Circulating soluble receptor for advanced glycation end products is decreased and inversely associated with acute phase response in chronic spontaneous urticaria

慢性自发性荨麻疹中晚期糖基化终产物循环可溶性受体减少,且与急性期反应呈负相关

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作者:A Kasperska-Zajac, A Damasiewicz-Bodzek, K Tyrpień-Golder, J Zamlyński, A Grzanka

Aim

To determine serum sRAGE concentration in CSU patients and its association with C-reactive protein (CRP) concentration, a nonspecific inflammatory marker of the disease activity.

Background

Activation of receptor for advanced glycation end products (RAGE) leads to the proinflammatory response and the release of its soluble form (sRAGE) which appears to function as an anti-inflammatory feedback mechanism.

Conclusions

Down-regulation of sRAGE and its association with acute phase response suggest a role for RAGE activation in the pathogenesis of CSU. It seems that lower serum sRAGE concentration may enhance the urticarial processes.

Methods

Concentrations of sRAGE and CRP were measured in serum of CSU patients and compared with the healthy controls.

Results

Serum sRAGE concentrations were significantly decreased in CSU patients, especially those more severely affected. In addition, significant inverse correlations were observed between sRAGE and CRP concentrations. Conclusions: Down-regulation of sRAGE and its association with acute phase response suggest a role for RAGE activation in the pathogenesis of CSU. It seems that lower serum sRAGE concentration may enhance the urticarial processes.

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