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Is There Any Correlation Between the Systemic Immune Inflammatory Index and Disease Severity in Knee Osteoarthritis?

Year 2023, Volume: 33 Issue: 3, 305 - 308, 30.06.2023
https://doi.org/10.54005/geneltip.1228775

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

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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, Volume: 33 Issue: 3, 305 - 308, 30.06.2023
https://doi.org/10.54005/geneltip.1228775

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.
There are 36 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Article
Authors

Savaş Karpuz 0000-0002-8141-674X

Ramazan Yılmaz 0000-0001-6295-7295

Mehmet Özkan 0000-0001-6241-8013

İsmail Hakkı Tunçez 0000-0003-4753-8089

Eser Kalaoğlu 0000-0001-8959-6522

Halim Yılmaz 0000-0002-5521-1214

Early Pub Date June 30, 2023
Publication Date June 30, 2023
Submission Date January 3, 2023
Published in Issue Year 2023 Volume: 33 Issue: 3

Cite

Vancouver Karpuz S, Yılmaz R, Özkan M, Tunçez İH, Kalaoğlu E, Yılmaz H. Is There Any Correlation Between the Systemic Immune Inflammatory Index and Disease Severity in Knee Osteoarthritis?. Genel Tıp Derg. 2023;33(3):305-8.

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