Abstract

BackgroundChronic obstructive pulmonary disease (COPD) is a common disease that can be prevented and even treated. It leads to high morbidity and mortality rates. Pro-inflammatory cytokines and oxidative radicals were found to be implicated in COPD pathogenesis.ObjectivesTo measure serum level of interleukin 6 (IL-6) in patients with stable COPD and also to detect the relationship of IL-6 levels with COPD severity.Patients and methodsA total of 50 patients having stable COPD, in addition to 20 healthy control individuals, were included in the study. History taking and clinical examination, BMI calculation, spirometry (postbronchodilator spirometry in COPD group), and 6-min walk test were done for all patients. Measurement of serum level of IL-6 was done by using the enzyme-linked immunosorbent assay.ResultsSerum level of IL-6 showed significantly higher concentrations among patients with COPD compared with healthy individuals [359.87±106.99 and 188.92±77.97 pg/ml, respectively; P<0.001]. An inverse nonsignificant correlation was found between serum level of IL-6 and 6-min walk test distance, forced expiratory volume in the 1 s, forced vital capacity, and maximum expiratory flow 25–75% predicted values. Mean IL-6 level was higher in the patients with severe and very severe COPD (371.75±103.12 pg/ml) compared with those with mild and moderate COPD (336.82±113.72 pg/ ml) (P=0.291).ConclusionSerum level of IL-6 showed significant higher concentrations in patients with COPD when compared with control ones, but IL-6 level did not show significant correlation with the disease severity.

Highlights

  • Chronic obstructive pulmonary disease (COPD) is proved to be one of the diseases that lead to high morbidity and mortality rates [1]

  • Serum level of interleukin 6 (IL-6) showed significantly higher concentrations among patients with COPD compared with healthy individuals [359.87±106.99 and 188.92±77.97 pg/ml, respectively; P

  • Abundant inflammatory cells are found to be activated in patients with COPD and subsequent increase in the levels of pro-inflammatory cytokines and oxidative radicals, which are implicated in COPD pathogenesis [4]

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Summary

Introduction

Chronic obstructive pulmonary disease (COPD) is proved to be one of the diseases that lead to high morbidity and mortality rates [1]. It is characterized by persistent inflammation complicated by irreversible airflow obstruction. Chronic obstructive pulmonary disease (COPD) is a common disease that can be prevented and even treated. It leads to high morbidity and mortality rates. Proinflammatory cytokines and oxidative radicals were found to be implicated in COPD pathogenesis

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