PMID- 20434119 OWN - NLM STAT- MEDLINE DCOM- 20100915 LR - 20160928 IS - 1995-9133 (Electronic) IS - 1684-1182 (Linking) VI - 43 IP - 1 DP - 2010 Feb TI - Changing cytokine patterns in systemic lupus: a prospective longitudinal study. PG - 18-25 LID - 10.1016/S1684-1182(10)60003-5 [doi] AB - BACKGROUND/PURPOSE: We have previously reported that lupus monocytes display distinctively differing patterns of C-reactive protein (CRP)-inducing cytokine interleukin (IL)-6, IL-1beta, and tumor necrosis factor (TNF)-alpha secretion when stimulated with either immune complexes (ICs) or lipopolysaccharide (LPS). In this study, we investigated whether the cytokine patterns of peripheral blood mononuclear cells (PBMCs) isolated from lupus patients acquired an IC or LPS pattern, either over time, or following corticosteroid or hydroxychloroquine use. METHODS: PBMCs from lupus patients were obtained at 0, 1, 3, and 6 months post diagnosis and stimulated with ICs or LPS. Cells were obtained for polymerase chain reaction to determine the IL-6, IL-1beta, and TNF-alpha mRNA expression, and were assigned as having acquired either an IC or an LPS pattern. RESULTS: Upon stimulation, the mRNA expression levels of the IL-6 and IL-1beta were significantly higher in IC-pattern PBMCs than in LPS-pattern PBMCs (p= 0.021 and 0.028, respectively). Consistent with this, serum CRP levels in the IC-pattern group were significantly higher than those in the LPS-pattern groups (p = 0.027). Total serum CRP levels were positively correlated with serum C3c and C4 concentrations, and inversely correlated with serum anti-double stranded DNA (anti-dsDNA) levels. Conversely, circulating ICs were positively correlated with serum anti-dsDNA levels and inversely correlated with serum C4 concentrations. CONCLUSION: Within the same individual, the CRP-inducing cytokine patterns can be changed, either naturally or after medication. Pre-existing serum circulating ICs are not predisposed to either IC or LPS cytokine patterns. Finally, CRP levels were correlated with anti-dsDNA consumption. FAU - Liou, Lieh-Bang AU - Liou LB AD - Division of Rheumatology, Allergy and Immunology, Chang Gung Memorial Hospital at Lin-kou and Chang Gung University College of Medicine, Tao-yuan, Taiwan. b890121@adm.cgmh.org.tw FAU - Chao, Wan-Ju AU - Chao WJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100329 PL - England TA - J Microbiol Immunol Infect JT - Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi JID - 100956211 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Anti-Inflammatory Agents) RN - 0 (Antigen-Antibody Complex) RN - 0 (Cytokines) RN - 0 (Lipopolysaccharides) RN - 0 (RNA, Messenger) RN - 4QWG6N8QKH (Hydroxychloroquine) SB - IM EIN - J Microbiol Immunol Infect. 2011 Feb;44(1):77. PMID: 25306136 MH - Adrenal Cortex Hormones/therapeutic use MH - Anti-Inflammatory Agents/therapeutic use MH - Antigen-Antibody Complex/immunology MH - Cells, Cultured MH - Cytokines/*biosynthesis MH - Gene Expression Profiling MH - Humans MH - Hydroxychloroquine/therapeutic use MH - Leukocytes, Mononuclear/*immunology MH - Lipopolysaccharides/immunology MH - Longitudinal Studies MH - Lupus Erythematosus, Systemic/drug therapy/*immunology MH - Prospective Studies MH - RNA, Messenger/biosynthesis/genetics MH - Reverse Transcriptase Polymerase Chain Reaction EDAT- 2010/05/04 06:00 MHDA- 2010/09/16 06:00 CRDT- 2010/05/04 06:00 PHST- 2008/07/11 00:00 [received] PHST- 2008/08/19 00:00 [revised] PHST- 2009/02/13 00:00 [accepted] PHST- 2010/05/04 06:00 [entrez] PHST- 2010/05/04 06:00 [pubmed] PHST- 2010/09/16 06:00 [medline] AID - S1684-1182(10)60003-5 [pii] AID - 10.1016/S1684-1182(10)60003-5 [doi] PST - ppublish SO - J Microbiol Immunol Infect. 2010 Feb;43(1):18-25. doi: 10.1016/S1684-1182(10)60003-5. Epub 2010 Mar 29.