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Table 2 Proposed significance of biomarkers

From: A systematic review of the role of inflammatory biomarkers in acute, subacute and chronic non-specific low back pain

Biomarker

Rationale Supporting Examination of Association with NSLBP

hsCRP/CRP

hsCRP has been found to be associated with patients with osteoarthritis [29]

It has also been found that individuals with acute sciatic pain also have elevated hsCRP levels [29]

IL-6

Previous research has shown that proinflammatory cytokines such as IL-6 may be involved in pain processes [31]

IL-6 has been shown to modulate nociception and possibly contribute to intensifying pain experiences [31]

Increased IL-6 levels have also been associated with greater pain severity in individuals with rheumatoid arthritis, fibromyalgia and postoperative procedures [31]

TNF-α

Has been shown to have a role in pathophysiology of discogenic back pain and sciatica [25]

Has been identified to use in possible treatment strategies of lumbar radicular pain [25]

Previous studies have shown elevated TNF-α levels in individuals with NSLBP [26]

IL-1β

Proinflammatory and pro-nociceptive cytokine [24]

Has been shown to be involved in neurodegeneration, chronic inflammation and chronic pain [24]

Has been shown to have increased levels in complex regional pain syndrome and chronic tension-type headache [30]

  1. NSLBP Non-specific low back pain, hsCRP High sensitivity c-reactive protein, CRP: c-reactive protein, IL-6 Interleukin 6, TNF-α Tumor necrosis factor alpha, IL-1β Interleukin 1 beta