Abstract
Serum IL-17 levels and IL-17 mRNA expression have been reported to be higher in psoriatic skin than normal skin. There are very limited data in the literature about difference in the levels of this cytokine in various clinical disease subtypes. We aimed to evaluate whether there is a difference in the level of this cytokine according to clinical subtypes of psoriasis. 70 psoriasis patients (30 plaque psoriasis, 20 guttate psoriasis, and 20 pustular psoriasis) and 50 age- and sex-matched healthy volunteers were included in the study. Serum IL-17 levels were determined by ELISA. Skin biopsies obtained from lesions and non-lesional skin area of 12 patients and healthy individuals (n = 5) were analyzed by quantitative PCR (qPCR) to measure the mRNA levels of IL-17. Statistically, the serum IL-17 levels did not exhibit any difference between the patients and control groups. However, analysis of each subgroup revealed that the IL-17 levels were significantly higher in pustular psoriasis group (10.09 ± 12.6 pg/ml) than controls (4.4 ± 4.1 pg/ml) (p = 0.02). In addition, the IL-17 levels of plaque psoriasis patients with PASI score ≥10 (11.30 ± 6.0 pg/ml) were significantly higher than that of patients with PASI score <10 (3.39 ± 2.6 pg/ml) and controls (p < 0.001). The Pearson correlation analysis showed a positive correlation between the serum IL-17 levels and PASI. Lesional skin samples of psoriasis patients showed significantly higher levels of IL-17 mRNA compared with perilesional skin samples (p = 0.017). Also, in the pustular psoriasis, IL-17 mRNA levels were found to be distinctively high in comparison with other clinical subtypes and healthy controls. Our results indicate that IL-17 and Th17 cells have an important role in pustular psoriasis and severe psoriasis.
References
Arican O, Aral M, Sasmaz S, Ciragil P (2005) Serum levels of TNF-alpha, IFN-gamma, IL-6, IL-8, IL-12, IL-17, and IL-18 in patients with active psoriasis and correlation with disease severity. Mediat Inflamm 5:273–279
Chen X, Tan Z, Yue Q, Liu H, Liu Z, Li J (2006) The expression of interleukin-23 (p19/p40) and interleukin-12 (p35/p40) in psoriasis skin. J Huazhong Univ Sci Technol Med Sci 26:750–752
Ekinci NS, Alpsoy E, Karakas AA, Yilmaz SB, Yegin O (2010) IL-17A has an important role in the acute attacks of Behçet’s disease. J Invest Dermatol 130:2136–2138
Furuzawa-Carballeda J, Vargas-Rojas MI, Cabral AR (2007) Autoimmune inflammation from the Th17 perspective. Autoimmun Rev 6:169–175
Johensen C, Usher PA, Kjellerup RB, Lundsgaard D, Iversen L, Kragballe K (2009) Characterization of the interleukin-17 isoforms and receptors in lesional psoriatic skin. Br J Dermatol 160:319–324
Kaçar C, Sezer I, Kocabaş H, Cay HF, Cevikol C, Alpsoy E, Alkan Melikoğlu M, Akman A (2010) Sacroiliac joint involvement in psoriasis. Rheumatol Int 30:1263–1266
Kagami S, Rizzo HL, Lee JJ, Koguchi Y, Blauvelt A (2010) Circulating Th17, Th22, and Th1 cells are increased in psoriasis. J Invest Dermatol 130:1373–1383
Kolls JK, Linden A (2004) Interleukin-17 family members and inflammation. Immunity 21:467–476
Lee E, Trepicchio WL, Oestreicher JL, Pittman D, Wang F, Chamian F, Dhodapkar M, Krueger JG (2004) Increased expression of interleukin-23 p19 and p40 in lesional skin of patients with psoriasis vulgaris. J Exp Med 199:125–130
Li J, Chen X, Liu Z, Yue Q, Liu H (2007) Expression of Th17 cytokines in skin lesions of patients with psoriasis. J Huazhong Univ Sci Technol Med Sci 27:330–332
Takahashi H, Tsuji H, Hashimoto Y, Ishida-Yamamoto A, Iizuka H (2010) Serum cytokines and growth factor levels in Japanese patients with psoriasis. Clin Exp Dermatol 35:645–649
Yan KX, Fang X, Han L, Zhang ZH, Kang KF, Zheng ZZ, Huang Q (2010) Foxp3+ regulatory T cells and related cytokines differentially expressed in plaque vs. guttate psoriasis vulgaris. Br J Dermatol 163(1):48–56
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We would like to thank Prof. Ugur Yavuzer for her careful review of the manuscript.
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Yilmaz, S.B., Cicek, N., Coskun, M. et al. Serum and tissue levels of IL-17 in different clinical subtypes of psoriasis. Arch Dermatol Res 304, 465–469 (2012). https://doi.org/10.1007/s00403-012-1229-1
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DOI: https://doi.org/10.1007/s00403-012-1229-1