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Serum levels of interleukin-34 and RANKL as multivariable predictors of bone erosion seen by ultrasonography in patients with ankylosing spondylitis Cover

Serum levels of interleukin-34 and RANKL as multivariable predictors of bone erosion seen by ultrasonography in patients with ankylosing spondylitis

Open Access
|Apr 2022

Figures & Tables

Figure 1

Serum levels of IL-34 and RANKL cytokines in AS, osteoarthritis, and healthy controls. IL-34, interleukin-34 (light-gray bars); RANKL, receptor activator of nuclear factor-κB (dark-gray bars); AS, ankylosing spondylitis; OA, osteoarthritis. Error bars indicate SD; SD, standard deviation.
Serum levels of IL-34 and RANKL cytokines in AS, osteoarthritis, and healthy controls. IL-34, interleukin-34 (light-gray bars); RANKL, receptor activator of nuclear factor-κB (dark-gray bars); AS, ankylosing spondylitis; OA, osteoarthritis. Error bars indicate SD; SD, standard deviation.

Figure 2

In patients with ankylosing spondylitis, the serum level of IL-34 was positively correlated with (A) the number of bone erosion, (B) the number of enthesitis, and (C) the number of entheses with a power Doppler signal. Spearman rank correlation coefficients between serum levels of IL-34 and clinical data were used to determine the relationship between the variables. IL-34, interleukin-34.
In patients with ankylosing spondylitis, the serum level of IL-34 was positively correlated with (A) the number of bone erosion, (B) the number of enthesitis, and (C) the number of entheses with a power Doppler signal. Spearman rank correlation coefficients between serum levels of IL-34 and clinical data were used to determine the relationship between the variables. IL-34, interleukin-34.

Figure 3

In patients with ankylosing spondylitis, the serum level of RANKL concentration was positively correlated with (A) the number of bone erosions and (B) the number of enthesitis. Spearman rank correlation coefficients between serum levels of IL-34 and clinical data were used to determine the relationship between the variables. RANKL, receptor activator of nuclear factor-κB.
In patients with ankylosing spondylitis, the serum level of RANKL concentration was positively correlated with (A) the number of bone erosions and (B) the number of enthesitis. Spearman rank correlation coefficients between serum levels of IL-34 and clinical data were used to determine the relationship between the variables. RANKL, receptor activator of nuclear factor-κB.

Figure 4

ROC curves for (A) serum level of IL-34 (solid line) and RANKL (dashed line) in the patients with AS and healthy individuals and (B) for serum level of IL-34 (solid line) and RANKL (dashed line) in patients with AS and those with osteoarthritis. ROC, receiver operating characteristics; IL-34, interleukin-34; RANKL, receptor activator of nuclear factor-κB; AS, ankylosing spondylitis; OA, osteoarthritis.
ROC curves for (A) serum level of IL-34 (solid line) and RANKL (dashed line) in the patients with AS and healthy individuals and (B) for serum level of IL-34 (solid line) and RANKL (dashed line) in patients with AS and those with osteoarthritis. ROC, receiver operating characteristics; IL-34, interleukin-34; RANKL, receptor activator of nuclear factor-κB; AS, ankylosing spondylitis; OA, osteoarthritis.

Serum levels of IL-34 and RANKL in AS, osteoarthritis, and healthy control groups

ComparisonVariableUnivariable analysisMultivariable analysis


OR95% CIPOR95% CIP
AS vs. OAIL-341.041.01–1.140.0160.930.88–0.990.016
RANKL1.120.98–1.300.110.890.77–1.020.10
Weight0.430.12–1.580.200.670.63–8.570.20
Height1.170.57–2.370.680.860.42–1.740.67
Age0.880.88–1.000.061.140.999–1.300.052
Sex3.390.57–5.290.360.540.09–2.180.37

AS vs. Healthy controlsIL-341.240.80–1.320.110.920.87–0.980.007
RANKL0.820.41–1.180.450.750.64–0.890.001
Weight3.020.77–5.620.711.950.51–7.490.33
Height0.690.23–1.830.550.940.44–2.040.88
Age0.970.59–1.210.111.171.01–1.340.03
Sex0.400.10–2.180.360.510.03–2.310.60

Serum IL-34 and RANKL in patients with AS across age groups

Age (years)IL-34 (pg/mL)RANKL (pg/mL)
10 to <20874.9 ± 164.5154.0 ± 15.1
20 to <30977.3 ± 91.2136.4 ± 1.6
30 to <40841.6 ± 126.1157.6 ± 17.2
40 to <50887.7 ± 105.2159.7 ± 7.3
50 to <60861.5 ± 97.0145.7 ± 1.4
60 to <70893.1 ± 116.4162.0 ± 10.7
70 to 80829.6 ± 60.5155.8 ± 14.8

Serum IL-34 and RANKL in patients with AS across weight categories

Weight (kg)IL-34 (pg/mL)RANKL (pg/mL)
40 to >50984.5 ± 76.9156.3 ± 13.6
50 to >60881.3 ± 123.0154.2 ± 15.5
60 to >70846.5 ± 101.3154.7 ± 12.7
70 to 80990.0 ± 116.7168.6 ± 4.2

Correlation (rs) between serum IL-34 and RANKL, and clinical data of 40 patients with AS

Clinical dataIL-34RANKLIL-34RANKL
RANKL0.1170.108
ESR−0.0560.206−0.0520.220
CRP0.0230.1940.0370.210
BASDAI−0.2110.213−0.2590.157
BASFI−0.294–0.089−0.285−0.149
BASMI−0.2540.27−0.254−0.149
MASES0.078−0.115−0.012−0.258
ASDAS−0.2740.281−0.2930.243
Night VAS−0.2820.202−0.1930.160

Correlation (rs) between IL-34, RANKL, and ultrasonography findings in 40 patients with AS

UltrasonographyIL-34RANKLIL-34RANKL
GUESS0.290.070.39*0.26
Effusion0.100.210.130.27
Bone erosion0.80**0.38*0.82**0.37*
Osteophyte0.300.150.37*0.13
PD0.64**0.070.63**0.08
Enthesitis0.75**0.35*0.80**0.35*

Characteristics of the participants

AS (n = 40)[A]OA (n = 40)[B]Healthy controls (n = 40)[C]P[A–B]P[A–C]
Age (years)44.5 ± 18.848.5 ± 8.646.2 ± 17.90.230.69
Height (cm)164.7 ± 8.3163.3 ± 7.4165.7 ± 7.00.430.58
Weight (kg)62.5 ± 6.562.5 ± 5.763.5 ± 7.00.960.53
Male (%)4020350.0510.64
Disease duration (years)6.6 ± 6.7
HLA-B27 (%)100
ESR (<20 mm/h)49.3 ± 27.2
CRP (<8.0 mg/L)22.7 ± 16.8
BASDAI4.70 ± 0.69
BASFI4.75 ± 1.35
MASES2.70 ± 1.53
ASDAS3.27 ± 0.84
Night VAS score5.13 ± 1.74
Clinical presence of enthesitis (%)80
(MASES ≥1) Dactylitis (%)5
Peripheral arthritis (%)65
DOI: https://doi.org/10.2478/abm-2022-0011 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 89 - 98
Published on: Apr 29, 2022
Published by: Chulalongkorn University
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2022 Xianqian Huang, Yong Chen, Yong Peng, Minzhi Gan, Baoqing Geng, Mengya Zhu, Ying Ying, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution 4.0 License.