The Role of Cytokine Biomarkers in Assessing Lumbar Degenerative Disorders and Associated Comorbid Conditions

Abstract:
Interleukins, a category
of cytokines, are crucial in the inflammatory mechanisms associated with Lumbar
degenerative disorders (LDD). This study evaluated the correlation between
cytokine biomarkers and demographic, socioeconomic, and occupational factors in
persons diagnosed with LDD. An investigation was carried out on 112 patients
diagnosed with low back pain (LBP) at GSL from December 2021 to January 2023
Medical College, Rajahmundry. The concentrations of interleukins (IL-1β, IL-2,
IL-4, IL-6, IL-8, IL-10, IL-12p70, and IL-13) in the blood were quantified
utilizing multiplex fluorescent antibody assays. The study included 62 males
and 50 females, with a mean age of 48.3 years. A notable correlation existed
between increased IL-6 levels and patients with LBP compared to controls (P
< 0.05). Positive relationships were seen between IL-6 levels and age, body
mass index (BMI), and illness duration. Extended sitting and socioeconomic
status were significant risk factors for low back pain (P = 0.042). Patients
diagnosed with degenerative disc disease (DDD) and spinal stenosis (SS) had
elevated levels of IL-6 compared to persons with disc herniation (DH). Elevated
circulating levels of IL-6 are correlated with LDD and demonstrate an
association with age, BMI, and symptom duration. Socioeconomic factors and work
practices significantly influence the occurrence of LBP. The findings suggest
that cytokine biomarkers, particularly IL-6, may serve as significant
indicators for assessing the severity and course of LDD. It is recommended that
we undertake further extensive investigations to validate these findings and
explore therapy strategies centred on cytokine regulation.
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