The potential role of serum polyclonal free light chains as markers of immune activation in psoriatic patients (notice n° 604605)

détails MARC
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fixed length control field 02810cam a2200313 4500500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250121155354.0
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Language code of text/sound track or separate title fre
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Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Di Caprio, Roberta
Relator term author
245 00 - TITLE STATEMENT
Title The potential role of serum polyclonal free light chains as markers of immune activation in psoriatic patients
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2023.<br/>
500 ## - GENERAL NOTE
General note 92
520 ## - SUMMARY, ETC.
Summary, etc. Background: Polyclonal free light chains (FLCs) of immunoglobulins include κ and λ chains and represent a sensitive marker of activation and/or dysfunction of the immune system. Objectives: The aim of this study was to investigate the role of FLCs as markers of immune activation in the management of psoriatic patients treated with biologics. Materials & Methods: The overall study population included 45 patients affected by mild-to-severe psoriasis with either ongoing biological treatment or without any current systemic therapy. Peripheral blood samples were taken from all patients and 10 healthy subjects in order to determine immunoglobulins, light chains and FLCs by quantitative nephelometric assay. Moreover, antinuclear antibodies (ANA) were detected by immunofluorescence. Results: Psoriatic patients showed significant increased levels of κ and λ FLCs compared to healthy controls. Interestingly, κ and λ FLCs values were significantly increased only in psoriatic patients with ongoing biological treatment and, in particular, in responder subjects. Furthermore, both κ and λ FLCs significantly correlated with duration of therapy. For patients with FLC levels above normal range and under biological treatment for more than 12 months, the odds of being ANA+ was greater relative to patients with FLC levels above normal range but under biological treatment for less than 12 months. Conclusions: Increased FLC levels may represent a marker of immune reactivation in psoriatic patients treated with biologic agents. We suggest that determining FLC levels has clinical relevance, with a cost/benefit ratio justifying such evaluation in the clinical management of psoriasis.
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element biological therapies
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element psoriasis
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element polyclonal free light chains
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Sacchelli, Lidia
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Di Spigna, Gaetano
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Ricciardone, Margherita
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Bardazzi, Federico
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Ladogana, Paolo
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Scala, Emanuele
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Fabbrocini, Gabriella
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Covelli, Bianca
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Balato, Anna
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Postiglione, Loredana
Relator term author
786 0# - DATA SOURCE ENTRY
Note European Journal of Dermatology | 33 | 1 | 2023-01-01 | p. 12-18 | 1167-1122
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/revue-european-journal-of-dermatology-2023-1-page-12?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-european-journal-of-dermatology-2023-1-page-12?lang=en&redirect-ssocas=7080</a>

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