Open Access Rheumatol. 2017 Aug 11;9:159-165. doi: 10.2147/OARRR.S119749. eCollection 2017.
Ozonated autohemotherapy modulates the serum levels of inflammatory cytokines in gouty patients.
Open access rheumatology : research and reviews
Lian-Yun Li, Ruo-Lan Ma, Liqin Du, An-Shi Wu
Affiliations
Affiliations
- Department of Anesthesiology, Dongfang Hospital of Beijing University of Chinese Medicine.
- Department of Pain, Beijing Electric Power Hospital.
- Department of Anesthesiology, Beijing Stomatological Hospital, Capital Medical University, Beijing, People's Republic of China.
- Department of Chemistry & Biochemistry, Texas State University, San Marcos, TX, USA.
- Department of Anesthesiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, People's Republic of China.
PMID: 28860878
PMCID: PMC5565251 DOI: 10.2147/OARRR.S119749
Abstract
OBJECTIVES: Ozonated autohemotherapy (O3-AHT) has been used to effectively treat gout, but the underlying therapeutic mechanisms remain unknown. In this study, as an initial effort to understand the therapeutic mechanisms of O3-AHT, we aim to examine the effect of O3-AHT on serum inflammatory cytokine levels in gouty patients.
PATIENTS AND METHODS: Three groups of patients and healthy subjects were recruited, including the gouty (n=10), hyperuricemia (n=10), and healthy control (n=11) groups. Cytometric bead array was applied to examine 12 cytokines before (T0), during (T1), and after (T2) therapies.
RESULTS: Three cytokines, IL-8, IL-12, and MCP-1, were detectable in all participants. Before O3-AHT, the average serum levels of IL-8 and MCP-1 were higher in the gout group than in the hyperuricemia and healthy control groups, confirming the inflammation status in gouty patients. After the 5th course of O3-AHT (T1), IL-8 level was significantly increased compared to that at T0. IL-12 level was also raised at T1, although the difference did not reach statistical significance. After completing the therapy, both IL-8 and IL-12 levels decreased to levels lower than those at T0. MCP-1 level remained essentially unchanged during and after treatment.
CONCLUSION: Our results indicate that O3-AHT induces a significant change in serum cytokine levels, suggesting that modulating the inflammatory process is one of the therapeutic mechanisms underlying O3-AHT. In addition, the sensitive response of serum IL-8 and IL-12 levels to O3-AHT suggests that these cytokines may be developed as biomarkers to evaluate the therapeutic effect of O3-AHT in gouty patients.
Keywords: cytokine; gout; inflammation; ozonated autohemotherapy
Conflict of interest statement
Disclosure The authors report no conflicts of interest in this work.
References
- Rheumatol Int. 2006 Jan;26(3):274-6 - PubMed
- J Altern Complement Med. 2011 Mar;17(3):259-63 - PubMed
- Arthritis Rheumatol. 2014 Sep;66(9):2423-8 - PubMed
- Arthritis Res Ther. 2010;12(1):R23 - PubMed
- Dtsch Arztebl Int. 2009 Aug;106(34-35):549-55 - PubMed
- Semin Immunopathol. 2013 Jul;35(4):501-12 - PubMed
- Curr Opin Rheumatol. 2015 Mar;27(2):170-4 - PubMed
- J Biol Regul Homeost Agents. 1998 Jul-Sep;12(3):67-75 - PubMed
- Lancet. 2011 Jan 8;377(9760):165-77 - PubMed
- Ann Rheum Dis. 2004 Oct;63(10):1351-2 - PubMed
- Curr Opin Rheumatol. 2010 Mar;22(2):165-72 - PubMed
- Rheumatology (Oxford). 2013 Jun;52(6):1018-21 - PubMed
- Ann Biomed Eng. 2015 Sep;43(9):2207-19 - PubMed
- Ann Rheum Dis. 2006 Oct;65(10):1301-11 - PubMed
- Scand J Rheumatol. 2013;42(2):150-8 - PubMed
- Med Health R I. 2009 Nov;92(11):363-4, 368 - PubMed
- Arthritis Rheum. 1998 May;41(5):900-9 - PubMed
- Rheum Dis Clin North Am. 2014 May;40(2):155-75 - PubMed
- JAMA. 2015 Jun 9;313(22):2276-7 - PubMed
- Ann Rheum Dis. 2009 Oct;68(10):1602-8 - PubMed
- Curr Opin Rheumatol. 2010 Mar;22(2):144-51 - PubMed
- Immunol Invest. 2016 Jul;45(5):383-95 - PubMed
- Arthritis Res Ther. 2010;12 (2):206 - PubMed
- Arthritis Rheumatol. 2015 Dec;67(12):3303-13 - PubMed
- Oral Oncol. 2011 Mar;47(3):185-90 - PubMed
- Exp Ther Med. 2014 Nov;8(5):1423-1427 - PubMed
- J Leukoc Biol. 1997 Oct;62(4):444-9 - PubMed
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