Cytokines are signaling molecules between inflammatory cells that play a significant role in the pathogenesis of a disease. Among these cytokines are interleukins (ILs) 17A and 33, and accordingly, the current case-control study sought to investigate the role of each of the two cytokines in the risk of developing multiple sclerosis (MS). Sixty-eight relapsing-remitting MS (RRMS) Iraqi patients and twenty healthy individuals (control group) were enrolled. Enzyme linked immunosorbent assay (ELISA) kits were used to determine serum levels of IL-17A and IL-33. Results revealed that IL-17A and IL-33 levels were significantly higher in MS patients than in controls (14.1 ± 4.5 vs. 7.5 ± 3.8 pg/mL; p < 0.001 and 65.3 ± 16.3 vs. 49.3 ± 20.0 pg/mL; p < 0.001, respectively). Receiver operating characteristic (ROC) curve analysis demonstrated that IL-17A was a very good predictor of MS (area under curve [AUC] = 0.869; 95% CI = 0.779 - 0.960; p < 0.001; cut-off value = 10.2 pg/mL; sensitivity = 80.8%; specificity = 75.0%). A similar prediction was presented by IL-33, but the AUC value was lower (AUC = 0.762; 95% CI = 0.63 - 0.89; p < 0.001; cut-off value = 56.4 pg/mL; sensitivity = 70.6%; specificity = 70.0%). Multinomial logistic regression analysis confirmed the significance of IL-17A and IL-33 in MS risk, and under three models of analysis, the estimated odds ratios for IL-17A (1.50, 1.49 and 1.50, respectively) and IL-33 (1.05, 1.05 and 1.06) were above 1.0. Patients stratified by gender (male and female), expanded disability status scale (EDSS: < 3 and ≥ 3) or medication (pre- and post-medication) showed no significant differences in serum levels of IL-17A and IL-33 for each stratum. However, with regard to response to medication, it was found that responding patients showed significantly higher levels of IL-33 than non-responders (70.9 ± 12.2 vs. 57.2 ± 18.2 pg/mL; p = 0.018). This difference was not observed when considering IL-17A. Pearson correlation analysis between IL-17A and IL-33 revealed that both cytokines were not significantly correlated. In conclusion, the study indicated that IL-17A and IL-33 were up-regulated in serum of MS patients, and this up-regulation was not influenced by age, gender, EDSS or medication status, but the elevated level of IL-33 was more pronounced in patients who responded to medication.
بينت النظريات والمناهج النقدية الحديثة بعد تفعيلها لوسائل قراءة النص وتحليل عناصره وبيان وسائل تماسكه وروابطه فضلا عن تمثيله لمضامين مركزية ودلالات فرعية ان النصوص التراثية بوصفها نصوصا كاملة لسمات النص المؤثر قابلة للحضور في مجال المعرفة وفق تصور حديث يختلف عن تصور منتجهامنهجيا كما اتضح مدى عمق هذه النظريات والاسس التي ارساها بلاغيو العرب التي كانت ولاتزال محط انظار كبار النقاد وباحثي البلاغة.
הקדמה
המילה היא יחידה בסיסית ב שפה המתאפיינת בכך שיש לה משמעות ייחודית וביטוי פונטי )בשפה מדוברת (, גרפי
)בכתיבה( או מרחבי )בשפת סימנים. ובעיקר המונח מילה מתייחס ל שפות טבעיות או לשפות מתוכננות , אבל הוא קיים
גם בשפות מלאכותיות כגון שפות תכנות או שפות לוגיקה . בית היא מהמילות שראינו צריך לחקור אותה מתוך
משמצאנו בה מתפקידים גדולים בפעולה חשובה בתולדות הלשון עהברית שהיא התחדיש, פעולה זו שנכנסה לעברית אחרי
Human wealth is the most valuable wealth on the face of the earth, and building the intellectual, cultural and scientific human being is the greatest process carried out by all religions and philosophies at all times, and the divine law aimed at reforming the earth, including in order to preserve this great wealth, and to preserve its existential and qualitative entity
Abstract The Kenyan policy towards Somalia was influenced by a set of interrelated factors between the two countries and stemmed from the internal environment and most prominent: the geographical factor, ethnic, cultural, religious, political, economic and security, has been dominated by this policy since independence from the British colonial administration in the sixties of the last century and so far the nature of instability and tension, As the two countries are geographically contiguous and as security risks escalate, Kenya in 2011 rushed military action against Somalia, the first military action by Kenya outside its borders since independence.
يُعد الذكاء الاصطناعي من العلوم الحديثة التي ارتبطت بالإنسان منذ العقود الخمسة الماضية، وأصبحت السياسة الرقمية جزءاً لا يتجزأ من المجتمع لكونها تُستعمل في أغلب مجالات حياة الإنسان. وهذا ما شجع صانعي السياسات التكنولوجية الجديدة في التفكير بكيفية توظيفه لخدمة مصالحهم العليا السياسية والاقتصادية، بغض النظر عن بذل الجهود للتفكير في تنظيمهم للذكاء الاصطناعي التوليدي، ووضع قيود تراعي التشريعات الدينية، وقوا
... Show Moreاسباب تفرد استخدام خط النسخ في تصميم الحروف الطباعية
Psychological Counseling Services occupies a high position in the developed countries and that for its psychologist services for different sectors of the community members, and has been popularized until recently the wrong concept of the effect, that the psychological service is provided only to the owners of behavior is normal only, Vantage him neglect to provide psychological services a large segment of the community members who are in dire need of these services.
The counseling service is part of a global social movement seeking to emphasize the quality of life of the human and the emphasis on the value and dignity and the need to live a quiet lif
... Show MoreAdvantage of the science of management for a lot of other sciences vitality and openness to the rest of the science and knowledge of the various branches fields, and at the same time, overlapping and intermingling majora between the various branches of administration and specialties, and based on this fact, the idea of this research to come out of one of the important topics with two topics of vital in the field of strategic management, namely patterns Strategic Command, and the effectiveness of senior management teams. I've seen the science of management, particularly in the field of strategic management, large shifts and changes, especially in the last two decades, as the RPR Strategic Management rich field of research and the emergenc
... Show MoreThe family is e Social first come into contact with filial friction direct and continuing as is the social environment the first to grow the patterns of socialization that make up the life of the individual in the future , especially in forming the personality of both social and cultural , the family's work to lay the foundations of standards called the system value , which is ( religious teachings - customs - traditions - norms ) and is on its way interaction values between family members as well as the transfer of expertise , knowledge and models of behavioral by parents to their children , which will be in accordance with the type of interactions and social relations is also affected dev
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