@article{3050972, title = "Comparative study of serum and synovial fluid interleukin-11 levels in patients with various arthritides", author = "Trontzas, P and Kamper, EF and Potamianou, A and Kyriazis, NC and and Kritikos, H and Stavridis, J", journal = "Clinical Biochemistry", year = "1998", volume = "31", number = "8", pages = "673-679", publisher = "PERGAMON-ELSEVIER SCIENCE LTD", issn = "0009-9120", doi = "10.1016/S0009-9120(98)00062-9", keywords = "interleukin-11; serum; synovial fluid; rheumatoid arthritis; seronegative spondyloarthritis; gout; osteoarthritis; acute phase response", abstract = "Objective: To determine the levels of serum and synovial fluid (SF) interleukin (IL)-11 in patients with various arthritides and estimate the contribution of IL-11 to acute phase response (APR). Design and methods: Serum and SF IL-11 were measured by ELISA in patients with rheumatoid arthritis (RA, n = 31), seronegative spondyloarthritis (SSA, n = 23), gout (GT, n = 14) and osteoarthritis (OA, n = 20) and were correlated with ESR and acute phase proteins as well as with cytokines IL-1 alpha, IL-1 beta, IL-6, and TNF alpha. Results: IL-11 was detected in both serum and SF in each group, with IL-11 being statistically higher in SF than serum in all groups, suggesting reduced catabolism or increased synthesis of IL-11 intra-articularly. Median SF IL-11 levels were higher in OA patients than in other groups and in the treated than in the untreated RA subgroup. Moreover, serum and SF IL-11 were correlated significantly with each other, and moderately with the other cytokines examined in RA, SSA, and GT, but not in OA patients, while a significant negative correlation was found with a few of the inflammatory markers examined in each group. Conclusions: Our findings provide evidence of extensive intraarticular expression of IL-11 in arthritides, especially in CA and treated RA patients, suggesting a protective role for IL-11 in joints, probably through the induction of tissue inhibitor of metalloproteinases. (C) 1998 The Canadian Society of Clinical Chemists ." }