SERUM CONCENTRATION OF TNF-ALPHA AMONG PATIENTS WITH CHRONIC SPONTANEOUS URTICARIA

Thái Vân Thanh Lê, Khánh Huy Mạch

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Abstract

Background: Chronic spontaneous urticaria is a common skin disorder with high recurrent rate. The disease’s pathogenesis is closely related to the release of histamine and vascular activating chemical mediators from mast cells. Besides, many studies show that cytokines play an essential role in the pathogenesis. Tumor necrosis factor - alpha (TNF-alpha) is a proinflammatory cytokine intimately involved in inflammatory, immune, and pruritic response. Objective: Our research aimed to determine clinical characteristics, epidemiology and level of TNF-alpha serum concentration in patients with chronic spontaneous urticaria at University Medical Center of Ho Chi Minh city. Methods: 60 chronic spontaneous urticaria patients (age ≥18) was recruited. 30 healthy adults served as the control group. UAS7 of chronic urticaria patients was evaluated during the interview. Serum TNF-alpha was measured using Avi Bion Human TNF-alpha. Results: 60 patients with chronic spontaneous urticaria (18 men and 42 women) had median age at 35.8 ± 10.4 years. The serum concentration of TNF-alpha in the group of chronic spontaneous urticaria patients was significantly higher than that of the healthy group (p=0.0002). Conclusion: Serum TNF-alpha was significantly rose in chronic spontaneous urticaria patients. Therefore, our finding suggests that TNF-alpha holds the key in chronic spontaneous urticaria pathogenesis and serum TNF-alpha could be used as a clinical marker of severity in this condition.

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References

1. Rapini RP. Urticarias. Bolognia: Dermatology (2nd ed, vol1). 2008:459-567.
2. Sánchez-Borges M, Asero R, Ansotegui IJ, et al. Diagnosis and treatment of urticaria and angioedema: a worldwide perspective. The World Allergy Organization journal. Nov 2012;5(11):125-47. doi:10.1097/WOX.0b013e3182758d6c
3. Hermes B, Prochazka AK, Haas N, Jurgovsky K, Sticherling M, Henz BM. Upregulation of TNF-alpha and IL-3 expression in lesional and uninvolved skin in different types of urticaria. The Journal of allergy and clinical immunology. Feb 1999;103(2 Pt 1):307-14. doi:10.1016/s0091-6749(99)70506-3
4. Atwa MA, Emara AS, Youssef N, Bayoumy NM. Serum concentration of IL-17, IL-23 and TNF-α among patients with chronic spontaneous urticaria: association with disease activity and autologous serum skin test. Journal of the European Academy of Dermatology and Venereology : JEADV. Apr 2014;28(4):469-74. doi:10.1111/jdv.12124
5. Grzanka R, Damasiewicz-Bodzek A, Kasperska-Zajac A. Tumor necrosis factor-alpha and Fas/Fas ligand signaling pathways in chronic spontaneous urticaria. Allergy Asthma Clin Immunol. 2019;15:15. doi:10.1186/s13223-019-0332-7
6. Magerl M, Philipp S, Manasterski M, Friedrich M, Maurer M. Successful treatment of delayed pressure urticaria with anti-TNF-alpha. The Journal of allergy and clinical immunology. Mar 2007;119(3):752-4. doi:10.1016/j.jaci.2006.12.658
7. Sand FL, Thomsen SF. TNF-Alpha Inhibitors for Chronic Urticaria: Experience in 20 Patients. Journal of allergy. 2013;2013:130905. doi: 10.1155/2013/130905
8. Wilson LH, Eliason MJ, Leiferman KM, Hull CM, Powell DL. Treatment of refractory chronic urticaria with tumor necrosis factor-alfa inhibitors. Journal of the American Academy of Dermatology. Jun 2011; 64(6):1221-2. doi:10.1016/ j.jaad.2009.10.043
9. Sharma P, Sharma PK, Chitkara A, Rani S. To Evaluate the Role and Relevance of Cytokines IL-17, IL-18, IL-23 and TNF-α and Their Correlation with Disease Severity in Chronic Urticaria. Indian dermatology online journal. Jul-Aug 2020;11(4):594-597. doi:10.4103/idoj.IDOJ_396_19
10. Lee KH, Kim JY, Kang DS, Choi YJ, Lee WJ, Ro JY. Increased expression of endothelial cell adhesion molecules due to mediator release from human foreskin mast cells stimulated by autoantibodies in chronic urticaria sera. The Journal of investigative dermatology. Apr 2002;118(4):658-63. doi:10.1046/j.1523-1747.2002.01733.x
11. Altrichter S, Peter HJ, Pisarevskaja D, Metz M, Martus P, Maurer M. IgE mediated autoallergy against thyroid peroxidase--a novel pathomechanism of chronic spontaneous urticaria? PLoS One. Apr 12 2011;6(4):e14794. doi:10.1371/journal.pone.0014794
12. Rasool R, Ashiq I, Shera IA, Yousuf Q, Shah ZA. Study of serum interleukin (IL) 18 and IL-6 levels in relation with the clinical disease severity in chronic idiopathic urticaria patients of Kashmir (North India). Asia Pac Allergy. Oct 2014; 4(4):206-11. doi:10.5415/apallergy.2014.4.4.206