Serum Angiopoietin-2: A Sensitive Inflammatory Marker in Psoriasis Patients

Abstract

Psoriasis is an immune-mediated inflammatory skin disease associated with comorbidities. Angiogenesis plays a pivotal role in psoriasis pathogenesis which contributes to the initial events that trigger an autoimmune inflammatory response. Angiopoietins 1 and 2 are glycoproteins. Their binding to the tyrosine kinase receptor is essential to angiogenesis. Dysregulation of angiopoietins together with angiopoietin-2 overexpression induce vascular destabilization and regression. This study aimed to explore the relationship between systemic angiopoietin-2 and psoriasis severity. A total of 45 psoriasis vulgaris patients and 45 matched healthy controls were enrolled in the study. The severity of disease was evaluated by Psoriasis Area and Severity Index. Angiopoietin-2 serum level was measured using enzyme linked-immunosorbent assay. The relation between serum level of angiopoietin-2 and psoriasis severity was assessed. Angiopoietin-2 serum level was significantly more elevated in patients than controls (p<0.001). Angiopoietin-2 serum level was indicatively direct correlated with disease severity (r = 0.7, p < 0.001) with 100% sensitivity and 90.9% specificity in identifying mild and moderate to severe psoriasis patients. Serum angiopoietin-2 directly correlates with psoriasis severity. Angiopoietin-2 is nominated to be a potential sensitive biomarker for the ongoing inflammatory process to monitor the clinical and therapeutic outcomes in psoriasis patients.

Nano-Transfersomes of Vitamin-E and Aloe-Vera for The Management of Psoriasis

“…It is an immunological disorder produced by redness of dermal cells which can multiply up to tenfold faster than the normal cells. Although the foremost reasons for disease are not apparently known, it is assumed as an impairment of keratinocytes [1].…”