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- Title
Cytokine Dynamics in Acute Pancreatitis: The Quest for Biomarkers from Acute Disease to Disease Resolution.
- Authors
Malheiro, Filipa; Ângelo-Dias, Miguel; Lopes, Teresa; Martins, Catarina Gregório; Borrego, Luis Miguel
- Abstract
Background: Acute pancreatitis (AP) is an inflammatory disease of the pancreas with incompletely known pathogenic mechanisms. This study aimed to explore the temporal changes in serum cytokines in patients with AP and to assess the association of these changes with disease severity. Methods: Fifty patients hospitalized with AP were enrolled, and their serum cytokine levels were analyzed at four different time points. A healthy control (HC) group of 30 outpatients was included. Results: AP patients showed increased levels of interleukin (IL)-6, IL-8, IL-10, vascular endothelial growth factor (VEGF), tumor necrosis factor (TNF)-alpha, and monocyte chemoattractant protein (MCP)-1 at admission when compared with HC. IL-6, VEGF, and EGF remained elevated 1 month after hospitalization and 6 months after discharge. Conclusions the Bedside Index of Severity in Acute Pancreatitis (BISAP) and severity classification of the revised Atlanta classification system, IL-6 and VEGF, determined 48 h after hospitalization, were the two cytokines consistently elevated in the most severe patients. Increased levels of IL-4, IL-6, IL-10, and TNF-alpha at admission and MCP-1 48 h after admission are also related to the length of hospital stay. Conclusions: Our study highlights the role cytokines play in the pathogenesis of AP and can be useful in the development of future drug trials for AP.
- Subjects
ATLANTA (Ga.); VASCULAR endothelial growth factors; TUMOR necrosis factors; MONOCYTE chemotactic factor; CYTOKINES; ACUTE diseases; CHRONIC pancreatitis
- Publication
Journal of Clinical Medicine, 2024, Vol 13, Issue 8, p2287
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm13082287