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Elevated serum resistin in juvenile idiopathic arthritis: relation to categories and disease activity
Tamer A Gheita1, Iman I El-Gazzar, Reem I El Shazly
1Rheumatology Departments, Faculty of Medicine, Cairo University, Cairo, Egypt. gheitamer@hotmail.com
Insights
Serum resistin levels are elevated in children with Juvenile Idiopathic Arthritis (JIA), particularly those with systemic onset. Higher resistin correlates with increased disease activity and functional status, suggesting its potential as a biomarker for JIA.
Area of Science:
- Rheumatology
- Pediatrics
- Immunology
Background:
- Juvenile Idiopathic Arthritis (JIA) is a chronic childhood disease leading to long-term disability.
- Understanding biomarkers for JIA is crucial for effective management.
Purpose of the Study:
- To assess serum resistin levels in JIA patients.
- To compare resistin levels across JIA categories, clinical features, and disease activity.
Main Methods:
- Enzyme-linked immunosorbent assay (ELISA) was used to measure serum resistin.
- Sixty-eight JIA patients and 33 controls were included.
- Disease activity and functional status were assessed using JADAS-27 and CHAQ.
Main Results:
- Serum resistin was significantly higher in JIA patients than controls (p<0.001).
- Elevated resistin was observed in systemic-onset JIA, steroid users, and those with positive antinuclear antibodies.
- Resistin correlated significantly with JADAS-27 and CHAQ scores.
Conclusions:
- Resistin plays a significant role in JIA pathogenesis.
- Resistin may serve as a valuable biomarker for JIA disease activity, especially in systemic-onset cases.
Background:
Juvenile Idiopathic Arthritis (JIA) is one of the more common chronic diseases of childhood that often persists into adulthood and can result in significant long-term morbidity, including physical disability. The aim of the present study was to assess the serum level of resistin in JIA patients and compare its levels according to the categories, clinical manifestations and disease activity.
Methods:
Sixty-eight JIA patients and 33 age and sex matched control children were included in the present study. All patients included in this study were subjected to full history taking, clinical examination. Juvenile arthritis disease activity score in 27 joints (JADAS-27) was calculated and Childhood Health Assessment Questionnaire (CHAQ) was used to measure the functional status. Serum resistin levels were measured by enzyme-linked immunosorbent assay (ELISA).
Results:
The mean serum resistin was significantly higher in the JIA patients (4.01 ± 2.46 ng/ml) compared to the control (2.08 ± 1.23 ng/ml) (p<0.001) especially those with systemic-onset. Its level was significantly higher in those receiving steroids and those with a positive antinuclear antibody. Resistin significantly correlated with the JADAS27 (r 0.26, p 0.035) and CHAQ (r 0.4, p 0.001). The JIA patients were 50 females and 18 males; however, the level of resistin was insignificantly different according to the gender although there was a tendency to be higher in females.
Conclusion:
Our results reinforce the proposition of an important role for resistin in JIA and may be considered an interesting biomarker for disease activity especially those with systemic onset.
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