Serum biomarkers in people with chronic low back pain and Modic 1 changes: a case-control study

Sci Rep. 2019 Jul 10;9(1):10005. doi: 10.1038/s41598-019-46508-x.

Abstract

We aimed to compare serum biomarkers of inflammation, redox status and cartilage degradation between chronic low back pain (cLBP) patients with and without Modic 1 changes. We used a convenience sample of patients recruited from a single center, case-control study, conducted in a tertiary care center. From December, 2014 to May, 2016, 2,292 patients were consecutively screened, 34 met inclusion criteria and were prospectively enrolled in the present study. Cases (n = 13) were defined as patients with Modic 1 changes detected on MRI and controls (n = 21) as cLBP patients without (Modic 0). To assess serum biomarkers of inflammation, redox status and cartilage degradation, fasting serum samples were collected in a standardized manner and analyzed by immunoassays and spectrophotometry. Mean (95% CI) age was 44.1 (40.0-48.1) years and mean LBP duration was 72.5 (53.0-91.9) months. Serum biomarkers of inflammation (IL-1β, IL-6, IL-8 and TNF-α), redox status (total thiols, advanced oxidation protein products and carbonyl groups) and cartilage degradation (Coll2-1 and Coll2-1NO2) did not differ between cLBP patients with and without Modic 1 changes. In summary, we did not find any differences in serum biomarkers between cLBP patients with and without Modic 1 changes. Interpretation is limited by convenience sampling and small sample size.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Biomarkers / blood*
  • Case-Control Studies
  • Chronic Pain / blood*
  • Chronic Pain / diagnostic imaging
  • Cytokines / blood*
  • Female
  • Humans
  • Low Back Pain / blood*
  • Low Back Pain / diagnostic imaging
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Oxidation-Reduction
  • Prospective Studies
  • Sample Size
  • Tertiary Care Centers

Substances

  • Biomarkers
  • Cytokines