Growth Differentiation Factor-15: One of the Missing Links between Psoriasis and Metabolic Syndrome

Background: Psoriasis is a chronic inflammatory condition of the skin that can be related to a variety of other conditions, including cardiovascular disease and metabolic syndrome. Growth differentiation factor-15 (GDF-15) is a cytokine that reacts to cellular stress. GDF-15 serum levels may have cl...

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Main Authors: Essam M. Akl, Nehad A. Fouad, Maram S. Mahmoud, Karem T. Khalil
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Indian Dermatology Online Journal
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Online Access:https://journals.lww.com/10.4103/idoj.idoj_546_24
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author Essam M. Akl
Nehad A. Fouad
Maram S. Mahmoud
Karem T. Khalil
author_facet Essam M. Akl
Nehad A. Fouad
Maram S. Mahmoud
Karem T. Khalil
author_sort Essam M. Akl
collection DOAJ
description Background: Psoriasis is a chronic inflammatory condition of the skin that can be related to a variety of other conditions, including cardiovascular disease and metabolic syndrome. Growth differentiation factor-15 (GDF-15) is a cytokine that reacts to cellular stress. GDF-15 serum levels may have clinical uses in a variety of inflammatory and cardiovascular conditions. Objectives: To determine the levels of GDF-15 in the serum of patients with generalized plaque psoriasis (GPP) and its correlation with the metabolic syndrome. Patients and Methods: This case-control study included 50 patients with GPP and 50 age- and sex-matched healthy volunteers as controls. A general examination was performed, with a particular emphasis on measurements of body mass index, circumference of the waist, and blood pressure. Psoriasis severity was assessed using the Psoriasis Area and Severity Index (PASI) score. In addition, laboratory tests, including fasting blood sugar, lipid profile, and serum GDF-15 level measurement, were made. Results: Patients had significantly higher median GDF-15 levels compared to controls (P < 0.001). GDF-15 showed a substantial correlation with both disease duration and PASI score (P < 0.001 for each). GDF-15 levels were considerably greater in participants with metabolic syndrome compared with those without (P = 0.01). Limitation: The relatively small sample size could be a disadvantage and drawback of the study. Conclusion: Serum GDF-15 levels are linked to the severity of psoriasis and the associated metabolic disorders.
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spelling doaj-art-49802a49ee1a41f39e676099fc9366562025-08-20T02:56:59ZengWolters Kluwer Medknow PublicationsIndian Dermatology Online Journal2229-51782249-56732025-05-0116339740110.4103/idoj.idoj_546_24Growth Differentiation Factor-15: One of the Missing Links between Psoriasis and Metabolic SyndromeEssam M. AklNehad A. FouadMaram S. MahmoudKarem T. KhalilBackground: Psoriasis is a chronic inflammatory condition of the skin that can be related to a variety of other conditions, including cardiovascular disease and metabolic syndrome. Growth differentiation factor-15 (GDF-15) is a cytokine that reacts to cellular stress. GDF-15 serum levels may have clinical uses in a variety of inflammatory and cardiovascular conditions. Objectives: To determine the levels of GDF-15 in the serum of patients with generalized plaque psoriasis (GPP) and its correlation with the metabolic syndrome. Patients and Methods: This case-control study included 50 patients with GPP and 50 age- and sex-matched healthy volunteers as controls. A general examination was performed, with a particular emphasis on measurements of body mass index, circumference of the waist, and blood pressure. Psoriasis severity was assessed using the Psoriasis Area and Severity Index (PASI) score. In addition, laboratory tests, including fasting blood sugar, lipid profile, and serum GDF-15 level measurement, were made. Results: Patients had significantly higher median GDF-15 levels compared to controls (P < 0.001). GDF-15 showed a substantial correlation with both disease duration and PASI score (P < 0.001 for each). GDF-15 levels were considerably greater in participants with metabolic syndrome compared with those without (P = 0.01). Limitation: The relatively small sample size could be a disadvantage and drawback of the study. Conclusion: Serum GDF-15 levels are linked to the severity of psoriasis and the associated metabolic disorders.https://journals.lww.com/10.4103/idoj.idoj_546_24growth differentiation factor-15metabolic syndromepsoriasis
spellingShingle Essam M. Akl
Nehad A. Fouad
Maram S. Mahmoud
Karem T. Khalil
Growth Differentiation Factor-15: One of the Missing Links between Psoriasis and Metabolic Syndrome
Indian Dermatology Online Journal
growth differentiation factor-15
metabolic syndrome
psoriasis
title Growth Differentiation Factor-15: One of the Missing Links between Psoriasis and Metabolic Syndrome
title_full Growth Differentiation Factor-15: One of the Missing Links between Psoriasis and Metabolic Syndrome
title_fullStr Growth Differentiation Factor-15: One of the Missing Links between Psoriasis and Metabolic Syndrome
title_full_unstemmed Growth Differentiation Factor-15: One of the Missing Links between Psoriasis and Metabolic Syndrome
title_short Growth Differentiation Factor-15: One of the Missing Links between Psoriasis and Metabolic Syndrome
title_sort growth differentiation factor 15 one of the missing links between psoriasis and metabolic syndrome
topic growth differentiation factor-15
metabolic syndrome
psoriasis
url https://journals.lww.com/10.4103/idoj.idoj_546_24
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AT nehadafouad growthdifferentiationfactor15oneofthemissinglinksbetweenpsoriasisandmetabolicsyndrome
AT maramsmahmoud growthdifferentiationfactor15oneofthemissinglinksbetweenpsoriasisandmetabolicsyndrome
AT karemtkhalil growthdifferentiationfactor15oneofthemissinglinksbetweenpsoriasisandmetabolicsyndrome