Is There Any Correlation Between the Systemic Immune Inflammatory Index and Disease Severity in Knee Osteoarthritis?
Year 2023,
, 305 - 308, 30.06.2023
Savaş Karpuz
,
Ramazan Yılmaz
,
Mehmet Özkan
,
İsmail Hakkı Tunçez
,
Eser Kalaoğlu
,
Halim Yılmaz
Abstract
Objective:The purpose of this study is to investigate the utility of systemic immune inflammation index as a predictor of disease severity in patients with knee osteoarthritis.
Methods: 200 patients diagnosed with knee osteoarthritis according to ACR knee osteoarthritis diagnostic criteria were included in the study. Kellgren-Lawrence staging of knee osteoarthritis, Western Ontario and McMaster University Osteoarthritis (WOMAC) index score and systemic immune-inflammation index score were calculated among all participants
Results: There were 152 (%76) female and 48 (%24) male participants and median score of age was 63 (54,25-70). 14 (7%) grade 1 gonarthrosis, 64 (32%) grade 2, 72 (36%) grade 3 and 50 (25%) grade 4 gonarthrosis patients were detected. There was no significant correlation between the systemic immune-inflammation index and the radiological stage of gonarthrosis (Kellgren Lawrens Score) (p=0.238). No statistically significant correlation was found between the systemic immune-inflammation index and WOMAC scores (p=0.593).
Conclusion: The systemic immune-inflammation index was not found to be correlated with disease severity in knee OA.
Supporting Institution
none
References
- Bannuru, R.R., et al., Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis. Ann Intern Med, 2015. 162(1): p. 46-54.
- Sacitharan, P.K., Ageing and Osteoarthritis. Subcell Biochem, 2019. 91: p. 123-159.
- Kulkarni, P., et al., Pathophysiological landscape of osteoarthritis. Adv Clin Chem, 2021. 100: p. 37-90.
- Geyer, M. and C. Schönfeld, Novel Insights into the Pathogenesis of Osteoarthritis. Curr Rheumatol Rev, 2018. 14(2): p. 98-107.
- Fusco, M., et al., Degenerative Joint Diseases and Neuroinflammation. Pain Pract, 2017. 17(4): p. 522-532.
- Geraghty, T., et al., Neuroimmune interactions and osteoarthritis pain: focus on macrophages. Pain reports, 2021. 6(1).
- Ishijima, M., H. Kaneko, and K. Kaneko, The evolving role of biomarkers for osteoarthritis. Ther Adv Musculoskelet Dis, 2014. 6(4): p. 144-53.
- Imamura, M., et al., Serum levels of proinflammatory cytokines in painful knee osteoarthritis and sensitization. Int J Inflam, 2015. 2015: p. 329792.
- Taşoğlu, Ö., et al., Is blood neutrophil-lymphocyte ratio an independent predictor of knee osteoarthritis severity? Clin Rheumatol, 2016. 35(6): p. 1579-83.
- Satis, S., New Inflammatory Marker Associated with Disease Activity in Rheumatoid Arthritis: The Systemic Immune-Inflammation Index. Curr Health Sci J, 2021. 47(4): p. 553-557.
- Wu, J., L. Yan, and K. Chai, Systemic immune-inflammation index is associated with disease activity in patients with ankylosing spondylitis. J Clin Lab Anal, 2021. 35(9): p. e23964.
- Kim, J.W., et al., Systemic immune-inflammation index combined with ferritin can serve as a reliable assessment score for adult-onset Still's disease. Clin Rheumatol, 2021. 40(2): p. 661-668.
- Kolasinski, S.L., et al., 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Care Res (Hoboken), 2020. 72(2): p. 149-162.
- Aziz, M.H., et al., The Systemic-immune-inflammation Index Independently Predicts Survival and Recurrence in Resectable Pancreatic Cancer and its Prognostic Value Depends on Bilirubin Levels: A Retrospective Multicenter Cohort Study. Ann Surg, 2019. 270(1): p. 139-146.
- Kellgren, J.H. and J.S. Lawrence, Radiological assessment of osteo-arthrosis. Ann Rheum Dis, 1957. 16(4): p. 494-502.
- Tüzün, E.H., et al., Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage, 2005. 13(1): p. 28-33.
- Attur, M., et al., Increased interleukin-1β gene expression in peripheral blood leukocytes is associated with increased pain and predicts risk for progression of symptomatic knee osteoarthritis. Arthritis Rheum, 2011. 63(7): p. 1908-17.
- Botha-Scheepers, S., et al., Innate production of tumour necrosis factor alpha and interleukin 10 is associated with radiological progression of knee osteoarthritis. Ann Rheum Dis, 2008. 67(8): p. 1165-9.
- Nelson, A.E., et al., Serum transforming growth factor-beta 1 is not a robust biomarker of incident and progressive radiographic osteoarthritis at the hip and knee: the Johnston County Osteoarthritis Project. Osteoarthritis Cartilage, 2010. 18(6): p. 825-9.
- Bruyere, O., et al., Biochemical markers of bone and cartilage remodeling in prediction of longterm progression of knee osteoarthritis. J Rheumatol, 2003. 30(5): p. 1043-50.
- Reijman, M., et al., A new marker for osteoarthritis: cross-sectional and longitudinal approach. Arthritis Rheum, 2004. 50(8): p. 2471-8.
- Denoble, A.E., et al., Uric acid is a danger signal of increasing risk for osteoarthritis through inflammasome activation. Proc Natl Acad Sci U S A, 2011. 108(5): p. 2088-93.
- Larsson, S., et al., The association between changes in synovial fluid levels of ARGS-aggrecan fragments, progression of radiographic osteoarthritis and self-reported outcomes: a cohort study. Osteoarthritis Cartilage, 2012. 20(5): p. 388-395.
- Yuan, M., F. Ren, and D. Gao, The Value of SII in Predicting the Mortality of Patients with Heart Failure. Dis Markers, 2022. 2022: p. 3455372.
- Huang, H., et al., Prognostic Value of Preoperative Systemic Immune-Inflammation Index in Patients with Cervical Cancer. Sci Rep, 2019. 9(1): p. 3284.
- Huang, W., et al., The Relationship Between Systemic Immune Inflammatory Index and Prognosis of Patients With Non-Small Cell Lung Cancer: A Meta-Analysis and Systematic Review. Front Surg, 2022. 9: p. 898304.
- Peng, Y., et al., Positive association between systemic immune-inflammatory index and mortality of cardiogenic shock. Clin Chim Acta, 2020. 511: p. 97-103.
- Liu, X., et al., Systemic Immune-Inflammation Index (SII) Can Be an Early Indicator for Predicting the Severity of Acute Pancreatitis: A Retrospective Study. Int J Gen Med, 2021. 14: p. 9483-9489.
- Aydogan, S., et al., Role of systemic immune-inflammatory index in early diagnosis of sepsis in newborns with CHD. Cardiol Young, 2022. 32(11): p. 1826-1832.
- Zhang, P., et al., Prognostic value of the systemic inflammation response index in patients with aneurismal subarachnoid hemorrhage and a Nomogram model construction. British Journal of Neurosurgery, 2020: p. 1-7.
- Outerbridge, R.E., The etiology of chondromalacia patellae.J Bone Joint Surg Br, 1961. 43-b: p. 752-7.
- Coleman, S., et al., A randomised controlled trial of a self-management education program for osteoarthritis of the knee delivered by health care professionals. Arthritis Res Ther, 2012. 14(1): p. R21.
- Orlowsky, E.W. and V.B. Kraus, The role of innate immunity in osteoarthritis: when our first line of defense goes on the offensive. J Rheumatol, 2015. 42(3): p. 363-71.
- Berenbaum, F., Osteoarthritis as an inflammatory disease (osteoarthritis is not osteoarthrosis!). Osteoarthritis Cartilage, 2013. 21(1): p. 16-21.
- Molnar, V., et al., Cytokines and Chemokines Involved in Osteoarthritis Pathogenesis. Int J Mol Sci, 2021. 22(17).
- Scanzello, C.R., Chemokines and inflammation in osteoarthritis: Insights from patients and animal models. J Orthop Res, 2017. 35(4): p. 735-739.
Diz Osteoartritinde Sistemik İmmün İnflamatuar İndeks Hastalık Şiddeti ile Alakalı mıdır?
Year 2023,
, 305 - 308, 30.06.2023
Savaş Karpuz
,
Ramazan Yılmaz
,
Mehmet Özkan
,
İsmail Hakkı Tunçez
,
Eser Kalaoğlu
,
Halim Yılmaz
Abstract
Amaç: Bu çalışmanın amacı diz osteoartiriti olan hastalarda sistemik immün enflamasyon indeksinin hastalık şiddetinin belirleyicisi olarak kullanılabilirliği araştırmaktır.
Yöntem: Çalışmaya ACR diz osteoarttriti tanı kriterlerine göre gonartroz tanısı almış 200 hasta çalışmaya dahil edildi. Tüm katılımcıların diz osteoartriti Kellgren-Lawrence evrelendirmesi, Western Ontario ve McMaster Üniversitesi Osteoartrit(WOMAC) indeksi skoru ve sistemik immün-enflamasyon indeksi belirlendi.
Bulgular: Katılımcıların 152’si (%76) kadın 48’si (%24) erkek ve yaş medianı 63 (54,25-70) idi. Katılımcılardan 14 (%7) kişide evre 1, 64 (%32) kişide evre 2, 72 kişide (%36) evre 3 ve 50 (%25) kişide evre 4 gonartroz tespit edildi. Sistemik immün-enflamasyon indeksi ile gonartroz radyolojik evresi (Kellgren Lawrens Skoru) arasında anlamlı ilişki tespit edilmedi (p=0,238). Sistemik immün-enflamasyon indeksi ile WOMAC skorları arasında istatistiksel anlamlı korelasyon tespit edilmedi (p=0,593).
Sonuç: Sistemik immün-enflamasyon indeksi diz OA’inde hastalık şiddeti ile körele olmadığı tespit edilmiştir.
References
- Bannuru, R.R., et al., Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis. Ann Intern Med, 2015. 162(1): p. 46-54.
- Sacitharan, P.K., Ageing and Osteoarthritis. Subcell Biochem, 2019. 91: p. 123-159.
- Kulkarni, P., et al., Pathophysiological landscape of osteoarthritis. Adv Clin Chem, 2021. 100: p. 37-90.
- Geyer, M. and C. Schönfeld, Novel Insights into the Pathogenesis of Osteoarthritis. Curr Rheumatol Rev, 2018. 14(2): p. 98-107.
- Fusco, M., et al., Degenerative Joint Diseases and Neuroinflammation. Pain Pract, 2017. 17(4): p. 522-532.
- Geraghty, T., et al., Neuroimmune interactions and osteoarthritis pain: focus on macrophages. Pain reports, 2021. 6(1).
- Ishijima, M., H. Kaneko, and K. Kaneko, The evolving role of biomarkers for osteoarthritis. Ther Adv Musculoskelet Dis, 2014. 6(4): p. 144-53.
- Imamura, M., et al., Serum levels of proinflammatory cytokines in painful knee osteoarthritis and sensitization. Int J Inflam, 2015. 2015: p. 329792.
- Taşoğlu, Ö., et al., Is blood neutrophil-lymphocyte ratio an independent predictor of knee osteoarthritis severity? Clin Rheumatol, 2016. 35(6): p. 1579-83.
- Satis, S., New Inflammatory Marker Associated with Disease Activity in Rheumatoid Arthritis: The Systemic Immune-Inflammation Index. Curr Health Sci J, 2021. 47(4): p. 553-557.
- Wu, J., L. Yan, and K. Chai, Systemic immune-inflammation index is associated with disease activity in patients with ankylosing spondylitis. J Clin Lab Anal, 2021. 35(9): p. e23964.
- Kim, J.W., et al., Systemic immune-inflammation index combined with ferritin can serve as a reliable assessment score for adult-onset Still's disease. Clin Rheumatol, 2021. 40(2): p. 661-668.
- Kolasinski, S.L., et al., 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Care Res (Hoboken), 2020. 72(2): p. 149-162.
- Aziz, M.H., et al., The Systemic-immune-inflammation Index Independently Predicts Survival and Recurrence in Resectable Pancreatic Cancer and its Prognostic Value Depends on Bilirubin Levels: A Retrospective Multicenter Cohort Study. Ann Surg, 2019. 270(1): p. 139-146.
- Kellgren, J.H. and J.S. Lawrence, Radiological assessment of osteo-arthrosis. Ann Rheum Dis, 1957. 16(4): p. 494-502.
- Tüzün, E.H., et al., Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage, 2005. 13(1): p. 28-33.
- Attur, M., et al., Increased interleukin-1β gene expression in peripheral blood leukocytes is associated with increased pain and predicts risk for progression of symptomatic knee osteoarthritis. Arthritis Rheum, 2011. 63(7): p. 1908-17.
- Botha-Scheepers, S., et al., Innate production of tumour necrosis factor alpha and interleukin 10 is associated with radiological progression of knee osteoarthritis. Ann Rheum Dis, 2008. 67(8): p. 1165-9.
- Nelson, A.E., et al., Serum transforming growth factor-beta 1 is not a robust biomarker of incident and progressive radiographic osteoarthritis at the hip and knee: the Johnston County Osteoarthritis Project. Osteoarthritis Cartilage, 2010. 18(6): p. 825-9.
- Bruyere, O., et al., Biochemical markers of bone and cartilage remodeling in prediction of longterm progression of knee osteoarthritis. J Rheumatol, 2003. 30(5): p. 1043-50.
- Reijman, M., et al., A new marker for osteoarthritis: cross-sectional and longitudinal approach. Arthritis Rheum, 2004. 50(8): p. 2471-8.
- Denoble, A.E., et al., Uric acid is a danger signal of increasing risk for osteoarthritis through inflammasome activation. Proc Natl Acad Sci U S A, 2011. 108(5): p. 2088-93.
- Larsson, S., et al., The association between changes in synovial fluid levels of ARGS-aggrecan fragments, progression of radiographic osteoarthritis and self-reported outcomes: a cohort study. Osteoarthritis Cartilage, 2012. 20(5): p. 388-395.
- Yuan, M., F. Ren, and D. Gao, The Value of SII in Predicting the Mortality of Patients with Heart Failure. Dis Markers, 2022. 2022: p. 3455372.
- Huang, H., et al., Prognostic Value of Preoperative Systemic Immune-Inflammation Index in Patients with Cervical Cancer. Sci Rep, 2019. 9(1): p. 3284.
- Huang, W., et al., The Relationship Between Systemic Immune Inflammatory Index and Prognosis of Patients With Non-Small Cell Lung Cancer: A Meta-Analysis and Systematic Review. Front Surg, 2022. 9: p. 898304.
- Peng, Y., et al., Positive association between systemic immune-inflammatory index and mortality of cardiogenic shock. Clin Chim Acta, 2020. 511: p. 97-103.
- Liu, X., et al., Systemic Immune-Inflammation Index (SII) Can Be an Early Indicator for Predicting the Severity of Acute Pancreatitis: A Retrospective Study. Int J Gen Med, 2021. 14: p. 9483-9489.
- Aydogan, S., et al., Role of systemic immune-inflammatory index in early diagnosis of sepsis in newborns with CHD. Cardiol Young, 2022. 32(11): p. 1826-1832.
- Zhang, P., et al., Prognostic value of the systemic inflammation response index in patients with aneurismal subarachnoid hemorrhage and a Nomogram model construction. British Journal of Neurosurgery, 2020: p. 1-7.
- Outerbridge, R.E., The etiology of chondromalacia patellae.J Bone Joint Surg Br, 1961. 43-b: p. 752-7.
- Coleman, S., et al., A randomised controlled trial of a self-management education program for osteoarthritis of the knee delivered by health care professionals. Arthritis Res Ther, 2012. 14(1): p. R21.
- Orlowsky, E.W. and V.B. Kraus, The role of innate immunity in osteoarthritis: when our first line of defense goes on the offensive. J Rheumatol, 2015. 42(3): p. 363-71.
- Berenbaum, F., Osteoarthritis as an inflammatory disease (osteoarthritis is not osteoarthrosis!). Osteoarthritis Cartilage, 2013. 21(1): p. 16-21.
- Molnar, V., et al., Cytokines and Chemokines Involved in Osteoarthritis Pathogenesis. Int J Mol Sci, 2021. 22(17).
- Scanzello, C.R., Chemokines and inflammation in osteoarthritis: Insights from patients and animal models. J Orthop Res, 2017. 35(4): p. 735-739.