B-cell activating factor (BAFF) is elevated in chronic granulomatous disease.

B-cell activating factor (BAFF) is elevated in chronic granulomatous disease.
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DOI:
10.1016/j.clim.2013.05.007
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发表时间:
2013-08
期刊:
Clinical immunology (Orlando, Fla.)
影响因子:
--
通讯作者:
Gallin JI
Gallin JI
中科院分区:
其他
文献类型:
--
作者:
Matharu K;Zarember KA;Marciano BE;Kuhns DB;Spalding C;Garofalo M;Dimaggio T;Estwick T;Huang CY;Fink D;Priel DL;Fleisher TA;Holland SM;Malech HL;Gallin JI

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慢性肉芽肿病(CGD)是一种超氧化物产生的遗传缺陷,导致危及生命的感染,肉芽肿,并可能导致免疫球蛋白浓度异常。我们研究了控制抗体产生的因素,如B细胞活化因子(BAFF),是否在CGD中改变。与健康供体相比,CGD受试者的BAFF平均血浆浓度显著增加(2.3倍,p<0.0001)。接受IFN-γ治疗的患者的BAFF浓度显著高于未接受IFN-γ治疗的CGD患者(1.6倍,p<0.005)。来自CGD受试者的白细胞在体外响应于IFN-γ或G-CSF产生正常量的BAFF。CGD B细胞上BAFF-R和TACI的表达显著降低。CGD中升高的BAFF与CRP(R=0.44)、ESR(R=0.49)和IgM(R=0.47)相关,并且在静脉内毒素给药后在健康受试者中迅速升高。这些发现表明CGD受试者和健康供体中升高的BAFF是急性和慢性炎症的结果。
Chronic Granulomatous Disease (CGD) is an inherited defect in superoxide production leading to life-threatening infections, granulomas, and, possibly, abnormal immunoglobulin concentrations. We investigated whether factors controlling antibody production, such as B-cell activating factor (BAFF), were altered in CGD. CGD subjects had significantly increased mean (2.3-fold, p<0.0001) plasma concentrations of BAFF compared to healthy donors. Patients on IFN-γ treatment had significantly higher BAFF concentrations compared with CGD patients not taking IFN-γ (1.6-fold, p<0.005). Leukocytes from CGD subjects produced normal amounts of BAFF in response to IFN-γ or G-CSF in vitro. Expression of BAFF-R and TACI were significantly reduced on CGD B cells. Elevated BAFF in CGD correlated with CRP (R=0.44), ESR (R=0.49), and IgM (R=0.47) and increased rapidly in healthy subjects following intravenous endotoxin administration. These findings suggest that elevated BAFF in CGD subjects and healthy donors is a consequence of acute and chronic inflammation.
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