Circulating cytokine profile in anti-neutrophilic cytoplasmatic autoantibody-associated vasculitis: prediction of outcome?

Circulating cytokine profile in anti-neutrophilic cytoplasmatic autoantibody-associated vasculitis: prediction of outcome?
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DOI:
10.1080/09629350400003100
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发表时间:
2004-08
影响因子:
4.6
通讯作者:
Segelmark M
Segelmark M
中科院分区:
医学3区
文献类型:
--
作者:
Ohlsson S;Wieslander J;Segelmark M

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目的:抗中性粒细胞胞浆自身抗体相关血管炎(AASV)是一种复发缓解性炎症性疾病。在这里,我们探索疾病不同阶段的细胞因子谱,寻找可能具有预后价值的致病线索。结果:血浆IL-6、IL-8、IL-10水平显著升高。随后发生不良事件的稳定期患者的IL-8值较高。3个月内复发的稳定期患者IL-10水平较低,IL-6水平较高。结论:与健康对照组相比,AASV患者循环细胞因子水平升高,即使在缓解期也是如此。IL-8升高似乎与预后不良有关。较低的IL-10水平和较高的IL-6水平预示着更大的复发风险。临床缓解期的系统性脉管炎患者有持续性的疾病活动,并受到抑制性细胞因子的控制。
AIMS: The anti-neutrophilic cytoplasmatic autoantibody-associated vasculitides (AASV) are diseases of relapsing-remitting inflammation. Here we explore the cytokine profile in different phases of disease, looking for pathogenic clues of possible prognostic value. RESULTS: Interleukin (IL)-6, IL-8 and IL-10 were significantly elevated in plasma. Patients in the stable phase who subsequently developed adverse events had higher IL-8 values. Patients in the stable phase who relapsed within 3 months had lower IL-10 values and higher IL-6 levels. CONCLUSIONS: Patients with AASV have raised circulating cytokine levels compared with healthy controls, even during remission. Raised IL-8 seems associated with poor prognosis. Lower levels of IL-10 and higher levels of IL-6 herald a greater risk of relapse. Patients with systemic vasculitis in clinical remission have persistent disease activity, kept under control by inhibitory cytokines.
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