IL- 33 and sST- 2 association with carotid intima-media thickness in patients with Ankylosing Spondylitis

Abstract Background Cardiovascular disease is the main cause of death in patients with ankylosing spondylitis (AS). Previous studies showed high serum levels of IL- 33 in AS patients and suggested that it may play a role in disease development. However, the possible role of IL- 33/sST- 2 in atherosc...

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Main Authors: Omnia Abubakr, Wessam Guergues, Lamyaa Salem, Marwa Kamel
Format: Article
Language:English
Published: SpringerOpen 2025-06-01
Series:Egyptian Rheumatology and Rehabilitation
Subjects:
Online Access:https://doi.org/10.1186/s43166-025-00324-6
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author Omnia Abubakr
Wessam Guergues
Lamyaa Salem
Marwa Kamel
author_facet Omnia Abubakr
Wessam Guergues
Lamyaa Salem
Marwa Kamel
author_sort Omnia Abubakr
collection DOAJ
description Abstract Background Cardiovascular disease is the main cause of death in patients with ankylosing spondylitis (AS). Previous studies showed high serum levels of IL- 33 in AS patients and suggested that it may play a role in disease development. However, the possible role of IL- 33/sST- 2 in atherosclerosis in AS has not been investigated. Objectives To assess serum levels of IL- 33 and sST- 2 and to assess their association with carotid intima-media thickness (CIMT) and disease activity in a group of Egyptian patients with AS. Results Serum levels of IL- 33 and sST- 2 were statistically higher in AS patients compared to controls (median, 451.75 vs 37.42, p = 0.000) and (median, 5.71 vs 0.74, p = 0.000) respectively. IL- 33 and sST- 2 levels positively correlated with Bath Ankylosing Spondylitis Disease Activity Index (r = 0.445, p = 0.004) and (r = 0.421, p = 0.007) respectively, and Ankylosing Spondylitis Disease Activity Score with CRP (r = 0.684, p = 0.000) and (r = 0.452, p = 0.003) respectively. There was a positive correlation between serum IL- 33/sST- 2 and CIMT. Conclusion The high serum levels of IL- 33 and sST- 2 in AS patients and their positive correlation with CIMT and AS disease activity suggest that IL- 33/ST2 axis-induced inflammation may be a major factor in the development of cardiovascular disease in AS patients.
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spelling doaj-art-254f4e24671d4c53aff790cbabf037262025-08-20T02:05:38ZengSpringerOpenEgyptian Rheumatology and Rehabilitation2090-32352025-06-015211810.1186/s43166-025-00324-6IL- 33 and sST- 2 association with carotid intima-media thickness in patients with Ankylosing SpondylitisOmnia Abubakr0Wessam Guergues1Lamyaa Salem2Marwa Kamel3Ain Shams UniversityAin Shams UniversityAin Shams UniversityAin Shams UniversityAbstract Background Cardiovascular disease is the main cause of death in patients with ankylosing spondylitis (AS). Previous studies showed high serum levels of IL- 33 in AS patients and suggested that it may play a role in disease development. However, the possible role of IL- 33/sST- 2 in atherosclerosis in AS has not been investigated. Objectives To assess serum levels of IL- 33 and sST- 2 and to assess their association with carotid intima-media thickness (CIMT) and disease activity in a group of Egyptian patients with AS. Results Serum levels of IL- 33 and sST- 2 were statistically higher in AS patients compared to controls (median, 451.75 vs 37.42, p = 0.000) and (median, 5.71 vs 0.74, p = 0.000) respectively. IL- 33 and sST- 2 levels positively correlated with Bath Ankylosing Spondylitis Disease Activity Index (r = 0.445, p = 0.004) and (r = 0.421, p = 0.007) respectively, and Ankylosing Spondylitis Disease Activity Score with CRP (r = 0.684, p = 0.000) and (r = 0.452, p = 0.003) respectively. There was a positive correlation between serum IL- 33/sST- 2 and CIMT. Conclusion The high serum levels of IL- 33 and sST- 2 in AS patients and their positive correlation with CIMT and AS disease activity suggest that IL- 33/ST2 axis-induced inflammation may be a major factor in the development of cardiovascular disease in AS patients.https://doi.org/10.1186/s43166-025-00324-6Ankylosing spondylitisIL- 33SST- 2Cardiovascular diseaseCarotid intima media thickness
spellingShingle Omnia Abubakr
Wessam Guergues
Lamyaa Salem
Marwa Kamel
IL- 33 and sST- 2 association with carotid intima-media thickness in patients with Ankylosing Spondylitis
Egyptian Rheumatology and Rehabilitation
Ankylosing spondylitis
IL- 33
SST- 2
Cardiovascular disease
Carotid intima media thickness
title IL- 33 and sST- 2 association with carotid intima-media thickness in patients with Ankylosing Spondylitis
title_full IL- 33 and sST- 2 association with carotid intima-media thickness in patients with Ankylosing Spondylitis
title_fullStr IL- 33 and sST- 2 association with carotid intima-media thickness in patients with Ankylosing Spondylitis
title_full_unstemmed IL- 33 and sST- 2 association with carotid intima-media thickness in patients with Ankylosing Spondylitis
title_short IL- 33 and sST- 2 association with carotid intima-media thickness in patients with Ankylosing Spondylitis
title_sort il 33 and sst 2 association with carotid intima media thickness in patients with ankylosing spondylitis
topic Ankylosing spondylitis
IL- 33
SST- 2
Cardiovascular disease
Carotid intima media thickness
url https://doi.org/10.1186/s43166-025-00324-6
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