TNF-α plays a role in sleep disturbance in patients with rotator cuff tear

2021 ◽  
Author(s):  
Chul-Hyun Cho ◽  
Du Hwan Kim ◽  
Eun Hee Baek ◽  
Du-Han Kim
Keyword(s):  
Rotator Cuff ◽  
Sleep Disturbance ◽  
Serum Levels ◽  
Control Group ◽  
Control Groups ◽  
Cuff Tear ◽  
Clinical Scores ◽  
Tnf Α ◽  
And Control ◽  
Concentration Levels

Abstract Background The purpose of this study was to determine serum levels of sleep-related cytokines in patients with rotator cuff tear (RCT) and to investigate the correlations between serum levels of sleep-related cytokines and clinical scores. Methods Peripheral blood samples were collected from 63 study participants were divided into three groups: RCT patients with sleep disturbance (sleep disturbance group; SD group) (n = 21), RCT patients without sleep disturbance (normal sleep group; NS group) (n = 21), and patients with shoulder instability (control group) (n = 21). Serum concentration levels of sleep-related cytokines including interleukin-1α (IL-1α), IL-1β, IL-2, IL-6, IL-8, IL-10, and tumor necrosis factor-α (TNF-α) were measured via enzyme-linked immunosorbent assay. The associations between serum levels of sleep-related cytokines and clinical scores including the Visual Analogue Scale (VAS) pain score, the University of California at Los Angeles (UCLA) score, and the Pittsburgh Sleep Quality Index (PSQI) were analyzed. Results Serum concentration levels of TNF-α were significantly higher in the SD group compared with those of the NS and control groups (P = < 0.001 and 0.05). Serum levels of IL-8 and IL-10 were significantly higher in the SD group compared with those of control group (P = 0.01 and = 0.05), but did not differ significantly from that of the NS group (P > 0.05). Serum level of IL-6 was significantly lower in the SD group compared with those of the NS and control groups (P = < 0.001 and 0.01). There were no associations between serum levels of sleep-related cytokines and all clinical scores including VAS pain, UCLA, and PSQI scores (all P > 0.05). Conclusion The current findings suggest that TNF-α may play a significant role in the pathophysiology of sleep disturbance in patients with RCT and be a possible therapeutic target to improve sleep disturbance in patients with RCT.

scholarly journals Serum Levels of TNF-α Are Increased in Patients with Rotator Cuff Tear and Sleep Disturbance

Diagnostics ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. 2215
Author(s):  
Chul-Hyun Cho ◽  
Du-Hwan Kim ◽  
Eun-Hee Baek ◽  
Du-Han Kim
Keyword(s):  
Rotator Cuff ◽  
Serum Concentration ◽  
Sleep Disturbance ◽  
Rotator Cuff Tear ◽  
Serum Levels ◽  
Control Group ◽  
Cuff Tear ◽  
Clinical Scores ◽  
Tnf Α ◽  
Concentration Levels

The purpose of this study was to determine serum levels of sleep-related cytokines in patients with rotator cuff tear (RCT) who were experiencing pain-related sleep disturbance. Peripheral blood samples before surgery were collected from 63 study participants and divided into three groups: RCT with sleep disturbance group; SD group (n = 21), RCT with normal sleep group; NS group (n = 21), and patients with chronic shoulder instability; control group (n = 21). Serum concentration levels of interleukin-1α (IL-1α), IL-1β, IL-2, IL-6, IL-8, IL-10, and tumor necrosis factor-α (TNF-α) were measured via ELISA. The associations between serum levels of sleep-related cytokines and clinical scores and the Pittsburgh Sleep Quality Index (PSQI) were analyzed. Serum concentration levels of TNF-α were significantly higher in the SD group compared with those of the NS and control groups (p ≤ 0.001 and 0.05). Serum levels of IL-8 and IL-10 were significantly higher in the SD group compared with those of control group (p = 0.01 and = 0.05), but did not differ significantly from that of the NS group. There were no associations between serum levels of sleep-related cytokines and all clinical scores. The current findings suggest that TNF-α may be associated with sleep disturbance in patients with RCT.

Plasma kisspeptin and ghrelin levels in puberty variant cases

2017 ◽  
Vol 30 (5) ◽  
Author(s):  
Erdal Kurnaz ◽  
Yaşar Şen ◽  
Süleyman Aydın
Keyword(s):  
Serum Levels ◽  
Control Group ◽  
Control Groups ◽  
Premature Thelarche ◽  
Premature Adrenarche ◽  
Significant Difference ◽  
And Gender ◽  
And Control ◽  
Relationship Of ◽  
The Relationship

AbstractBackground:The aim of this study was to determine the serum levels of kisspeptin and ghrelin (GAH), as well as the relationship of these two peptides with each other in premature thelarche (PT) and premature adrenarche (PA) cases and to investigate the possibility of using these peptides as markers in the differentiation of puberty disorders.Methods:A PT group aged 1–8 years (n = 40), a PA group aged 1–9 years (n = 23, female/male = 20/3) and control groups consistent with each of the previous groups in terms of age and gender were created for the study. Kisspeptin and ghrelin levels were measured with ELISA methods from blood samples drawn while fasting in the morning.Results:When the PT group was compared with the controls, the plasma kisspeptin levels of the cases were significantly higher than the control group (165.47 ± 15.45 pmol/L, 96.82 ± 12.33 pmol/L, p = 0.005, respectively). Kisspeptin levels in the PA group did not show a difference with the control group (121.36 ± 17.99 pmol/L, 95.52 ± 11.54 pmol/L, p = 0.249, respectively). No significant difference could be found when GAH levels in the PT and PA groups were compared with controls. No significant correlation was found between kisspeptin and GAH levels in the PT and PA groups.Conclusions:Our results indicate that kisspeptin plays an important role in the PT, but GAH is not associated with puberty disorders.

scholarly journals The Assessment of 25-Hydroxy Vitamin D Serum Level in Asthmatic Patients: A Case-Control Study

2017 ◽  
Vol 5 (2) ◽  
pp. 65-69
Author(s):  
Mohammad Rasoul Sharanjani ◽  
Ebrahim Nadi ◽  
Maryam Vasheghani ◽  
Mohammad Jafari ◽  
Jalal Poorolajal
Keyword(s):  
Vitamin D ◽  
Serum Levels ◽  
Control Group ◽  
Control Groups ◽  
Asthmatic Patients ◽  
25 Hydroxy Vitamin D ◽  
The Mean ◽  
25 Oh Vitamin D ◽  
And Control ◽  
Control Study

Background: The prevalence of vitamin D deficiency is increasing due to changes in lifestyle and dietary habits. The aim of this study was to compare the serum levels of 25-hydroxy vitamin D between patients with bronchial asthma and the healthy control group. Patients and Methods: In this case-control study, 45 patients with asthma and 45 healthy subjects were enrolled and the level of serum 25 (OH) vitamin D was measured in both groups. In addition, a welltrained observer assessed airway reversibility, peak flowmetry and spirometry in the participants. The data were statistically analyzed using t test, one-way analysis of variance (ANOVA), and chi-square test with Stata software (version 11). Results: The mean age (±SD) of participants were 49.06 ±16.43 and 46.13 ±16.10 years in case and control groups, respectively (P=.394). The prevalence of vitamin D deficiency was high in both groups (69% in case and 65.5% in control groups). The mean (±SD) serum 25 (OH) vitamin D was 16.24 (±14.98) ng/ml in case group and 17.70 (±16.07) ng/mL in control group (P=.657). We found a positive correlation between the levels of vitamin D and the amount of FEV1 (r=0.2). Conclusions: According to the present study, the mean serum levels of vitamin D differences were not statistically significant between asthmatic patients and control group. However, the results of this study showed a positive relationship between forced expiratory volumes in first second (FEV1) and vitamin D levels

scholarly journals Recombinant Human Bone Morphogenetic Proteins-4 Enhanced the Tendon-to-bone Attachment Healing in a Murine Model of Rotator Cuff Tear: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Huabin Chen ◽  
Zhanwen Wang ◽  
Li Zhou ◽  
Bing Wu ◽  
Hongbin Lu ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Bone Morphogenetic Proteins ◽  
Murine Model ◽  
Controlled Trial ◽  
Supraspinatus Tendon ◽  
Control Group ◽  
Cuff Tear ◽  
Tendon Insertion ◽  
And Control

Abstract Background: Injuries on tendon-to-bone attachment (TBA) are common clinical dilemmas. Bone Morphogenetic Proteins-4 (BMP-4) has been found the potency in chondrogenesis. But there is rare studies focusing the influence of BMP-4 on the TBA healing. Thus, the objective of this study was to explore the effect of BMP-4 on the healing of TBA in murine model of rotator cuff tear.Methods: 120 mature C57BL/6 mice (12 weeks old) were randomly divided into BMP-4 group, noggin (an inhibitor of all BMP activities) group and control group after being established an injury model of supraspinatus tendon insertion. At week 2 and 4 after surgery, the supraspinatus tendon- humerus complex (SSTHC) were harvested for microradiographic, histologic, immunofluorescent and biomechanical evaluations.Results: Radiographic data showed that BMP-4 was able to improve the quality of subchondral bone, manifested as higher BV/TV, Tb.N, TB.Th, and lower Tb.Sp. Histologically, the BMP-4 group at week-2 and -4 showed better BTA healing interface, characterized by better organizational integration and remodeling, thicker fibrocartilage layer and more fibrocartilage cells. Immunoflorescence evaluation demonstrated the number of SOX 9 positive cells in the BMP-4 group was significantly more than that in the control or noggin group at postoperative weeks 2 and 4 (p<0.05 for all). Mechanical testing results demonstrated the failure load and stiffness in the BMP-4 group were significantly higher (p<0.05 for both), while in the noggin group were lower (p<0.05 for both), compared to the control group at postoperative weeks 4.Conclusion: BMP-4 might enhance the TBA healing by promoting the regeneration of fibrocartilaginous enthesis and mineralization, while noggin inhibited this process.Clinical Relevance: BMP-4 may be a potential therapy to augment TBA healing, and finally lead to more rapid rehabilitation and reduce risk of recurrent repair.

scholarly journals Caspase 3 in the pathogenesis of diabetic nephropathy: relationship with NF-κB gene expression and AOPP

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Ferdous Abass Jaber ◽  
Anwar Jasib Almzaiel ◽  
Nawal khinteel Jabbar
Keyword(s):  
Oxidative Stress ◽  
Diabetic Nephropathy ◽  
Caspase 3 ◽  
Cell Damage ◽  
Colorimetric Method ◽  
Serum Levels ◽  
Control Group ◽  
Control Groups ◽  
Induced Apoptosis ◽  
And Control

Diabetic nephropathy (DN) is the most common and prevalent complication of diabetes mellitus (DM). Persistent hyperglycemia was induced oxidative stress,leading to cell damage and death by apoptosis,and enhanced the development of DN. However,the mechanism by which hyperglycemia induces apoptosis is not well understood. 60 patients (30 patients with Typ2 DM,30 patients with DN) and 30 healthy subjects as control group were enrolled in this study. Serum levels of advanced oxidation protein products (AOPPs) and CAT activity as indirect markers of oxidative stress were measured by the colorimetric method,level of serum caspase-3 as a proapoptotic biomarker was also measured by ELISA. Additionally,expression of the apoptotic genes,nuclear factor-B (NF-κB) in serum was investigated using qPCR. The level of AOPP was significantly increased in DN and DM group than control (P <0.05),while CAT activity in DN significantly decrease (P< 0.05) as compared with DM and control groups. Levels of caspase-3 in DN patients were significantly higher than DM and control groups (𝑃< 0.05),with upregulation of NF-κB mRNA gene expression.This study identified caspase-3 as a final common mediator of high glucose-induced apoptosis and have an important role in DN pathogenesis and progression. Apoptosis seems to be associated with an alteration in inflammatory mediators such as oxidative stress.

scholarly journals Studying the Frequency of Autoimmune Thyroid Diseases in Duhok Province

2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Rozheen I. Hasan ◽  
Amir H. Raziq
Keyword(s):  
Venous Blood ◽  
Serum Levels ◽  
Control Group ◽  
Thyroid Disorder ◽  
Control Groups ◽  
Autoimmune Thyroid Diseases ◽  
Autoimmune Thyroid ◽  
Significant Difference ◽  
The One ◽  
And Control

Thyroid disorders are one of the most frequent disorders affecting endocrine system. The present study aimed to identify the frequency of thyroid disorder in our locality at Duhok city. To do so, a total of one hundred patients and one hundred apparently healthy control individuals were enrolled in this study. Samples of venous blood (5 ml) were withdrawn from patients and control subjects and analysed. Clinical assessment was performed by a specialist and each patient provided with a document supporting preliminary clinical diagnosis. Measurements of serum TSH, T3, T4, and anti-thyroperoxidase antibodies (anti-TPO antibodies) serum levels were performed. All assays were conducted at Duhok central health laboratory. Out of the one hundred patients and the one hundred control groups, forty-two and thirty candidates were randomly selected, respectively. The mean TSH serum levels of 25.87 (uIU/ml) for the patients significantly differ from that of the control group 3.55 (uIU/ml) (p<0.001). However, T3 and T4 serum levels indicated no significant difference between the two categories. Moreover, there was statisticaly significant difference (p< 0.0001) between the patients and control groups when their mean serum anti-TPO concentrations were compared.  In conclusion, considerable number of subjects appeared to be candidates for deranged thyroid functions and is susceptible to autoimmune thyroid disorder.

scholarly journals Effects of Qingshen Granules on Immune Function in Patients with Comorbid Chronic Renal Failure and Damp-Heat Syndrome: A Multicenter, Randomized, Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Dong Wang ◽  
Yiping Wang ◽  
Chuanping Li ◽  
Shifu Liu ◽  
Lei Zhang ◽  
...  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Control Group ◽  
Control Groups ◽  
Randomized Controlled ◽  
Tnf Α ◽  
And Control ◽  
Heat Syndrome ◽  
Experimental Group ◽  
Necrosis Factor

Objective. The current study sought to compare the effects of the addition of Qingshen granules to conventional Western medicine on immune function in patients with comorbid chronic renal failure and damp-heat syndrome and to explore the possible mechanisms responsible for any differences observed. Methods. Through a multicenter, randomized, controlled study, a total of 282 eligible patients were divided into experimental (n = 136) and control groups (n = 146). All of the patients were treated with conventional Western medical therapy. The experimental group also received Qingshen granules three times daily for 12 weeks. Clinical efficacy was observed in the two groups. Peripheral blood levels of CD4+ T cells, CD8+ T cells, Th17 cells, nuclear factor-κB p65 (NF-κB p65) activity, serum interleukin-17 (IL-17), serum interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), tumor necrosis factor receptor-associated factor 6 (TRAF6), fibronectin (FN), and type IV collagen (Col-IV) were detected in both groups. Results. The total clinical curative effective rate was significantly higher p < 0.05 in the experimental group (79.41%) than in the control group (67.12%). Before treatment, there were no significant differences in CD4+/CD8+ T cell ratio, Th17 cell level, NF-κB p65 activity, serum IL-17, IL-6, TNF-α, TRAF6, FN, and Col-IV between the experimental and control groups p > 0.05 ; however, all of the measures were significantly higher than those observed in a healthy comparison group ( p < 0.05 or p < 0.01 ). After treatment, the above indexes in the experimental group were significantly lower than those before treatment ( p < 0.05 or p < 0.01 ). Similarly, NF-κB p65 activity, serum IL-17, TNF-α, TRAF6, FN, and Col-IV in the control group were significantly lower than the levels observed prior to treatment ( p < 0.05 or p < 0.01 ); however, while all of the other indexes were lower than those observed before treatment, the differences were not statistically significant p > 0.05 . Conclusion. Qingshen granules adjust immune dysfunction, improve immunity mediated inflammatory response, and attenuate renal fibrosis in patients with comorbid chronic renal failure and damp-heat syndrome.

scholarly journals Effect of sex on the levels of galanin and adiponutrin in hypertensive patients with obesity

2021 ◽  
Vol 25 (2) ◽  
pp. 281-286
Author(s):  
U. S. Herasymchuk
Keyword(s):  
Complex Disease ◽  
Serum Levels ◽  
Enzyme Linked Immunosorbent Assay ◽  
Control Group ◽  
Obese Women ◽  
Control Groups ◽  
Men And Women ◽  
Organ Systems ◽  
Sexual Characteristics ◽  
And Control

Annotation. Hypertension is a complex disease that affects several organ systems and today remains the leading modified risk factor for cardiovascular disease, which is a major cause of disability and mortality in both men and women. The aim of the study was to assess the peculiarities of hormonal activity of adipose tissue, namely serum levels of galanin and adiponutrin, in hypertension in combination with obesity in men and women. 58 people were examined, including 32 women and 26 men with 1-3 degrees of hypertension and 20 healthy people. Patients were measured blood pressure in a sitting position after 5 minutes of rest, performed anthropometric measurements, evaluated lipid profile, carbohydrate metabolism. To determine the level of adiponutrin and galanin, an enzyme-linked immunosorbent assay was used. Statistical computer processing of the results was performed using the software package “Statistica 10” (StatSoft Inc.). Significantly higher serum levels of galanin were found in the main group of women compared with the control group (147.99 vs. 30.58 pkg / ml, p<0.001), and higher values were in the group with hypertension of degree 3 as opposed to 1-2 degrees (166.48 pkg / ml vs. 52.64 pkg / ml, p<0.001). Patients with this comorbid pathology had higher serum levels of adiponutrin in men (6.94 vs. 1.55 pkg / ml, respectively, the main and control groups, p<0,001), but given the degree of obesity, the prevalence was in obese women 2-3 degrees (14.15 vs. 11.33 pkg / ml). Thus, based on the above, we can assume that the degree of hypertension and obesity are provoking factors in increasing these adipokines. In the future, it is advisable to conduct further studies to assess the activity of adipokines, namely galanin and adiponutrin in view of sexual characteristics.

scholarly journals Preoperative Serum Levels of Mesothelin in Patients with Colon Cancer

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Özgür Bostancı ◽  
Özgür Kemik ◽  
Ahu Kemik ◽  
Muharrem Battal ◽  
Uygar Demir ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Perineural Invasion ◽  
Tumor Grade ◽  
Serum Levels ◽  
Control Group ◽  
Control Groups ◽  
Colonoscopic Examination ◽  
Preoperative Serum ◽  
Significant Difference ◽  
And Control

Background. Screening for biochemical markers is important for diagnosing colon cancer. In this study, the reliability of serum mesothelin levels as a potential diagnostic and screening instrument was evaluated concerning colon cancer.Methods. Ninety-five patients who had undergone colonoscopic examination and who were diagnosed with colon cancer were included in the study. The serum mesothelin levels were measured with the ELISA kits and were evaluated in terms of significant difference when compared between colon cancer and control group.Results. Patients with colon cancer had significantly higher mesothelin serum levels(P<0.001)than the control groups. We found significant associations between serum levels and tumor grade, perineural invasion, and vascular invasion (resp.,P<0.001).Conclusion. Evaluating the serum levels of mesothelin has a potential to detect and screen the colon cancer in affected patients. Our data suggest that mesothelin exhibits effects towards colon cancer and serves as a biomarker for this deadly disease.

scholarly journals Diagnostic performance of serum CK-MB, TNF-α and hs-CRP in children with viral myocarditis

2019 ◽  
Vol 14 (1) ◽  
pp. 38-42
Author(s):  
Jia Chen ◽  
Yuanying Deng
Keyword(s):  
Serum Concentration ◽  
Diagnostic Performance ◽  
Viral Myocarditis ◽  
Acute Stage ◽  
Control Group ◽  
Control Groups ◽  
Recovery Stage ◽  
Tnf Α ◽  
Hs Crp ◽  
And Control

AbstractObjectiveThe purpose of this study was to investigate the diagnostic performance of serum CK-MB, TNF-α and hs-CRP in children with viral myocarditis (VMC).MethodsFifty-six children with confirmed diagnosis of VMC were included in this study. Of the included 56 cases, 25 subjects were in acute and other 31 were in the recovery stage. A contemporaneous control group of 22 children were included for comparison. The serum concentration of CK-MB, TNF-α and hs-CRP were examined in both VMC and control groups.ResultsThe serum concentration of CK-MB, TNF-α and hs-CRP were 31.77±9.48 (UL), 143.11±23.27 (ng/L) and 8.10±1.94(mg/L) for acute stage VMC; 12.72±4.99 (UL), 83.15±13.35 (ng/L) and 4.07±1.12 (mg/L) for recovery stage VMC; 8.11±3.20 (UL), 68.27±12.55 (ng/L) and 2.56±1.27 (mg/L) for control group respectively; The serum concentration of CK-MB, TNF-α and hs-CRP were significantly different between acute stage VMC, recovery stage VMC and control groups (p<0.05); Significant positive correlation between CK-MB and hs-CRP were found in acute stage VMC (r=0.54, p=0.01) and recovery stage VMC (r=0.37, p=0.04). Using serum CK-MB, TNF-α and hs-CRP as the reference, the differential diagnosis sensitivity for acute and recovery stage VMC were 87.10 (70.17-96.37)%, 87.10 (70.17-96.37)% and 77.42 (58.90-90.415)%; The specificity were 92.00 (73.97-99.02)%, 96.00 (79.65-99.90)% and 100.00 (86.28-100.00)% respectively.ConclusionSerum concentration of CK-MB, TNF-α and hs-CRP in children with VMC were significant increased especially in acute stage, which can be used as biomarkers for VMC diagnosis.

Sign in / Sign up

Export Citation Format

Share Document