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342165

Serum Markers of Intestinal Barrier Integrity in Patients with Plaque Psoriasis and Their Association with Disease Severity

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Last updated: 24 Dec 2024

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Abstract

Background: An inflammatory chronic illness is psoriasis. The body of research on the gut microbiota and its function in homeostasis has expanded recently. Psoriasis pathogenesis is significantly influenced by changes in the gut microbiota. Objective: Our study aimed to determine the link between non-invasive measures of intestinal barrier integrity in psoriasis patients and disease severity. Patients and methods: This is a case-control study that was conducted to investigate the relationship between claudin-3 and I-FABP levels and psoriasis vulgaris.The subjects were divided into two groups:Group A (patients group) included 50 patients with chronic plaque psoriasis, and group B (control group) included 40 non-psoriatic healthy volunteers who matched the patient group as regard age, sex and BMI. They were chosen because they did not have any autoimmune, inflammatory, or systemic infections, and they were not taking any medication. Results: Serum claudin-3 level was higher in patients with psoriasis compared to healthy control (mean, 41.84 ± 9.13 vs 33.77 ± 7.45 ng/mL, P < 0.001) and the mean claudin-3 of mild, moderate and severe patients subgroups were 36.08 ± 7.87, 42.30 ± 5.66 and 50.20 ± 5.52 ng/mL respectively (P <0.001). Patients with psoriasis also had elevated level of serum I-FABP (307.2 ± 143.1 vs 222.5 ± 40.14 pg/mL, P 0.004) and I-FABP was statistically higher in severe subgroup (419.81 ± 147.23) and moderate subgroup (340.05 ± 164.28) as compared to mild subgroup (218.43 ± 37.80) (P < 0.001). Conclusion: Claudin-3 and I-FABP (non-invasive indicators of intestinal integrity) were elevated in psoriasis and correlated with disease severity. More research is needed to evaluate whether strengthening the intestinal barrier can be a novel treatment target in psoriasis.  

DOI

10.21608/ejhm.2024.342165

Keywords

Psoriasis, Claudin-3, I-FABP

Volume

94

Article Issue

1

Related Issue

45268

Issue Date

2024-01-01

Receive Date

2024-02-20

Publish Date

2024-01-01

Page Start

689

Page End

694

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_342165.html

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https://ejhm.journals.ekb.eg/service?article_code=342165

Order

101

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Serum Markers of Intestinal Barrier Integrity in Patients with Plaque Psoriasis and Their Association with Disease Severity

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Type

Article

Created At

24 Dec 2024