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Serum and urinary cytokine levels of SLE patients.

Abstract
Systemic lupus erythematosus (SLE) is a chronic, relapsing, polysystemic autoimmune disease with various clinical signs. The prognosis of SLE patients is influenced by neuropsychiatric and renal involvement. Lupus nephritis (LN) is present in 40-60% of patients. Classical laboratory parameters are not sensitive and specific in prediction renal flares, over the last few years there has been a growing interest in searching novel lupus biomarkers predicting future flares. Our goal was to detect serum and urinary level of cytokines in 36 patients with lupus nephritis (34 female and 2 male, mean age: 43.36 +/- 11.53 years), 23 patients with SLE without renal involvement (19 women and 4 men, mean age: 54 +/- 8.71) (both groups followed by the 3rd Department of Internal Medicine, Division of Clinical Immunology, University of Debrecen) and 30 healthy controls (23 female and 7 male, mean age: 45.5 +/- 12.4). Serum IL-1 (interleukin), IL-2 (both p < 0.05), IL-6, IL-13 and IFN-gamma (p < 0.001) levels were significantly higher in lupus nephritis patients, as compared to patients with SLE without renal involvement and healthy controls. Urinary level of IL-1 and TNF-alpha were significantly higher in SLE patients without renal disease (p = 0.012 and p < 0.001), while urinary IFN-gamma was significantly higher in LN patients (p = 0.002). Measurement of IL-6 level in SLE patients could help to predict future renal involvement of SLE patients.
AuthorsB Brugos, Z Vincze, S Sipka, G Szegedi, M Zeher
JournalDie Pharmazie (Pharmazie) Vol. 67 Issue 5 Pg. 411-3 (May 2012) ISSN: 0031-7144 [Print] Germany
PMID22764573 (Publication Type: Journal Article)
Chemical References
  • Biomarkers
  • Cytokines
  • Interleukins
  • Tumor Necrosis Factor-alpha
  • Interferon-gamma
Topics
  • Adult
  • Biomarkers
  • Cytokines (blood, urine)
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Interferon-gamma (blood, urine)
  • Interleukins (blood, urine)
  • Kidney Diseases (complications, metabolism)
  • Lupus Erythematosus, Systemic (blood, complications, urine)
  • Male
  • Middle Aged
  • Tumor Necrosis Factor-alpha (blood, urine)

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