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Clinical and Experimental Medicine

, Volume 19, Issue 2, pp 173–181 | Cite as

Interleukin-6 is prone to be a candidate biomarker for predicting incomplete and IVIG nonresponsive Kawasaki disease rather than coronary artery aneurysm

  • Yue Wu
  • Fei Fei Liu
  • Yao Xu
  • Jing Jing Wang
  • Sama Samadli
  • Yang Fang Wu
  • Hui Hui Liu
  • Wei Xia Chen
  • Huang Huang Luo
  • Dong Dong Zhang
  • Wei Wei
  • Peng HuEmail author
Original Article
  • 164 Downloads

Abstract

Kawasaki disease (KD) is an acute, systemic vasculitis and occurs mainly in childhood. Interleukin-6 (IL-6) is a pleiotropic cytokine synthesized predominantly by neutrophils and monocytes/macrophages and plays an important role in systemic inflammatory disease. However, a little information is currently available on the relationship of serum IL-6 with conventional inflammatory mediators, clinical classification, IVIG response and coronary artery aneurysm (CAA). 165 Chinese children with KD were enrolled and divided into six subgroups, including complete KD, incomplete KD, IVIG-responsive KD, IVIG-nonresponsive KD, coronary artery noninvolvement KD and coronary artery involvement KD. Blood samples were collected from all subjects within 24-h pre- and 48-h post-IVIG therapy, respectively. Serum IL-6 and conventional inflammatory mediators were detected. (1) Serum IL-6 markedly increased in the acute phase of KD, whereas declined to normal after IVIG therapy; it was positively correlated with C-reactive protein and erythrocyte sedimentation rate. (2) Serum IL-6 was significantly elevated in patients with incomplete KD when compared with their complete counterparts. The area under receiver operating characteristic curve (AUC) value for serum IL-6 in prediction of incomplete KD was 0.596, and the estimated sensitivity and specificity were 77.80% and 54.40% with a cutoff of IL-6 > 13.25 pg/ml, respectively. (3) Serum IL-6 was significantly elevated in patients with IVIG-nonresponsive KD when compared with their IVIG-responsive counterparts; the AUC value for serum IL-6 in prediction of IVIG-nonresponsive KD was 0.580, and the estimated sensitivity and specificity were 60.00% and 66.30% with a cutoff of IL-6 > 26.40 pg/ml, respectively. (4) No significant differences in IL-6 were found between KD patients with and without CAA. IL-6 is prone to be a candidate biomarker for predicting incomplete and IVIG nonresponsive KD rather than CAA.

Keywords

Interleukin-6 Intravenous immunoglobulin Kawasaki disease Vascular endothelial cell Coronary artery aneurysm 

Notes

Acknowledgements

At the point of finishing this paper, we thank Dr Bo Hu, Dr Xiao Chen Fan and Dr Shan Zhi Yang for their valuable helps in study design and technical performance.

Funding

This study was supported by the New Technology Project of the First Affiliated Hospital, Anhui Medical University (2014-01).

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest relevant to this article to disclose.

Ethical approval

Approval for this research was acquired from the Medical Ethic Committee of the First Affiliated Hospital of Anhui Medical University.

Informed consent

Consent was obtained from parents.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Yue Wu
    • 1
  • Fei Fei Liu
    • 1
  • Yao Xu
    • 1
  • Jing Jing Wang
    • 1
  • Sama Samadli
    • 1
  • Yang Fang Wu
    • 1
  • Hui Hui Liu
    • 1
  • Wei Xia Chen
    • 1
  • Huang Huang Luo
    • 1
  • Dong Dong Zhang
    • 1
  • Wei Wei
    • 1
  • Peng Hu
    • 1
    Email author
  1. 1.Department of Pediatricsthe First Affiliated Hospital of Anhui Medical UniversityHefeiPeople’s Republic of China

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