Plasma concentrations of pro-inflammatory cytokine IL-6 and anti-inflammatory cytokine IL-10 in short and long term opioid users with non-cancer pain

INTRODUCTION Little is known whether the duration of opioid use influences the concentrations of pro and anti-inflammatory cytokines. OBJECTIVES This study examined the plasma concentration of pro-inflammatory cytokine, IL-6, and anti-inflammatory cytokine, IL-10, in short, and long-term opio...

Full description

Bibliographic Details
Main Authors: Mizher, Hussam A., Zin, Che Suraya, Helal Uddin, A.B.M., Mohamed, Abdul Hadi, Tan, Hung Ling, M. Izat, Munira
Format: Proceeding Paper
Language:English
English
English
Published: 2019
Subjects:
Online Access:http://irep.iium.edu.my/75871/
http://irep.iium.edu.my/75871/1/191104_main%20page_program.pdf
http://irep.iium.edu.my/75871/2/191104_hosam_oral_program.pdf
http://irep.iium.edu.my/75871/11/191017_icprp_hosam_17102019_ICPRP%20presentation.pdf
_version_ 1848788196614209536
author Mizher, Hussam A.
Zin, Che Suraya
Helal Uddin, A.B.M.
Mohamed, Abdul Hadi
Tan, Hung Ling
M. Izat, Munira
author_facet Mizher, Hussam A.
Zin, Che Suraya
Helal Uddin, A.B.M.
Mohamed, Abdul Hadi
Tan, Hung Ling
M. Izat, Munira
author_sort Mizher, Hussam A.
building IIUM Repository
collection Online Access
description INTRODUCTION Little is known whether the duration of opioid use influences the concentrations of pro and anti-inflammatory cytokines. OBJECTIVES This study examined the plasma concentration of pro-inflammatory cytokine, IL-6, and anti-inflammatory cytokine, IL-10, in short, and long-term opioid users with non-cancer pain. METHOD Adult patients with opioid therapy for noncancer pain were recruited from pain clinics at two tertiary hospital settings in Malaysia between February 2016 and March 2017. They were stratified into short-or long-term users based on opioid prescriptions ≥ 90 days per year. A 10 ml blood sample was taken for the analysis of plasma concentrations of IL-6 and IL-10 and were quantified using a highly sensitive multiplex assay. RESULTS Of 38 patients recruited, 24% (n=9/38) and 76% (n=29/38) were respectively short and long-term opioid users. Short term use of opioid was associated with higher levels of IL-6 (mean ±SD, 173.9 ± 13.7 pg/ml) and IL-10 (50 ± 5.8 pg/ml), while long term use of opioids was associated with lower levels (no significant difference) of both cytokines (IL6 (125 ± 16.1 pg/ml) and IL10 (41.3 ± 6.7 pg/ml). There was strong correlation between IL-6 and IL-10 within the same group (r² = 0.72, p < 0.05) and (r² = 0.76, p<0.05) for short and long-term users, respectively. CONCLUSION The duration of opioid use may modulate the level of pro-inflammatory cytokines in which it was higher in short term use and lower in long term use, but the effect of pain relief was similar as both cytokines were well correlated.
first_indexed 2025-11-14T17:36:59Z
format Proceeding Paper
id iium-75871
institution International Islamic University Malaysia
institution_category Local University
language English
English
English
last_indexed 2025-11-14T17:36:59Z
publishDate 2019
recordtype eprints
repository_type Digital Repository
spelling iium-758712022-11-07T03:45:17Z http://irep.iium.edu.my/75871/ Plasma concentrations of pro-inflammatory cytokine IL-6 and anti-inflammatory cytokine IL-10 in short and long term opioid users with non-cancer pain Mizher, Hussam A. Zin, Che Suraya Helal Uddin, A.B.M. Mohamed, Abdul Hadi Tan, Hung Ling M. Izat, Munira RM Therapeutics. Pharmacology INTRODUCTION Little is known whether the duration of opioid use influences the concentrations of pro and anti-inflammatory cytokines. OBJECTIVES This study examined the plasma concentration of pro-inflammatory cytokine, IL-6, and anti-inflammatory cytokine, IL-10, in short, and long-term opioid users with non-cancer pain. METHOD Adult patients with opioid therapy for noncancer pain were recruited from pain clinics at two tertiary hospital settings in Malaysia between February 2016 and March 2017. They were stratified into short-or long-term users based on opioid prescriptions ≥ 90 days per year. A 10 ml blood sample was taken for the analysis of plasma concentrations of IL-6 and IL-10 and were quantified using a highly sensitive multiplex assay. RESULTS Of 38 patients recruited, 24% (n=9/38) and 76% (n=29/38) were respectively short and long-term opioid users. Short term use of opioid was associated with higher levels of IL-6 (mean ±SD, 173.9 ± 13.7 pg/ml) and IL-10 (50 ± 5.8 pg/ml), while long term use of opioids was associated with lower levels (no significant difference) of both cytokines (IL6 (125 ± 16.1 pg/ml) and IL10 (41.3 ± 6.7 pg/ml). There was strong correlation between IL-6 and IL-10 within the same group (r² = 0.72, p < 0.05) and (r² = 0.76, p<0.05) for short and long-term users, respectively. CONCLUSION The duration of opioid use may modulate the level of pro-inflammatory cytokines in which it was higher in short term use and lower in long term use, but the effect of pain relief was similar as both cytokines were well correlated. 2019-10-19 Proceeding Paper NonPeerReviewed application/pdf en http://irep.iium.edu.my/75871/1/191104_main%20page_program.pdf application/pdf en http://irep.iium.edu.my/75871/2/191104_hosam_oral_program.pdf application/pdf en http://irep.iium.edu.my/75871/11/191017_icprp_hosam_17102019_ICPRP%20presentation.pdf Mizher, Hussam A. and Zin, Che Suraya and Helal Uddin, A.B.M. and Mohamed, Abdul Hadi and Tan, Hung Ling and M. Izat, Munira (2019) Plasma concentrations of pro-inflammatory cytokine IL-6 and anti-inflammatory cytokine IL-10 in short and long term opioid users with non-cancer pain. In: International Conference on Pharmaceutical Research and Pharmacy Practice cum 14th IIUM-MPS Pharmacy Scientific Conference (ICPRP 2019), 19-20th October 2019, Hotel Istana Kuala Lumpur. (Unpublished)
spellingShingle RM Therapeutics. Pharmacology
Mizher, Hussam A.
Zin, Che Suraya
Helal Uddin, A.B.M.
Mohamed, Abdul Hadi
Tan, Hung Ling
M. Izat, Munira
Plasma concentrations of pro-inflammatory cytokine IL-6 and anti-inflammatory cytokine IL-10 in short and long term opioid users with non-cancer pain
title Plasma concentrations of pro-inflammatory cytokine IL-6 and anti-inflammatory cytokine IL-10 in short and long term opioid users with non-cancer pain
title_full Plasma concentrations of pro-inflammatory cytokine IL-6 and anti-inflammatory cytokine IL-10 in short and long term opioid users with non-cancer pain
title_fullStr Plasma concentrations of pro-inflammatory cytokine IL-6 and anti-inflammatory cytokine IL-10 in short and long term opioid users with non-cancer pain
title_full_unstemmed Plasma concentrations of pro-inflammatory cytokine IL-6 and anti-inflammatory cytokine IL-10 in short and long term opioid users with non-cancer pain
title_short Plasma concentrations of pro-inflammatory cytokine IL-6 and anti-inflammatory cytokine IL-10 in short and long term opioid users with non-cancer pain
title_sort plasma concentrations of pro-inflammatory cytokine il-6 and anti-inflammatory cytokine il-10 in short and long term opioid users with non-cancer pain
topic RM Therapeutics. Pharmacology
url http://irep.iium.edu.my/75871/
http://irep.iium.edu.my/75871/1/191104_main%20page_program.pdf
http://irep.iium.edu.my/75871/2/191104_hosam_oral_program.pdf
http://irep.iium.edu.my/75871/11/191017_icprp_hosam_17102019_ICPRP%20presentation.pdf