دورية أكاديمية

TWEAK levels in psoriatic patients treated with narrowband ultraviolet B and methotrexate.

التفاصيل البيبلوغرافية
العنوان: TWEAK levels in psoriatic patients treated with narrowband ultraviolet B and methotrexate.
المؤلفون: Hegazy EM; Dermatology, Venereology, and Andrology Department, Faculty of Medicine, South Valley University, Qena, Egypt., El Taieb MA; Dermatology, Venerology, and Andrology Department, Faculty of Medicine, Aswan University, Aswan, Egypt., Ibrahim HM; Dermatology, Venereology, and Andrology Department, Faculty of Medicine, South Valley University, Qena, Egypt., Rageh EM; Dermatology, Venerology, and Andrology Department, Faculty of Medicine, Aswan University, Aswan, Egypt., Ahmed NM; Clinical Pathology Department, Faculty of Medicine, Aswan University, Aswan, Egypt., Ibrahim AK; Department of Public Health, Faculty of Medicine, Assiut University, Asyut, Jordan.; Basic Medical Science Department, Faculty of Medicine, Aqaba Medical Sciences University, Aqaba, Jordan., Younis AM; Dermatology, Venerology, and Andrology Department, Faculty of Medicine, Aswan University, Aswan, Egypt., Ali MA; Dermatology, Venerology, and Andrology Department, Faculty of Medicine, Aswan University, Aswan, Egypt.
المصدر: Journal of cosmetic dermatology [J Cosmet Dermatol] 2024 May; Vol. 23 (5), pp. 1905-1911. Date of Electronic Publication: 2024 Feb 01.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Country of Publication: England NLM ID: 101130964 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-2165 (Electronic) Linking ISSN: 14732130 NLM ISO Abbreviation: J Cosmet Dermatol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford, UK : Blackwell Science, c2002-
مواضيع طبية MeSH: Psoriasis*/blood , Psoriasis*/radiotherapy , Psoriasis*/therapy , Psoriasis*/drug therapy , Psoriasis*/diagnosis , Cytokine TWEAK*/blood , Methotrexate*/administration & dosage , Methotrexate*/therapeutic use , Ultraviolet Therapy*/methods, Humans ; Female ; Male ; Adult ; Middle Aged ; Combined Modality Therapy ; Dermatologic Agents/therapeutic use ; Dermatologic Agents/administration & dosage ; Severity of Illness Index ; Treatment Outcome ; Young Adult
مستخلص: Background: Psoriasis is an autoimmune disease which has an effect on the joints and skin. Tumor Necrosis Factor-Like Weak Inducer of Apoptosis (TWEAK) is a multi-functional cytokine which regulates the cellular processes and has been related to a variation of conditions.
Objectives: To measure the level of serum TWEAK in psoriatic diseased persons and its relationship to the PASI score pre- and post-therapy with narrowband ultraviolet B phototherapy (NB-UVB) and methotrexate (MTX).
Methods: This randomized controlled trial was conducted on 40 patients and 20 healthy persons as controls. Patient Group was randomly subdivided to two groups. The 1st group consisted of 20 patients who received NB-UVB treatment. The 2nd group included 20 MTX-treated candidates. Blood samples were drawn from patients in order to detect serum TWEAK levels using ELISA. The research was registered on Clinical Trials Registration: RCT approval numbers: NCT0481191.
Results: The mean PASI score percent improvement after 12 weeks of treatment was higher in the MTX group (90%) than NB-UVB group (60%). The serum TWEAK level at baseline was 60.47 ± 12.6 pg/mL in NB-UVB group and 54.69 ± 21.7 pg/mL in MTX group which reduced to 24.93 ± 17.6 pg/mL and 32.13 ± 23.6 pg/mL, respectively (p < 0.001), after 12 weeks of treatment. There was a positive correlation between the serum levels of TWEAK and severity of PASI score (r = 0.399, p = 0.014).
Conclusion: TWEAK grades in psoriasis are substantially higher than in controls. TWEAK levels were dramatically reduced during NB-UVB and MTX treatment. TWEAK may have a potential sign for psoriasis diagnosis and prognosis.
(© 2024 The Authors. Journal of Cosmetic Dermatology published by Wiley Periodicals LLC.)
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فهرسة مساهمة: Keywords: NB‐UVB; TWEAK; methotrexate; psoriasis
المشرفين على المادة: 0 (Cytokine TWEAK)
YL5FZ2Y5U1 (Methotrexate)
0 (TNFSF12 protein, human)
0 (Dermatologic Agents)
تواريخ الأحداث: Date Created: 20240201 Date Completed: 20240424 Latest Revision: 20240502
رمز التحديث: 20240503
DOI: 10.1111/jocd.16215
PMID: 38299446
قاعدة البيانات: MEDLINE
الوصف
تدمد:1473-2165
DOI:10.1111/jocd.16215