genel tıp derg Genel Tıp Dergisi 2602-3741 Selçuk Üniversitesi 10.54005/geneltip.1302757 Clinical Sciences Klinik Tıp Bilimleri Hemokinin-1 (HK-1) Sarkoidoz için Yeni Bir Aday Biyobelirteç Olabilir mi? Could Hemokinin-1 (HK-1) be a Novel Candidate Biomarker for Sarcoidosis? https://orcid.org/0000-0001-8602-0368 Korkmaz Celalettin Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi https://orcid.org/0000-0003-3175-6751 Akdağ Turan NECMETTIN ERBAKAN UNIVERSITY, MERAM VOCATIONAL SCHOOL 08 31 2023 33 4 456 460 05 25 2023 06 19 2023 Copyright © 1990, Genel Tıp Dergisi 1990 Genel Tıp Dergisi

Amaç: Sarkoidoz, vücuttaki bütün organları etkileyebilen, kazeifiye olmayan granülomların varlığı ile karakterize, nedeni bilinmeyen sistemik inflamatuar bir hastalıktır. Bazı çalışmalar peptitler ve sarkoidoz arasında bir ilişki olduğunu önermektedir. Bu çalışmanın amacı sarkoidozda serum hemokinin-1 (HK-1) ve adropin düzeylerinin tanısal değerlerini araştırmak ve hastalıkta rolünü değerlendirmektir. Hastalar ve Metod: Çalışma Nisan 2021-Şubat 2022 tarihleri arasında bir üniversite hastanesinde gerçekleştirildi. Çalışmaya sarkoidoz tanılı 38 hasta (14 erkek, 24 kadın) ve 38 sağlıklı (14 erkek, 24 kadın) birey alındı. Hastaların demografik özellikleri, yaşı, cinsiyeti, hastalık süresi ve akciğer dışı tutulumu kaydedildi. HK-1 ve adropin düzeyleri, sandviç ELISA (enzyme linked immunosorbent assay) yöntemi ile belirlendi. Bulgular: Sarkoidozlu hastalarda HK-1 seviyesi sağlıklı bireylere göre daha yüksekti, aradaki fark istatistiksel olarak anlamlıydı (0,67±0,23 ve 0,54±0,24 ng/ml, p=0,012). Serum adropin düzeyleri sarkoidoz hasta grubunda 207,84±246,72 ng/L, sağlıklı kontrol grubunda 151,16±171,76 ng/L olarak belirlendi. Sarkoidozlu hastalarının adropin seviyeleri ise sağlıklı bireylere göre anlamlı fark belirlenmedi (p=0,076). Serum adropin seviyeleri, BAL CD4+ seviyeleri ile negatif (r=-,880 ve p=0.002) ve BAL CD8+ seviyeleri ile pozitif korrelasyon gösterdi (r=,697 ve p=0.037). Sonuç: Çalışmada sarkoidozlu hastaların sağlıklı kontrollere göre anlamlı olarak daha yüksek HK-1 seviyeleri gösterdiği ve HK-1'in bu hastalık için invaziv olmayan yararlı bir tanısal biyobelirteç olabileceği belirlendi. Literatürde henüz sarkoidozda serum HK-1 ve adropin düzeyleri henüz araştırılmamıştır. Bu konuyu açıklığa kavuşturmak için daha fazla ve geniş çaplı çalışmalara ihtiyaç vardır.

Aim: Sarcoidosis is a systemic inflammatory disease and characterized by the presence of non-caseating granulomas which may affect all organs in the body. Some studies suggest an association between peptides and sarcoidosis. The goal of the study was to investigate the biomarker values of serum hemokinin-1 (HK-1) and adropin levels in sarcoidosis and to assess their role in the disease course. Patients and Methods: The study was carried out in a university hospital between April 2021 and February 2022. Thirty-eight patients with diagnosed sarcoidosis (14 men and 24 women) and 38 healthy (14 men and 24 women) individuals were enrolled in the study. Demographic characteristics, age, gender, disease duration, and extrapulmonary involvement of the patients were enrolled. HK-1 and adropin levels were measured via the sandwich ELISA (enzyme linked immunosorbent assay) method. Results: HK-1 level was elevated in the sarcoidosis patients than in the healthy individuals, these differences were significant statistically (0.67±0.23 and 0.54±0.24 ng/ml, p=0.012). The serum levels of adropin were measured as 207.84±246.72 ng/L in the sarcoidosis patients group and 151.16±171.76 ng/L in the healthy individuals group. No significant differences were determined in terms of the adropin levels in the patient's group when compared to the healthy individuals group (p=0.076). Serum adropin were negatively correlated with BAL CD4+ levels (r=-,880 and p=0.002) and positively correlated with BAL CD8+ levels (r=,697 and p=0.037). Conclusions: At the study, it is determined that patients with sarcoidosis show significantly higher HK-1 levels than healthy controls, and HK-1 may be a useful non-invasive diagnostic biomarker for this disease. From the literature, serum HK-1 and adropin levels have not been investigated in sarcoidosis, yet. To clarify this topic, further and larger size studies are needed.

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