IL-17A

IL - 17A
  • 文章类型: Journal Article
    哮喘是由慢性气道炎症引起的呼吸系统疾病之一。IL-4已被确定为参与哮喘严重程度的白细胞介素之一。
    进行了一项病例对照研究,以确定白细胞介素4受体α链中单核苷酸多态性rs1805010的关联,伊朗人群的哮喘和免疫球蛋白E和IL-17A血清水平。
    ELISA用于研究三个不同品种的SNPI50V与血清IL-17A水平之间的关系,以及总IgE水平。根据GINA标准,患者分为轻度,中度,和基于SNPI50V之间的关联的严重组,IL-17A,和总IgE。为了分析数据,采用student-t检验和单因素方差分析.
    SNPI50V与哮喘有显著关联(p=0.001)。哮喘患者的IL-17A和总IgE水平显着高于对照组参与者(分别为p0.05和p0.021),但在哮喘患者中均未显示与SNPI50V有任何关联。
    哮喘患者的I等位基因患病率较高,反映Th2细胞的意义。尽管总IgE和IL-17A水平在两个疾病亚组中都增加,总IgE水平升高与疾病严重程度直接相关,而IL-17A水平没有增强。
    UNASSIGNED: Asthma is one of the respiratory disorders caused by chronic airway inflammation. IL-4 has been identified as one of the participating interleukins in the severity of asthma.
    UNASSIGNED: A case-control study was conducted to determine the association of rs1805010, a single nucleotide polymorphism in the interleukin 4 receptor α chain, with asthma and immunoglobulin E and IL-17A serum levels in Iranian populations.
    UNASSIGNED: ELISA was used to investigate the relationship between three different varieties of SNP I50V and serum IL-17A levels, as well as total IgE levels. Based on GINA criteria, patients were classified into mild, moderate, and severe groups based on the association between SNP I50V, IL-17A, and total IgE. In order to analyze the data, the student-t-test and the one-way ANOVA were used.
    UNASSIGNED: The SNP I50V was associated with asthma in a significant way (p = 0.001). IL-17A and total IgE levels were significantly higher in asthmatic patients than in control participants (p 0.05 and p 0.021, respectively), but neither showed any association with SNP I50V in the asthmatic patients.
    UNASSIGNED: Asthma patients have a higher prevalence of the I allele, reflecting the significance of Th2 cells. Although total IgE and IL-17A levels increased in both disease subgroups, total IgE level augmentation correlates directly with disease severity, while IL-17A level enhancement does not.
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  • 文章类型: Journal Article
    背景:细胞因子在人体的生理和病理免疫反应中都是至关重要的。这项研究利用流式细胞术测量血浆白细胞介素-2(IL-2)的水平,白细胞介素-4(IL-4),白细胞介素-5(IL-5)和白细胞介素-17A(IL-17A),并建立其参考区间,旨在为临床疾病的诊断和治疗提供数据支持。
    方法:根据纳入和排除标准,从2023年1月至2023年6月,本研究共纳入728名参考个体.Kolmogorov-Smirnov试验用于分析血浆IL-2,IL-4,IL-5和IL-17A的分布。根据C28-A3和WS/T402-2012指南,通过单侧百分位法(第95百分位数)建立血浆IL-2,IL-4,IL-5和IL-17A的参考区间。
    结果:在这项研究中,血浆IL-2、IL-4、IL-5和IL-17A水平呈非正态分布。健康成人血浆IL-2、IL-4、IL-5和IL-17A浓度在不同性别和年龄之间差异均无统计学意义(均P>0.05)。因此,所有参考个体被合并为一组,并通过流式细胞术建立血浆IL-2,IL-4,IL-5和IL-17的参考间隔(IL-2≤10.25pg/mL,IL-4≤9.87pg/mL,IL-5≤3.36pg/mL,IL-17A≤9.46pg/mL)。
    结论:我们首先建立了中国东部江苏地区单中心人群健康成人血浆IL-2、IL-4、IL-5和IL-17A的参考区间。为评估人体免疫状态和临床疾病的诊治提供重要的参考价值。
    Cytokines are of utmost importance in both the physiological and pathological immune responses of the human body. This study utilized flow cytometry to measure the levels of plasma interleukin-2 (IL-2), interleukin-4 (IL-4), interleukin-5 (IL-5) and interleukin-17A (IL-17A) and established their reference intervals, aiming to provide data support for the diagnosis and treatment of clinical diseases.
    According to the inclusion and exclusion criteria, a total of 728 reference individuals were included in this study from January 2023 to June 2023. The Kolmogorov-Smirnov test was used to analyse the distributions of plasma IL-2, IL-4, IL-5 and IL-17A. The reference intervals of plasma IL-2, IL-4, IL-5 and IL-17A were established by the unilateral percentile method (95th percentile) based on the guidelines of C28-A 3 and WS/T 402-2012.
    In this study, the levels of plasma IL-2, IL-4, IL-5 and IL-17A were nonnormally distributed. The concentrations of plasma IL-2, IL-4, IL-5 and IL-17A in healthy adults were not significantly different by sex or age (all P > 0.05). Therefore, all the reference individuals were combined into one group, and the reference intervals of plasma IL-2, IL-4, IL-5 and IL-17 were established by flow cytometry (IL-2 ≤ 10.25 pg/mL, IL-4 ≤ 9.87 pg/mL, IL-5 ≤ 3.36 pg/mL and IL-17A ≤ 9.46 pg/mL).
    We first established the reference intervals of plasma IL-2, IL-4, IL-5 and IL-17A in healthy adults based on a single-center population in the Jiangsu region in eastern China, which will provide an important reference value for evaluating human immune status and the diagnosis and treatment of clinical diseases.
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  • 文章类型: Journal Article
    这项研究旨在检查银屑病关节炎(PsA)患者在治疗开始后4个月内对肿瘤坏死因子α抑制剂(TNFi)和白介素-17A抑制剂(IL-17Ai)的响应者和非响应者的生物标志物水平的变化。共有68名开始使用TNFi的PsA患者,IL-17Ai,或包括甲氨蝶呤治疗。在治疗开始前后和四个月后收集血浆和临床结果指标。包括市售的多重免疫测定以评估54种生物标志物。使用平均变化来评估随时间的变化。在TNFi应答者中观察到促炎细胞因子IL-6的统计学显著降低(对数转换平均变化-0.97,95CI-4.30;2.37,[p=0.032])和抗炎IL-10的增加(0.38,95CI1.74;2.50[p=0.010])。同时,在IL-17Ai应答者(2.49,95CI-1.84;6.85[p=0.031])和非应答者(2.48,95CI-1.46;6.41[p=0.001])中均观察到靶细胞因子IL-17A的统计学显著增加.这项研究表明,当比较治疗应答者和非应答者时,细胞因子水平有不同的变化。强调需要提高对解释PsA患者对药物治疗的不同反应的不同免疫反应机制的理解。
    This study aimed to examine the changes in biomarker levels in responders and non-responders to tumor necrosis factor alpha inhibitor (TNFi) and interleukin-17A inhibitor (IL-17Ai) in psoriatic arthritis (PsA) patients over a 4-month period after treatment initiation. A total of 68 PsA patients initiating either TNFi, IL-17Ai, or methotrexate treatment were included. Blood plasma and clinical outcome measures were collected adjacent to treatment initiation and after four months. A commercially available multiplex immunoassay was included to evaluate 54 biomarkers. Mean changes were used to evaluate change over time. A statistically significant decrease in pro-inflammatory cytokines IL-6 (log-transformed mean change -0.97, 95%CI -4.30; 2.37, [p = 0.032]) and an increase in anti-inflammatory IL-10 (0.38, 95%CI 1.74; 2.50 [p = 0.010]) were seen in TNFi responders. Meanwhile, a statistically significant increase in the target cytokine IL-17A was seen in both IL-17Ai responders (2.49, 95%CI -1.84; 6.85 [p = 0.031]) and non-responders (2.48, 95%CI -1.46; 6.41 [p = 0.001]). This study demonstrated differing changes in cytokine levels when comparing treatment responders and non-responders, highlighting the need to improve the understanding of the different immune response mechanisms explaining different responses to medical treatment in PsA patients.
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  • 文章类型: Journal Article
    为了比较偏头痛组的12种细胞因子的血清水平,脑炎伴头痛症状组,肺炎无头痛症状组和偏头痛亚组探讨与儿童偏头痛相关的细胞因子及其水平。
    共有44名偏头痛儿童,选取2022年1月至2023年8月在河北省儿童医院就诊的有头痛症状的脑炎组患儿27例,无头痛症状的肺炎组患儿44例。用免疫荧光法检测血清细胞因子。偏头痛组根据不同年龄进一步分为亚组,性别,病程,和合并感染的存在。比较上述各组间血清细胞因子水平的差异,并进行相关分析。
    除IL-5外,其他11种炎性细胞因子的表达水平在偏头痛亚组之间没有显着差异。比较有头痛症状的脑炎组和无头痛症状的肺炎组血清IL-4、TNF-α水平,IL-17A,偏头痛组IL-12p70高于肺炎组,IL-12p70水平高于脑炎组(p<0.05)。血清IL-12p70(OR=1.267,95CI1.054-1.523,p=0.012)和IL-17A(OR=1.066,95CI1.016-1.119,p=0.010)水平升高对偏头痛有显著影响。
    血清IL-12p70和IL-17A水平升高可能会增加儿童偏头痛的风险,具有一定的诊断和预测价值。
    UNASSIGNED: To compare the serum levels of 12 cytokines in migraine group, encephalitis with headache symptoms group, pneumonia without headache symptoms group and migraine subgroups to explore the cytokines associated with migraine in children and their levels.
    UNASSIGNED: A total of 44 children with migraine, 27 children in the encephalitis group with headache symptoms and 44 children in the pneumonia group without headache symptoms were selected from January 2022 to August 2023 in Hebei Children\'s Hospital. They were all tested for serum cytokines by immunofluorescence assay. The migraine group was further divided into subgroups according to different age, gender, course of disease, and presence of coinfection. The differences of serum cytokine levels among the above groups were compared, and the correlation analysis was carried out.
    UNASSIGNED: Except IL-5, there were no significant differences in the expression levels of other 11 inflammatory cytokines between migraine subgroups. Compared with encephalitis with headache symptoms group and pneumonia without headache symptoms group the serum levels of IL-4, TNF-α, IL-17A, and IL-12p70 were higher in migraine group than in pneumonia group, and the levels of IL-12p70 were higher than those in encephalitis group (p < 0.05). An increase in serum IL-12p70 (OR = 1.267, 95%CI 1.054-1.523, p = 0.012) and IL-17A (OR = 1.066, 95%CI 1.016-1.119, p = 0.010) levels had a significant effect on migraine.
    UNASSIGNED: Elevated serum levels of IL-12p70 and IL-17A may increase the risk of migraine in children, which has certain diagnostic and predictive value.
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  • 文章类型: Randomized Controlled Trial
    白细胞介素(IL)-17A是慢性斑块型银屑病(CPP)发病机制的基础。良好的耐受性,对于轻度至中度CPP,需要有效的IL-17A抑制剂。ZL-1102是靶向IL-17A的新型抗体片段。为了评估安全性,耐受性,1%ZL-1102水凝胶在轻度至中度CPP患者中的初步疗效和皮肤渗透,由两部分组成,进行Ib期研究。开放标签部分A:6名患者接受ZL-1102在银屑病斑块上的单次局部应用;双盲部分B:53名患者被随机分配1:1至每天两次ZL-1102或媒介物,持续4周。关键主要终点包括治疗引起的不良事件(TEAE),局部银屑病面积和严重程度指数(PASI)的耐受性和变化。TEAE发生在A部分的两名(33.3%)患者以及ZL-1102和车辆臂的16名(59.3%)和13名(50.0%)患者中,分别,在B部分中,ZL-1102未发现≥3级TEAE。ZL-1102导致本地PASI与车辆的数值变化更大(-28.8%与-17.2%),具有良好的局部耐受性。局部PASI改善的趋势伴随着基于RNA测序的生物标志物变化,表明ZL-1102渗透到银屑病斑块中。外用ZL-1102显示良好的安全性,局部耐受性和改善局部PASI的趋势;观察到皮肤渗透没有可测量的全身暴露。ACTRN12620000700932。
    Interleukin (IL)-17A underlies the pathogenesis of chronic plaque psoriasis (CPP). Well-tolerated, effective IL-17A inhibitors for mild-to-moderate CPP are needed. ZL-1102 is a novel antibody fragment targeting IL-17A. To assess the safety, tolerability, preliminary efficacy and skin penetration of a topical 1% ZL-1102 hydrogel in patients with mild-to-moderate CPP, a two-part, Phase Ib study was conducted. Open-label Part A: six patients received a single topical application of ZL-1102 onto a psoriatic plaque; double-blind Part B: 53 patients were randomised 1:1 to twice-daily ZL-1102 or vehicle for 4 weeks. Key primary endpoints included treatment-emergent adverse events (TEAEs), tolerability and changes in local psoriasis area and severity index (PASI). TEAEs occurred in two (33.3%) patients in Part A and in 16 (59.3%) and 13 (50.0%) patients in the ZL-1102 and vehicle arms, respectively, in Part B. No grade ≥3 TEAEs were seen with ZL-1102. ZL-1102 led to numerically greater changes in local PASI versus vehicle (-28.8% vs. -17.2%), with good local tolerability. The trend towards local PASI improvement was accompanied by biomarker changes based on RNA sequencing, indicative of ZL-1102 penetration into psoriatic plaques. Topical ZL-1102 showed good safety, local tolerability and a trend towards improved local PASI; skin penetration was observed without measurable systemic exposure. ACTRN12620000700932.
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  • 文章类型: Journal Article
    UNASSIGNED: Mechanical digit sensory stimulation (MDSS) is a novel therapy designed to accelerate the recovery of upper limb (including hand) function in patients with hemiplegia following a stroke. The primary goal of this study was to investigate the effect of MDSS on patients with acute ischemic stroke (AIS).
    UNASSIGNED: Sixty-one inpatients with AIS were randomly divided into conventional rehabilitation group (RG) and stimulation group (SG), and the latter group received MDSS therapy. A healthy group consisting of 30 healthy adults was also included. The interleukin-17A (IL-17A), vascular endothelial growth factor A (VEGF-A), and tumor necrosis factor-alpha (TNF-α) plasma levels were measured in all subjects. The neurological and motor functions of patients were evaluated using the National Institutes of Health Stroke Scale (NIHSS), Mini-Mental State Examination (MMSE), Fugel-Meyer Assessment (FMA), and Modified Barthel Index (MBI).
    UNASSIGNED: After 12 days of intervention, the IL-17A, TNF-α, and NIHSS levels were significantly decreased, while the VEGF-A, MMSE, FMA, and MBI levels were significantly increased in both disease groups. No significant difference was observed between both disease groups after intervention. The levels of IL-17A and TNF-α were positively correlated with NIHSS but negatively correlated with MMSE, FMA, and MBI. The VEGF-A levels were negatively correlated with NIHSS but positively correlated with MMSE, FMA, and MBI.
    UNASSIGNED: Both MDSS and conventional rehabilitation significantly reduce the production of IL-17A and TNF-α, increase the VEGF-A levels, and effectively improve cognition and motor function of hemiplegic patients with AIS, and the effects of MDSS and conventional rehabilitation are comparable.
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  • 文章类型: Journal Article
    布洛芬,一种非甾体,抗炎药,调节炎症,但也可能对大脑健康有神经保护作用,人们对此知之甚少。星形胶质细胞富集的细胞外囊泡(AEEV)促进细胞间的通讯,以及通过微核糖核酸(miRNA)调节炎症和代谢等功能。已提出奖励相关加工和炎症中的功能障碍是患有情绪障碍的个体的关键病理生理途径。该研究检查了由抗炎剂诱导的AEEV货物的变化是否导致与奖励相关处理相关的炎症调节。来自双盲的数据,随机化,在健康志愿者中的重复测量研究用于检查AEEVmiRNAs对奖励相关处理过程中大脑激活的影响。在三次单独的访问中,健康参与者(N=20)接受单剂量的安慰剂,200毫克,或者600毫克布洛芬,在功能磁共振成像期间完成了货币激励延迟任务,并提供用于细胞因子和AEEV收集的血液样品。AEEVmiRNA含量谱分析显示布洛芬剂量依赖性地增加AEEVmiR-23b-3p表达,在600mg给药后比安慰剂有更大的增加。接受600mg并显示最高miR-23b-3p表达的那些个体还显示(a)最低的血清肿瘤坏死因子(TNF)和白介素-17A(IL-17A)浓度;并且(b)在奖励预期期间具有最高的纹状体脑激活。这些结果支持布洛芬改变AEEV中miRNA组成的假设。这开启了AEEV货物可用于调节对心理健康重要的大脑过程的可能性。
    Ibuprofen, a non-steroidal, anti-inflammatory drug, modulates inflammation but may also have neuroprotective effects on brain health that are poorly understood. Astrocyte-enriched extracellular vesicles (AEEVs) facilitate cell-to-cell communication and - among other functions - regulate inflammation and metabolism via microribonucleic acids (miRNAs). Dysfunctions in reward-related processing and inflammation have been proposed to be critical pathophysiological pathways in individuals with mood disorders. This investigation examined whether changes in AEEV cargo induced by an anti-inflammatory agent results in inflammatory modulation that is associated with reward-related processing. Data from a double-blind, randomized, repeated-measures study in healthy volunteers were used to examine the effects of AEEV miRNAs on brain activation during reward-related processing. In three separate visits, healthy participants (N = 20) received a single dose of either placebo, 200 mg, or 600 mg of ibuprofen, completed the monetary incentive delay task during functional magnetic resonance imaging, and provided a blood sample for cytokine and AEEV collection. AEEV miRNA content profiling showed that ibuprofen dose-dependently increased AEEV miR-23b-3p expression with greater increase following the 600 mg administration than placebo. Those individuals who received 600 mg and showed the highest miR-23b-3p expression also showed the (a) lowest serum tumor necrosis factor (TNF) and interleukin-17A (IL-17A) concentrations; and had the (b) highest striatal brain activation during reward anticipation. These results support the hypothesis that ibuprofen alters the composition of miRNAs in AEEVs. This opens the possibility that AEEV cargo could be used to modulate brain processes that are important for mental health.
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  • 文章类型: Journal Article
    复发性和播散性杂色糠疹(RDPV)是一种常见的临床实体,其特点是经常性和毁容性。研究表明宿主在免疫反应中的遗传变异,尤其是IL-17在抗真菌免疫中的作用。本研究旨在检测在RDPV病例中是否发现IL-17A和F基因多态性。它包括100例RDPV和100例年龄和性别匹配的对照,从其中采集EDTA血样进行单核苷酸多态性分析。IL-17A(rs2275913)和F(rs763780)与发展中的RDPV的发生率显着增加有关。IL-17A和F基因多态性可能是RDPV发生的危险因素。
    Recurrent and disseminated pityriasis versicolor (RDPV) is a common clinical entity, characterized by its recurrent and disfiguring nature. Studies demonstrated host genetic variations in the immune response, especially the role of IL-17 in antifungal immunity. This study aimed to detect whether IL-17A and F gene polymorphisms are found in cases of RDPV. It included 100 cases of RDPV and 100 age and sex matched controls, from which EDTA blood samples were taken for single-nucleotide polymorphism analysis. IL-17A (rs2275913) and F (rs763780) were associated with a significantly increased incidence of developing RDPV. IL-17A and F gene polymorphism could be implicated as a risk factor for the development of RDPV.
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  • 文章类型: Journal Article
    结肠炎相关结直肠癌(CAC)是一种特殊类型的结直肠癌(CRC),具有较高的死亡率和发病率,肠粘膜的慢性炎症是CAC的特征。长清方(CQF)是临床上用于治疗CAC的中药方剂,具有显著的临床疗效,但其机制尚不清楚。在目前的工作中,结合网络药理学和转录组学分析潜在的活性成分,阐明CQF治疗CAC的分子机制。首先,通过UPLC-Q-TOF-MS/MS分析和鉴定CQF向血液迁移的成分,并通过网络药理学分析筛选核心基因和通路。基因和基因组百科全书(KEGG)分析表明,参与CAC的IL-17信号通路可能与CQF的潜在作用机制密切相关。随后,动物研究结果表明,CQF显著降低了AOM/DSS小鼠的肿瘤数量和肿瘤大小.利用创造性途径分析(IPA)分析RNA-seq数据,结果支持CQF通过IL-17信号通路发挥肿瘤抑制作用的观点。进一步的研究表明,CQF显着降低IL-17A水平,进而抑制NF-κB/IL-6/STAT3信号传导级联,抑制MMP9表达,促进肿瘤细胞凋亡。总之,目前的研究表明,CQF显着改善了炎性肿瘤微环境,阻碍了炎症向癌症的转化。这些发现可能有助于设计未来的CAC治疗策略。
    Colitis-associated colorectal cancer (CAC) is a specific type of colorectal cancer (CRC) with high mortality and morbidity, the chronic inflammation in the intestinal mucosal is the characteristic of CAC. Chang Qing formula (CQF) is a Chinese herbal formula used clinically for the treatment of CAC with remarkable clinical efficacy, but its mechanism remains unclear. In the present work, Combined network pharmacology and transcriptomics were used to analyze the potential active ingredients and elucidate molecular mechanism of CQF in treating CAC. Firstly, the constituents migrating to blood of CQF were analyzed and identified by UPLC-Q-TOF-MS/MS, and core genes and pathways were screened by network pharmacology analysis. Encyclopedia of Genes and Genomes (KEGG) analysis showed that the IL-17 signaling pathway involved in CAC may be closely associated with the potential mechanismof action of CQF. Subsequently, the results from animal studies indicated that CQF profoundly reduced tumor numbers and tumor size in AOM/DSS mice. The RNA-seq data was analysed utilizing Ingenuity Pathway Analysis (IPA), and the results supported the idea that CQF exerts a tumour-suppressive effect via the IL-17 signalling pathway. Further studies demonstrated that CQF significantly reduced IL-17A levels, which in turn inhibited NF-κB/IL-6/STAT3 signaling cascade, suppressed MMP9 expression and promoted tumor cell apoptosis. In conclusion, the current study demonstrated that CQF remarkably improved inflammatory tumor microenvironment, and hindered the transformation of inflammation into cancer. These findings may help to design future strategies for the treatment of CAC.
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  • 文章类型: Journal Article
    VOYAGE(1和2)试验显示了Guselkumab在银屑病中的安全性和有效性。尽管试验结果已经被现实生活中的研究证实,长期的真实数据,关于guselkumab的药物生存数据仍然很差。
    我们进行了一项为期3年的回顾性研究,目的是评估guselkumab在现实生活中治疗斑块状银屑病的疗效和安全性。
    31名患者完成了研究。自第16周以来,银屑病面积严重度指数(PASI)和体表面积(BSA)均有统计学改善,直至第144周[第144周PASI从16.4±6.2降低至0.6±0.9(p<0.0001),而BSA从33.2±14.6降低至1.9±1.4(p<0.0001)]。在第12周,有19例(61.3%)和11例(35.4%)患者获得了PASI90和PASI100,分别,以及24名(77.4%)和18名(58.1%)受试者在第144周达到PASI90和PASI100。关于安全,没有注射部位反应的情况下,念珠菌,严重的AE,恶性肿瘤,或报告了主要心血管事件.值得注意的是,以咽炎为主的轻度不良事件(7,22.6%),其次是头痛(5,16.1%)和流感样疾病(5,16.1%),全部不需要停止治疗。
    我们的经验证实了guselkumab在长达3年的日常临床实践中的疗效和安全性,提示该药物是银屑病长期治疗的有效治疗选择。
    UNASSIGNED: Guselkumab safety and efficacy profiles in psoriasis have been showed by VOYAGE (1 and 2) trials. Although trial results have been already previously confirmed by real-life studies, long-term real-life data, and drug survival data about guselkumab are still poor.
    UNASSIGNED: We performed a 3-year retrospective study, with the aim of assessing guselkumab efficacy and safety profile in the management of plaque psoriasis in a real-life setting.
    UNASSIGNED: Thirty-one patients completed the study. Both Psoriasis Area Severity Index (PASI) and Body Surface Area (BSA) statistically improved since week 16, and up to week 144 [PASI reduction from 16.4 ± 6.2 to 0.6 ± 0.9 (p < 0.0001) at week 144 while BSA from 33.2 ± 14.6 to 1.9 ± 1.4 (p < 0.0001)]. At week 12 PASI90 and PASI100 were achieved by 19 (61.3%) and 11 (35.4%) patients, respectively, as well as 24 (77.4%) and 18 (58.1%) subjects reached PASI 90 and PASI 100 at week 144. As regards the safety, no cases of injection site reaction, candida, serious AEs, malignancy, or major cardiovascular events were reported. Of note, mild AEs were collected with pharyngitis as the main one (7, 22.6%), followed by headache (5, 16.1%) and flu-like illness (5, 16.1%), all without requiring treatment discontinuation.
    UNASSIGNED: Our experience confirmed the efficacy and safety of guselkumab in daily clinical practice up to 3 years, suggesting this drug as an effective treatment option in psoriasis long-term management.
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