gout patients. PG - 155468 LID - S1043-4666(21)00048-X [pii] LID - 10.1016/j.cyto.2021.155468 [doi] AB - INTRODUCTION: Interleukin-37(IL-37), a natural inhibitor of innate immunity, has been identified to protect against various inflammatory diseases, including monosodium urate (MSU)-induced inflammation. However, the association of IL-37 with clinical indexes and pro-inflammatory mediators in gout patients remains unclear. The aim of this study was to determine IL-37 level in hyperuricemia and gout patients with or without tophus, and to investigate the correlations of IL-37 with clinical indexs such as Uric Acid (UA), CRP(C-reactive protein), Creatinine Clearance Rate (Ccr), Erythrocyte Sedimentation Rate (ESR) and so on, as well as with the pro-inflammatory mediators in serum including Interleukin-1beta(IL-1beta), Interleukin-6(IL-6) and Interleukin-18(IL-18) from gout patients. METHODOLOGY: The serum levels of IL-37, IL-1beta, IL-6 and IL-18 levels in serum of gout patients were determined by ELISA; the correlations between IL-37 and clinical values or pro-inflammatory mediators in serum of gout were analyzed by Spearman correlation test. RESULTS: The serum levels of IL-37 were higher in active gout patients than inactive gout patients and HCs, especially in active gout patients with tophus. No significant difference was observed in serum IL-37 levels between hyperuricemia and normal controls. IL-1beta, IL-6 and IL-18 levels were significant elevated in gout patients with tophus than those without tophus; Serum IL-37 were positively correlated with CRP and ESR, as well as with IL-1beta, IL-6 and IL-18, negatively correlated with Ccr, and not correlated with UA, creatinine (Cr) and triglyceride (TG) in gout patients. CONCLUSIONS: IL-37 increased in gout patients positively associated CRP and ESR, as well as with proinflammatory mediators IL-1beta, IL-6, IL-18, the presence of tophus and chronic kidney disease in gout. It may be a novel marker for predicting this pathology. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Ding, Liping AU - Ding L AD - Department of Rheumatology and Immunology, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, Shenzhen, China. FAU - Li, Heng AU - Li H AD - Department of Rheumatology and Immunology, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, Shenzhen, China. FAU - Sun, Baodong AU - Sun B AD - Department of Rheumatology and Immunology, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, Shenzhen, China. FAU - Wang, Tingting AU - Wang T AD - Department of Rheumatology and Immunology, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, Shenzhen, China. FAU - Meng, Shuhui AU - Meng S AD - Department of Rheumatology and Immunology, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, Shenzhen, China. FAU - Huang, Qin AU - Huang Q AD - Department of Rheumatology and Immunology, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, Shenzhen, China. FAU - Hong, Xiaoping AU - Hong X AD - Department of Rheumatology and Immunology, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, Shenzhen, China. Electronic address: 123@tom.com. FAU - Liu, Dongzhou AU - Liu D AD - Department of Rheumatology and Immunology, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, Shenzhen, China. Electronic address: Liu_dz2001@sina.com. LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210226 PL - England TA - Cytokine JT - Cytokine JID - 9005353 RN - 0 (IL37 protein, human) RN - 0 (Inflammation Mediators) RN - 0 (Interleukin-1) SB - IM MH - Adult MH - Aged MH - Female MH - Gout/*blood/diagnostic imaging/immunology MH - Humans MH - Inflammation Mediators/*blood/immunology MH - Interleukin-1/*blood/immunology MH - Male MH - Middle Aged OTO - NOTNLM OT - IL-18 OT - IL-1beta OT - IL-6 OT - Interleukin-37 OT - Tophus EDAT- 2021/03/02 06:00 MHDA- 2022/01/14 06:00 CRDT- 2021/03/01 20:16 PHST- 2020/11/05 00:00 [received] PHST- 2021/01/27 00:00 [revised] PHST- 2021/02/03 00:00 [accepted] PHST- 2021/03/02 06:00 [pubmed] PHST- 2022/01/14 06:00 [medline] PHST- 2021/03/01 20:16 [entrez] AID - S1043-4666(21)00048-X [pii] AID - 10.1016/j.cyto.2021.155468 [doi] PST - ppublish SO - Cytokine. 2021 May;141:155468. doi: 10.1016/j.cyto.2021.155468. Epub 2021 Feb 26.