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Serum Cytokines Th1, Th2, and Th17 Expression Profiling in Active Lupus Nephritis-IV: From a Southern Chinese Han Population.

Abstract
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by aberrant T cell immune response. Diffuse proliferative lupus nephritis (LN-IV) is the most common, severe, and active form of lupus nephritis. In this study, we investigated the production of Th1, Th2, and Th17 cytokines in prediction of active form of LN-IV. ProcartaPlex multiplex immunoassays panels were used for detection of serum Th1, Th2, and Th17 cytokines profiling. Th1 and Th17 cytokines (IL-18, IFN-γ, IL-12p70, IL-6, and IL-17A) were considerably expressed in the serum of lupus nephritis IV patients in comparison to the healthy control. However, only IL18 and IL6 were higher in class IV versus class III lupus nephritis. Importantly, the ratios of Th1/Th2 (IL-18/IL-4) and Th17/Th2 (IL-17A/IL-4) were significantly elevated in LN-IV when compared with LN-III, LN-V, and healthy controls. Consistently, the serum cytokines IL-18, IL-17A, and IFN-γ were markedly expressed in LN-IV patient glomeruli and interstitial tissue compared to other classes of LN by IHC. ROC further suggests that IL-18 was a potential marker for LN-IV. The data from our study suggests that the early detection and quantification of these cytokines may help in prediction of active form of LN-IV.
AuthorsKeshav Raj Sigdel, Lihua Duan, Yin Wang, Weiping Hu, Ning Wang, Qingyi Sun, Qingyan Liu, Xiaocong Liu, Xianghua Hou, Ao Cheng, Guixiu Shi, Yanlin Zhang
JournalMediators of inflammation (Mediators Inflamm) Vol. 2016 Pg. 4927530 ( 2016) ISSN: 1466-1861 [Electronic] United States
PMID27738386 (Publication Type: Journal Article)
Chemical References
  • Complement C3
  • Complement C4
  • Cytokines
  • Interleukin-13
  • Interleukin-18
  • Interleukin-6
  • Lipocalin-2
  • Tumor Necrosis Factor-alpha
  • Interleukin-12
  • Interleukin-4
  • Interferon-gamma
Topics
  • Adult
  • Asian People
  • Complement C3 (metabolism)
  • Complement C4 (metabolism)
  • Cytokines (blood)
  • Female
  • Humans
  • Interferon-gamma (blood)
  • Interleukin-12 (blood)
  • Interleukin-13 (blood)
  • Interleukin-18 (blood)
  • Interleukin-4 (blood)
  • Interleukin-6 (blood)
  • Lipocalin-2 (blood)
  • Lupus Nephritis (blood)
  • Male
  • Middle Aged
  • Th1 Cells (metabolism)
  • Th17 Cells (metabolism)
  • Th2 Cells (metabolism)
  • Tumor Necrosis Factor-alpha (blood)

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