The relationship between Uric Acid with cytokines, CRP and their effect on gout patients in Thi-Qar Governorate

Background: Gout is thought to be an autoinflammatory illness because monosodium urate (MSU) crystals trigger the activation of NLRP3 inflammasome, which in turn triggers caspase-1 to release active cytokines. Yet, it is still unclear how blood cytokine levels relate to the symptoms and clinical indicators of the illness. The serum levels of Interleukin-6 (IL-6), Adiponectin (ADP), C-Reactive Protein (CRP), and Uric Acid (UA) were examined, and their relationship with clinical and laboratory findings was discussed.Methods: ELISA was used to determine the clinical, laboratory, and cytokine levels of 80 male and female gout patients (gout group). The study also included 70 individuals without a history of arthritis for comparison.Results: On analysis, 80 out of the 150 individuals had gout arthritis. Uric Acid, IL-6, and CRP concentrations were all noticeably more prevalent in patients than in the control group (P < 0.001). Furthermore, ADP levels in patients were considerably lower than those of the control group (P < 0.001) as well. The present results were examined for age, gender, and body mass index (BMI).Conclusion: High mean levels of UA, CRP, and IL-6, in both male and female gouty patients, as well as low mean values of ADP, were discovered when biochemical parameters were evaluated. As a result, UA, IL-6, ADP, and CRP are concluded to be significant markers for the development of gout-related comorbidities and are key gout predictors.Keywords: Gout, Uric Acid (UA), Interleukin-6 (IL-6), C-Reactive Protein (CRP), Adiponectin (ADP), Inflammation