URINE AND SERUM SOLUBLE INTERLEUKIN 7 RECEPTOR LEVELS IN PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS AT ZAGAZIG UNIVERSITY HOSPITALS | ||||
Zagazig University Medical Journal | ||||
Article 6, Volume 24, Issue 4, July 2018, Page 322-328 PDF (964.57 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/zumj.2018.13222 | ||||
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Authors | ||||
Mazen Mohamed El-Sheikh; Fadya Abd-Allah Abd-El-Ghany; Yousry Elsaid Abo Elmagd; Rofaida Abdel Hafeez Mohamed | ||||
Abstract | ||||
Background: Soluble interleukin 7 receptor (sIL7R) is secreted by fibroblasts after stimulation with proinflammatory cytokines. SIL7R has been implicated in many autoimmune diseases such as rheumatoid arthritis (RA) , inflammatory bowel diseases (IBD) and graft-versus-host disease (GVHD). Objectives: we aimed to evaluate urine and serum sIL7R levels in patients with systemic lupus erythematosus and their association with the disease activity. Subjects and methods: For a case control study, 54 patients with systemic lupus erythematosus and 27 age and sex matched healthy controls were involved. Serum and urine sIL7R levels (ng/mL) were determined by a sandwich ELISA kit. Disease activity was measured by SLE disease activity index (SLEDAI) score, complement C3, C4 levels and anti-dsDNA titre. Results: Serum sIL7R levels were significantly higher in SLE patients (p<0.0001) than in control group . Patients with lupus nephritis had significantly higher serum levels of sIL7R than those without nephritis . There was significant correlation between sIL7R levels and SLE disease activity including SLEDAI, C3,C4, anti dsDNA. Urine levels of sIL7R showed non-significant difference between SLE patients and control group and did not correlate with disease activity. Conclusions: Serum sIL7R is a valuable marker of SLE disease activity, especially in patients with lupus nephritis. | ||||
Keywords | ||||
Systemic lupus erythematosus; soluble interleukin 7 receptors; SLEDAI | ||||
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