Inturlekin L33 in Ankylosing Spondylities Patients and Its Relation to Subclinical Atherosclerosis

NCT ID: NCT06564155

Last Updated: 2024-08-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

45 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-09-30

Study Completion Date

2026-12-31

Brief Summary

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detect level of Inturlekin 33 in ankylosing spondyilits patient

measure CIMT (carotid intima media thickness ) by carotid duplex to detect subclinical atherosclerosis in ankylosing spondyitis patients

detect the relation between IL33 and subclinical atherosclerosis in Ankylosinig Spondylitis patients

Detailed Description

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Ankylosing spondylitis (AS), a type of SpA, is an autoimmune disease that mainly involves, sacroiliac joints (SIJs) and their adjacent soft tissues, such as tendons and ligaments. The main clinical manifestations include back pain and progressive spinal rigidity as well as inflammation of the hips, shoulders, peripheral joints and fingers/toes. In addition, there are extra-articular manifestations.

Cardiovascular disease has become the first cause of death for patients with ankylosing spondylitis (AS).

Patients with ankylosing spondylitis (AS) have an increased cardiovascular morbidity and mortality . Accelerated atherosclerosis caused by a systemic inflammatory response has been reported to be an important risk factor for increased cardiovascular risk for autoimmune diseases.

Interleukin (IL)-33 is a cytokine belonging to the IL-1 family and was recently identified as a ligand for ST2, .the serum levels of IL-33/sST2 were remarkably higher in the patients with AS than the healthy groups .

Pervious studies confirm the importance of IL-33/ST2 axis in the process of atherosclerosis, and indicate its ambiguous function in immune response, whether as proinflammatory cytokine in advanced atherosclerotic lesions, or as profibrotic, in early lesions.

Previous study shows increased CIMT in AS patients without traditional cardiovascular risk factors compared to healthy controls.

Conditions

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Ankylosing Spondylitis

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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ankylosing spondylities patients

detect level of IL33 in serum of AS patients

measure carotid intima media thickness by caroid dupex

carotid duplex

Intervention Type DEVICE

measure Carotid intima media thickness

control persons

detect level of IL33 in serum of normal control group

measure carotid intima media thickness by caroid dupex

carotid duplex

Intervention Type DEVICE

measure Carotid intima media thickness

Interventions

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carotid duplex

measure Carotid intima media thickness

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* patient diagnosed as Ankylosing Spondylitis
* Age (20-40)

Exclusion Criteria

* Patients with other rheumatic diseases/other SPA types

* Participants with history of CVD event in past or present
* Patient experiencing cardiovascular revascularization surgery or cerebrovascular disorder within past 6 months.
* Patient with other risk factor for atherosclerosis.
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Aya Mohamed Hussein AbuAli

Principial investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Aya AbuAli, master

Role: CONTACT

01097833248

Shimaa Mahmoud, Dr

Role: CONTACT

01062084082

References

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Li GX, Wang S, Duan ZH, Zeng Z, Pan FM. Serum levels of IL-33 and its receptor ST2 are elevated in patients with ankylosing spondylitis. Scand J Rheumatol. 2013;42(3):226-31. doi: 10.3109/03009742.2012.735700. Epub 2013 Feb 15.

Reference Type RESULT
PMID: 23409750 (View on PubMed)

Other Identifiers

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IL33 in Ankylosing spondylites

Identifier Type: -

Identifier Source: org_study_id

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