Synergism between chikungunya virus infection and rheumatoid arthritis on cytokine levels: Clinical implications?

Data de publicação:

Autores da FMUP

  • Maria Augusta Vieira Coelho

    Autor

Participantes de fora da FMUP

  • Bezerra, Luan Araujo
  • da Silva Bastos, Yan Charles
  • Goncales, Juliana Prado
  • Joaquim Silva Junior, Jose Valter
  • Barros de Lorena, Virginia Maria
  • Branco Pinto Duarte, Angela Luzia
  • Lopes Marques, Claudia Diniz

Unidades de investigação

Abstract

Post-chikungunya virus (CHIKV) chronic arthritis shares several immunopathogenic mechanisms with rheumatoid arthritis (RA), which has led to discussions about the probable relationship between the two diseases. Indeed, some studies have suggested a role for CHIKV infection in RA development. However, to the best of our knowledge, the influence of CHIKV on previous RA has not yet been demonstrated. Herein, we analyzed the potential synergism between CHIKV infection and RA on cytokine and chemokine levels. For this, we compared the IL-1 beta, IL-6, IL-10, IL-17A, CCL2, CXCL8, CXCL9 and CXCL10 levels, in addition to rheumatoid factor (RF) and C-reactive protein (CRP), in patients with post-CHIKV chronic arthritis (named CHIKV group), patients with RA (RA group), and patients with previous RA who were later infected by CHIKV (RA-CHIKV). History of CHIKV infection was confirmed by serology (IgG, ELISA). Cytokines/chemokines were quantified by flow cytometry. RF, CRP, age and sex data were obtained from medical records. IL-1 beta, IL-6, IL-10 and IL-17A levels were significantly higher in RA-CHIKV compared to the other groups. CXCL8 levels were higher in the CHIKV group than in RA. CXCL9 was higher in CHIKV than in the RA-CHIKV group. CXCL10 was higher in CHIKV than in the other groups. FR levels were higher in RA than in the CHIKV group, and in RA-CHIKV than in CHIKV. No significant difference was observed in CCL2 and CRP, as well as in age and sex. Finally, our findings suggest an interplay between CHIKV infection and RA, which must be analyzed for its possible clinical impact.

Dados da publicação

ISSN/ISSNe:
1517-8382, 1678-4405

Brazilian Journal of Microbiology  Elsevier Editora Ltda

Tipo:
Article
Páginas:
885-890
PubMed:
37118056

Citações Recebidas na Web of Science: 2

Citações Recebidas na Scopus: 3

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Keywords

  • Polyarthralgia; CHIKV; Rheumatoid arthritis; IL-1 beta; IL-6; IL-10; IL-17A

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