PMID- 20682675 OWN - NLM STAT- MEDLINE DCOM- 20110214 LR - 20220331 IS - 1499-2752 (Electronic) IS - 0315-162X (Linking) VI - 37 IP - 10 DP - 2010 Oct TI - Levels of transforming growth factor-beta are low in systemic lupus erythematosus patients with active disease. PG - 2039-45 LID - 10.3899/jrheum.100180 [doi] AB - OBJECTIVE: Cytokines are central regulators of the immune response but the workings of this complex network in systemic lupus erythematosus (SLE) are not fully understood. We investigated a range of inflammatory and immune-modulating cytokines to determine their value as biomarkers for disease subsets in SLE. METHODS: This was a cross-sectional study in 102 patients with SLE (87% women, disease duration 10.6 yrs). Circulating concentrations of interleukin 1beta (IL-1beta), IL-4, IL-6, IL-10, IL-12, IL-17, monocyte chemotactic protein 1 (MCP-1), macrophage inflammatory protein 1 (MIP-1alpha), MIP-1beta, interferon-gamma (IFN-gamma), tumor necrosis factor-alpha (TNF-alpha), and total transforming growth factor-beta1 (TGF-beta1) were related to disease activity (SLE Disease Activity Index; SLEDAI), lymphocyte subsets, autoantibody levels, accrued damage (Systemic Lupus International Collaborating Clinics/ACR Damage Index; SDI), and concomitant treatment. RESULTS: Patients with SLE had lower levels of TGF-beta1 (p = 0.01) and IL-1beta (p = 0.0004) compared to controls. TGF-beta1 levels were lower in patients with SLEDAI scores 1-10 and SDI > 3; and were correlated with CD4+, CD8+, and natural killer cell counts; and were independent of steroid or cytotoxic drug use. Treatment with cardiovascular drugs was associated with lower IL-12 levels. No consistent disease associations existed for the other cytokines investigated. CONCLUSION: Lower TGF-beta1 was the most consistent cytokine abnormality in patients with SLE. The associations with disease activity, lymphocyte subsets, and damage suggest that TGF-beta1 may be a therapeutic target of interest in SLE. FAU - Becker-Merok, Andrea AU - Becker-Merok A AD - Department of Rheumatology, Institute of Clinical Medicine, University of Tromso, Tromso, Norway. FAU - Eilertsen, Gro Ostli AU - Eilertsen GO FAU - Nossent, Johannes C AU - Nossent JC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100803 PL - Canada TA - J Rheumatol JT - The Journal of rheumatology JID - 7501984 RN - 0 (Biomarkers) RN - 0 (Chemokine CCL2) RN - 0 (Interleukins) RN - 0 (Macrophage Inflammatory Proteins) RN - 0 (Transforming Growth Factor beta) RN - 0 (Transforming Growth Factor beta1) RN - 82115-62-6 (Interferon-gamma) SB - IM CIN - J Rheumatol. 2010 Oct;37(10):1983-5. PMID: 20889608 MH - Adult MH - Aged MH - Biomarkers/blood MH - Chemokine CCL2/blood/immunology MH - Cross-Sectional Studies MH - Female MH - Humans MH - Interferon-gamma/blood/immunology MH - Interleukins/blood/immunology MH - *Lupus Erythematosus, Systemic/blood/immunology/physiopathology MH - Macrophage Inflammatory Proteins/blood/immunology MH - Middle Aged MH - Transforming Growth Factor beta/*blood/*immunology MH - Transforming Growth Factor beta1/blood/immunology EDAT- 2010/08/05 06:00 MHDA- 2011/02/15 06:00 CRDT- 2010/08/05 06:00 PHST- 2010/08/05 06:00 [entrez] PHST- 2010/08/05 06:00 [pubmed] PHST- 2011/02/15 06:00 [medline] AID - jrheum.100180 [pii] AID - 10.3899/jrheum.100180 [doi] PST - ppublish SO - J Rheumatol. 2010 Oct;37(10):2039-45. doi: 10.3899/jrheum.100180. Epub 2010 Aug 3.