Serum levels of PDGF-CC as a potential biomarker for the diagnosis of Kawasaki disease

© 2024. The Author(s)..

BACKGROUND: Kawasaki disease (KD) is an acute systemic vasculitis of unknown etiology that predominantly affects children, and no specific diagnostic biomarkers for KD are available. Platelet-derived growth factor CC (PDGF-CC) is a peptide with angiogenic properties that has been amply demonstrated to play a critical role in the cardiovascular system. This study aimed to investigate the serum expression of PDGF-CC in children with KD and to evaluate the ability of PDGF-CC to diagnose KD.

METHODS: A total of 96 subjects, including 59 KD patients, 17 febrile controls (FC), and 20 healthy controls (HC), were enrolled. Serum levels of PDGF-CC were measured via enzyme-linked immunosorbent assay. The associations between PDGF-CC and clinical laboratory parameters were investigated by correlation analysis. The diagnostic performance was assessed by receiver operating characteristic (ROC) curve analysis.

RESULTS: Serum PDGF-CC levels in the KD group were significantly higher than in the FC and HC groups. Serum PDGF-CC levels in the KD group were positively correlated with white blood cell counts, percentage of neutrophils, IL-2, IL-12p70, TNF-α, and IL-1β levels, and negatively correlated with the percentage of lymphocytes. In the analysis of ROC curves, the area under the curve was 0.796 (95% confidence interval 0.688-0.880; P < 0.0001) for PDGF-CC and increased to 0.900 (95% confidence interval 0.808-0.957; P < 0.0001) in combination with white blood cell counts and C-reactive protein.

CONCLUSIONS: PDGF-CC is a potential biomarker for KD diagnosis, and the combination with white blood cell counts and C-reactive protein can further improve diagnostic performance.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:50

Enthalten in:

Italian journal of pediatrics - 50(2024), 1 vom: 25. Jan., Seite 16

Sprache:

Englisch

Beteiligte Personen:

Zhang, Jing [VerfasserIn]
Yang, Penghui [VerfasserIn]
Liu, Yihao [VerfasserIn]
Chen, Zhuo [VerfasserIn]
Wu, Jinhui [VerfasserIn]
Feng, Siqi [VerfasserIn]
Yi, Qijian [VerfasserIn]

Links:

Volltext

Themen:

9007-41-4
Biomarker
Biomarkers
C-Reactive Protein
Diagnostic markers
Journal Article
Kawasaki disease
Lymphokines
Platelet-Derived Growth Factor
Platelet-derived growth factor C
Platelet-derived growth factor CC

Anmerkungen:

Date Completed 29.01.2024

Date Revised 29.01.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s13052-024-01580-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367638029