Soluble IL-1RII and IL-18 are associated with incipient upper extremity soft tissue disorders

Previous studies suggest a role for IL-1 beta in the pathophysiology of upper extremity soft tissue disorders (UESTDs). We studied the levels of interleukin-1 family members in patients with incipient UESTDs and compared them with healthy controls. In this case control study, we included 163 patients with UESTDs and symptom duration shorter than 1 month and 42 healthy controls matched for age and gender at the group level. Serum levels of cytokines IL-1 alpha, IL-1 beta, IL-1Ra, IL-6, IL-8, IL-18, IL-33, TNF alpha and sensitized C-reactive protein as well as IL-1 family soluble receptors sIL-1RII and sST2 were assessed. We used unconditional logistic regression models to study the associations between cytokines and UESTDs. After adjustment for potential confounders, the serum levels of sIL-1RII(p < 0.001) and sST2 (p = 0.014) were higher in the patients than the controls. The level of IL-18 was lower in the patients than the controls (p = 0.005). There were no significant differences between the patients and controls regarding the levels of IL-1 alpha, IL-1 beta, IL-1Ra,IL-33, IL-6, IL-8, TNF alpha, or sensitized C-reactive protein. The levels of circulating sIL-1RII and IL-18 are associated with incipient UESTDs, suggesting an important role for these IL-1 family members in the early course of UESTDs. (C) 2011 Elsevier Ltd. All rights reserved.