Menyawi Manal El, Fawzy Mary, Habib Mohamed, Shaker Olfat
Department of Internal Medicine, Cairo University, Cairo, Egypt.
Arch Rheumatol. 2018 Jul 31;33(3):358-366. doi: 10.5606/ArchRheumatol.2018.6405. eCollection 2018 Sep.
This study aims to assess the role of transforming growth factor-beta 1 (TGF-β1) in systemic lupus erythematosus (SLE).
The study included 40 female SLE patients (mean age 25.5±6.2 years; range 15 to 39 years) diagnosed according to the American College of Rheumatology criteria and 30 female healthy controls (mean age 26.2±5.9 years; range 16 to 39 years). Disease activity was assessed using SLE Disease Activity Index. Patients were diagnosed with lupus nephritis if they met the criteria for renal disorder. SLE patients and controls were compared in terms of TGF-β1, low and high density lipoprotein, and triglyceride levels.
Mean serum TGF-β1 level of patients with SLE was 1385.7±483.1 pg/mL, with a significant difference compared to control group (2079.6±125.4 pg/mL; p<0.001). TGF-β1 was statistically significantly correlated with SLE disease duration. However, there was no statistically significant correlation between TGF-β1 and erythrocyte sedimentation rate, C-reactive protein, 24-hour urinary protein, complement 3, serum cholesterol, low density lipoprotein, or serum triglyceride. TGF-β1 was statistically significantly correlated with discoid rash. There was a statistically significant correlation between SLE Disease Activity Index and serum cholesterol, and triglyceride.
Systemic lupus erythematosus patients had lower levels of TGF-β1, without any significant correlation with SLE Disease Activity Index or lipid profile. TGF-β1 had a significant correlation with discoid lupus.
本研究旨在评估转化生长因子-β1(TGF-β1)在系统性红斑狼疮(SLE)中的作用。
该研究纳入了40名根据美国风湿病学会标准确诊的女性SLE患者(平均年龄25.5±6.2岁;范围15至39岁)以及30名女性健康对照者(平均年龄26.2±5.9岁;范围16至39岁)。使用SLE疾病活动指数评估疾病活动度。如果患者符合肾脏疾病标准,则诊断为狼疮性肾炎。比较SLE患者和对照者在TGF-β1、低密度和高密度脂蛋白以及甘油三酯水平方面的差异。
SLE患者血清TGF-β1平均水平为1385.7±483.1 pg/mL,与对照组(2079.6±125.4 pg/mL;p<0.001)相比有显著差异。TGF-β1与SLE病程在统计学上有显著相关性。然而,TGF-β1与红细胞沉降率、C反应蛋白、24小时尿蛋白、补体3、血清胆固醇、低密度脂蛋白或血清甘油三酯之间无统计学显著相关性。TGF-β1与盘状红斑在统计学上有显著相关性。SLE疾病活动指数与血清胆固醇和甘油三酯之间存在统计学显著相关性。
系统性红斑狼疮患者的TGF-β1水平较低,与SLE疾病活动指数或血脂谱无任何显著相关性。TGF-β1与盘状狼疮有显著相关性。