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在伴有活动性间质性肺病的临床无肌病性皮肌炎患者中,循环中性粒细胞中的血清白细胞介素8(IL8)和CD11b的mRNA水平升高。

Serum IL8 and mRNA level of CD11b in circulating neutrophils are increased in clinically amyopathic dermatomyositis with active interstitial lung disease.

作者信息

Zou Jing, Chen Jie, Yan Qingran, Guo Qiang, Bao Chunde

机构信息

Department of Rheumatology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No.145, Shandong (c) Road, Shanghai, 200001, China.

Department of Pneumology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Clin Rheumatol. 2016 Jan;35(1):117-25. doi: 10.1007/s10067-015-3080-1. Epub 2015 Oct 12.

Abstract

The objective of this study is to assess serum IL8 and the potential activity of circulating neutrophils on relative messenger RNA (mRNA) levels and their relationship with disease activity in clinically amyopathic dermatomyositis (CADM) associated with interstitial lung disease (ILD). We studied 18 CADM patients and compared them with 18 classic dermatomyositis (DM) patients and 18 healthy control subjects. Serum IL8 level and mRNA expressions of neutrophils (chemokine (C-X-C motif) receptor 1 (CXCR1), cluster of differentiation molecule 11b (CD11b), cluster of differentiation 64 (CD64), myeloid cell leukemia 1 (MCL1), interleukin-18 (IL18)) were detected. The overproduction of serum IL8 level was most significant in the CADM group with active period. The mRNA expressions of CD11b, IL18, and MCL1 were greatly increased in the neutrophils in patients with CADM compared with DM or healthy controls. Up-expressions of CD11b, IL18, and MCL1 were detected in the neutrophils in CADM patients of active period compared with remission period. A positive correlation was found between CD11b mRNA level and high-resolution computed tomography (HRCT) score, in CADM associated with ILD. Serum IL8 level and mRNA levels of CD11b, MCL1, and IL18 in circulating neutrophils are related with the disease activity of CADM-ILD. The mRNA level of CD11b is positively correlated with HRCT score in CADM-ILD.

摘要

本研究的目的是评估血清白细胞介素8(IL8)以及循环中性粒细胞在相对信使核糖核酸(mRNA)水平上的潜在活性,及其与间质性肺病(ILD)相关的临床无肌病性皮肌炎(CADM)疾病活动度的关系。我们研究了18例CADM患者,并将他们与18例经典皮肌炎(DM)患者及18名健康对照者进行比较。检测血清IL8水平以及中性粒细胞的mRNA表达(趋化因子(C-X-C基序)受体1(CXCR1)、分化簇分子11b(CD11b)、分化簇分子64(CD64)、髓样细胞白血病1(MCL1)、白细胞介素-18(IL18))。血清IL8水平的过度产生在活动期CADM组最为显著。与DM患者或健康对照相比,CADM患者中性粒细胞中CD11b、IL18和MCL1的mRNA表达显著增加。与缓解期相比,活动期CADM患者中性粒细胞中检测到CD11b、IL18和MCL1的表达上调。在与ILD相关的CADM中,发现CD11b mRNA水平与高分辨率计算机断层扫描(HRCT)评分呈正相关。循环中性粒细胞中的血清IL8水平以及CD11b、MCL1和IL18的mRNA水平与CADM-ILD的疾病活动度相关。在CADM-ILD中,CD11b的mRNA水平与HRCT评分呈正相关。

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