Interleukin-17 and matrix metalloprotease-9 expression in the mycetoma granuloma

Emmanuel Edwar Siddig1,2,3, Ali Mahmoud Mohammed Edris2, Sahar Mubarak Bakhiet4

  • 1The Mycetoma Research Centre, University of Khartoum, Khartoum, Sudan.

Insights

Interleukin-17 (IL-17) and matrix metalloprotease-9 (MMP-9) are key inflammatory markers in mycetoma granulomas. Their expression correlates with disease severity and duration, independent of the causative agent.

Area of Science:

  • Immunology
  • Pathology
  • Dermatology

Background:

  • Mycetoma is a chronic inflammatory disease characterized by grains formed by causative agents.
  • The immunophenotypic characteristics and inflammatory processes in mycetoma granulomas are not fully understood.
  • Interleukin-17 (IL-17) and matrix metalloprotease-9 (MMP-9) are implicated in inflammatory and tissue remodeling processes.

Purpose of the Study:

  • To investigate the expression of IL-17 and MMP-9 in mycetoma granulomas.
  • To determine the correlation between IL-17 and MMP-9 expression and mycetoma disease severity.
  • To assess the relationship between these markers and the causative agents or patient characteristics.

Main Methods:

  • Immunohistochemical evaluation of IL-17 and MMP-9 expression in surgical biopsies from 100 mycetoma patients.
  • Analysis of marker expression in different zones of the granuloma.
  • Statistical analysis to correlate marker levels with disease duration, causative agents, and demographic data.

Main Results:

  • IL-17 was primarily expressed in granuloma Zones I and II, while MMP-9 was mainly found in Zones II and III.
  • MMP-9 expression was higher in bacterial mycetoma (Actinomadura pelletierii, Streptomyces somaliensis) compared to fungal mycetoma (Madurella mycetomatis).
  • MMP-9 levels showed a direct positive correlation with IL-17 levels (p = 0.001) and disease duration (p<0.001).

Conclusions:

  • IL-17 and MMP-9 are significantly expressed in mycetoma granulomas and their levels correlate with disease severity and duration.
  • The findings suggest a role for IL-17 and MMP-9 in the pathogenesis of mycetoma, irrespective of the etiological agent.
  • Further research into these markers could inform therapeutic strategies for mycetoma management.

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