Cytokine clusters as potential diagnostic markers of disease activity and renal involvement in systemic lupus erythematosus
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
Authors: Park, Joonhong; Jang, Woori; Park, Hye Sun; Park, Ki Hyun; Kwok, Seung-Ki; Park, Sung-Hwan; Oh, Eun-Jee
Abstract
Objective To describe interactions among cytokines and to identify subgroups of systemic lupus erythematosus (SLE) patients based on cytokine levels using principal component analysis and cluster analysis. Methods Levels of 12 cytokines were measured using sensitive multiplex bead assays and associations with SLE features including disease activity and renal involvement were assessed. Results In a group of 203 SLE patients, strong correlations were observed between interleukin (IL)6 and interferon (IFN)gamma levels (r = 0.624), IL17 and IFN gamma levels (r = 0.768), and macrophage inflammatory protein (MIP)1 alpha and MIP1 beta levels (r = 0.675). Cluster analysis revealed two distinct patient groups characterized by high levels of IL8, MIP1 alpha, and MIP1 beta (group 1) or of IL2, IL6, IL10, IL12, IFN gamma, and tumor necrosis factor alpha (group 2). Active disease was more common in group 1 (49/88, 55.7%) than in group 2 (40/115, 34.8%). More patients in group 2 had renal involvement (42/115, 36.5%) than in group 1 (22/88, 25%). Conclusions Assessment of cytokine profiles can identify distinct SLE patient subgroups and aid in understanding clinical heterogeneity and immunological phenotypes.
Myositis in Lewis rats induced by the superantigen Staphylococcal enterotoxin A
MOLECULAR BIOLOGY REPORTS
Authors: Emmer, Alexander; Abobarin-Adeagbo, Abimbola; Posa, Andreas; Jordan, Berit; Delank, Karl-Stefan; Staege, Martin Sebastian; Surov, Alexander; Zierz, Stephan; Kornhuber, Malte Erich
Abstract
The aetiology of inflammatory myopathies is not clearly known. A predominance of activated Cd8+ T lymphocytes in inflammatory infiltrates has already been detected. Superantigens activate lymphocytes in an oligoclonal manner. In the present investigation, we investigated local effects after injection of the superantigen (Sag) Staphylococcus enterotoxin A (SEA) in the quadriceps femoris muscle of Lewis rats. Histopathology and gene expression profiling was performed after injection of SEA or saline (control group) after one, three and 10days. Histology revealed focal myositis predominated by Cd8+ T lymphocytes with a perimysial, endomysial and perivascular distribution, peaking 3days after SEA injection. Using DNA microarray analysis (Affymetrix Rat Genome 230 2.0) genes that were differentially over-expressed at least 15 times at days one, three or ten after SEA injection were further analysed. One day after SEA injection over-expressed genes were related to the immune response (e.g. Fcnb, CD8a) but also to cell proliferation, differentiation and migration (e.g. Mpp2). Three days after SEA injection, differentially overexpressed genes were mainly related to the immune reaction with a clear signature for a Cd8+ T lymphocyte response (e.g. Cd3d, Cd8, Prf1, Gzmb). Ten days after SEA injection, the differentially overexpressed genes were again associated with the immune reaction (e.g. Cd3d, Il2) but also with regenerative processes and wound healing (e.g. Tgfa, Tpm1, Ripply1). The inflammatory response induced by SEA in Lewis rats shares histological and molecular similarities to polymyositis in humans. Therefore, SEA induced myositis can be taken as a new and apt model for polymyositis.