Change of serum interleukin-6 level in patients with cirrhosis
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Abstract
Objective: To evaluate Interleukin (IL)-6 in prediction cirrhosis and its severity. Subject and method: A prospective, cross-sectional descriptive study carried out on 60 patients with cirrhosis and 30 control healthy subjects in Digestive Department of 103 Military Hospital. IL-6 concentration in plasma was determined by Enzyme-Linked ImmunoSorbent Assay (ELISA). Result: Median plasma IL-6 levels in patients with cirrhosis was 7.79pg/mL, significantly higher than that in control group (6.68pg/mL), p<0.001. IL-6 predicted cirrhosis with AUC of 0.85 (95% CI: 0.76 - 0.93). Serum IL-6 levels were significantly positive correlated to Child-Pugh score (r = 0.34, p=0.009). At the cut-off value of 7.46pg/mL, IL-6 had 91.7% sensitivity, 45.8% specificity for predicting Child-Pugh B/C cirrhosis. Conclusion: The serum IL-6 was a useful biomarker in detection of cirrhosis and its severity according to Child-Pugh classification
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References
2. El-Atty EAA, El Shayeb EI et al (2019) Study of interleukin‑6 and its role in hepatic encephalopathy in patients with liver cirrhosis. Menoufia Medical Journal 32(3): 906-909.
3. Gudowska-Sawczuk M, Wrona A et al (2018) Serum level of interleukin-6 (IL-6) and N-terminal propeptide of procollagen type I (PINP) in patients with liver diseases. Scand J Clin Lab Invest 78(1-2): 125-130.
4. Labenz C, Toenges G et al (2019) Raised serum Interleukin-6 identifies patients with liver cirrhosis at high risk for overt hepatic encephalopathy. Aliment Pharmacol Ther 50(10): 1112-1119.
5. Nandeesha H, Rajappa M et al (2016) Carbohydrate deficient transferrin and interleukin-6 as predictors of fibrosis in alcohol cirrhosis. Indian J Clin Biochem 31(1): 117-120.
6. Naseem S, Hussain T, Manzoor S (2018) Interleukin-6: A promising cytokine to support liver regeneration and adaptive immunity in liver pathologies. Cytokine Growth Factor Rev 39: 36-45.
7. Prystupa A, Kiciński P et al (2015) Proinflammatory Cytokines (IL-1α, IL-6) and Hepatocyte Growth Factor in Patients with Alcoholic Liver Cirrhosis. Gastroenterol Res Pract: 532615.
8. Remmler J, Schneider C et al (2018) Increased level of Interleukin 6 associates with increased 90-day and 1-year mortality in patients with end-stage liver disease. Clin Gastroenterol Hepatol 16(5): 730-737.
9. Salgüero S, Medrano LM et al (2020) Plasma IP-10 and IL-6 are linked to Child-Pugh B cirrhosis in patients with advanced HCV-related cirrhosis: A cross-sectional study. Sci Rep 10(1): 10384.
10. Zuwała-Jagiełło J, Pazgan-Simon M et al (2011) Advanced oxidation protein products and inflammatory markers in liver cirrhosis: A comparison between alcohol-related and HCV-related cirrhosis. Acta Biochim Pol 58(1): 59-65.