PMID- 15719608 OWN - NLM STAT- MEDLINE DCOM- 20050318 LR - 20161021 IS - 1110-4902 (Print) VI - 10 IP - 2 DP - 2003 TI - Proinflammatory cytokines (IL-12 and IL-18) in immune rheumatic diseases: relation with disease activity and autoantibodies production. PG - 19-26 AB - Interleukin-18 (IL-18) and its inducer IL-12 have multiple biological activities that are important in generating Th1 responses and inflammatory tissue damage. We investigated serum concentration of the novel proinflammatory Th1 cytokine; IL-18, and its inducer IL-12 in patients with immune rheumatic diseases. Group I comprised32 patients of systemic lupus erythmatosus (SLE), Group II comprised 36 patients of rheumatoid arthritis (RA). Group III comprised 9 patients (2 patients of Behcet, 2 patients of Dermatomyositis, 2 patients of Sicca syndrome, one patient of Scleroderma, and 2 patients of Mixed connective tissue disease). Group IV is a control group consists of 21 sex and age matched healthy subjects and correlated their levels with autoantibody concentration (ANA and ds-DNA), clinical grades and SLE disease activity index (SLEDAI). Serum IL-18, IL-12, ANA and ds-DNA were measured by enzyme immuno sorbent assay. IL-18, IL-12 and ANA were significantly higher in the three studied groups than in the control group (IL-18; P < 0.001 in the three groups, IL-12; P = 0.019, P = 0.002, and P = 0.006, and ANA; P < 0.001, P = 0.002,and P = 0.006, respectively).ds-DNA was significantly higher in SLE patients than in control group (P < 0.001). There were significant positive correlations between; A) levels of IL-18,and both ANA and ds-DNA in SLE patient (r = 0.41,P = 0.001, r = 0.58 and P=0.001 respectively); and B) IL-18 and ANA in both RA and group III patients (r = 0.32, P = 0.005, r = 0.61and P = 0.022 respectively). Also, there were significant positive correlation between the levels of IL-18 and clinical grades of the three groups (r = 0.60,P = 0.001, r = 0.79,P = 0.001, r = 0.78 and P= 0.001 respectively). In SLE patients , IL-18 concentration shows significant positive correlation with SLEDAI score (r = 0.76, P = 0.001). In conclusion, the elevation of proinflammatory cytokines (IL-18 and IL-12 ) may trigger the inflammatory process in immune rheumatic diseases and IL-18 is correlated with disease activity FAU - Mosaad, Youssef M AU - Mosaad YM AD - Clinical Immunology Unit, Clinical Pathology Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt. FAU - Metwally, Shereen S AU - Metwally SS FAU - Auf, Fatma A AU - Auf FA FAU - AbdEL-Samee, Elham R AU - AbdEL-Samee ER FAU - el-Deek, Basem AU - el-Deek B FAU - Limon, Nabil I AU - Limon NI FAU - el-Chennawi, Farha A AU - el-Chennawi FA LA - eng PT - Journal Article PL - Egypt TA - Egypt J Immunol JT - The Egyptian journal of immunology JID - 9816016 RN - 0 (Autoantibodies) RN - 0 (Inflammation Mediators) RN - 0 (Interleukin-18) RN - 187348-17-0 (Interleukin-12) SB - IM MH - Adolescent MH - Adult MH - Arthritis, Rheumatoid/immunology MH - Autoantibodies/*biosynthesis MH - Behcet Syndrome/immunology MH - Dermatomyositis/immunology MH - Female MH - Humans MH - Inflammation Mediators/blood MH - Interleukin-12/*blood MH - Interleukin-18/*blood MH - Lupus Erythematosus, Systemic/immunology MH - Male MH - Mixed Connective Tissue Disease/immunology MH - Rheumatic Diseases/*immunology MH - Sjogren's Syndrome/immunology EDAT- 2005/02/22 09:00 MHDA- 2005/03/19 09:00 CRDT- 2005/02/22 09:00 PHST- 2005/02/22 09:00 [pubmed] PHST- 2005/03/19 09:00 [medline] PHST- 2005/02/22 09:00 [entrez] PST - ppublish SO - Egypt J Immunol. 2003;10(2):19-26.