PMID- 22496194 OWN - NLM STAT- MEDLINE DCOM- 20120720 LR - 20220129 IS - 1526-632X (Electronic) IS - 0028-3878 (Print) IS - 0028-3878 (Linking) VI - 78 IP - 17 DP - 2012 Apr 24 TI - Increased muscle expression of interleukin-17 in Duchenne muscular dystrophy. PG - 1309-14 LID - 10.1212/WNL.0b013e3182518302 [doi] AB - OBJECTIVES: Duchenne muscular dystrophy (DMD) is a degenerative muscle wasting disease caused by mutations in the dystrophin gene. Dystrophic muscle is characterized by chronic inflammation, and inflammatory mediators could be promising targets for innovative therapeutic interventions. We analyzed muscle biopsy samples of DMD-affected children to characterize interleukin (IL)-17 and Forkhead box P3 (Foxp3) expression levels and to identify possible correlations with clinical status. METHODS: Expression levels of IL-17, Foxp3, tumor necrosis factor-alpha (TNF-alpha), monocyte chemoattractant protein-1 (MCP-1), IL-6, and transforming growth factor-beta (TGF-beta) were analyzed by real-time PCR in muscle biopsy samples from patients with DMD (n = 27) and juvenile dermatomyositis (JDM) (n = 8). Motor outcome of patients with DMD was evaluated by North Star Ambulatory Assessment score. RESULTS: In DMD, we found higher levels of IL-17 and lower levels of Foxp3 mRNA compared with those for a typical inflammatory myopathy, JDM. Moreover, the IL-17/Foxp3 ratio was higher in DMD than in JDM biopsy samples. IL-17 mRNA levels appeared to be related to the expression levels of other proinflammatory cytokines (TNF-alpha and MCP-1) and significantly associated with clinical outcome of patients. CONCLUSIONS: The association of IL-17 expression with levels of other inflammatory cytokines and with the clinical course of DMD suggests a possible pathogenic role of IL-17. FAU - De Pasquale, L AU - De Pasquale L AD - Division of Rheumatology, Bambino Gesu Children's Hospital, Rome, Italy. FAU - D'Amico, A AU - D'Amico A FAU - Verardo, M AU - Verardo M FAU - Petrini, S AU - Petrini S FAU - Bertini, E AU - Bertini E FAU - De Benedetti, F AU - De Benedetti F LA - eng GR - GGP06119/TI_/Telethon/Italy PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120411 PL - United States TA - Neurology JT - Neurology JID - 0401060 RN - 0 (Chemokine CCL2) RN - 0 (FOXP3 protein, human) RN - 0 (Forkhead Transcription Factors) RN - 0 (Interleukin-17) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Biopsy MH - Chemokine CCL2/metabolism MH - Child MH - Child, Preschool MH - Forkhead Transcription Factors/metabolism MH - Humans MH - Interleukin-17/*metabolism MH - Interleukin-6/metabolism MH - Muscle, Skeletal/*metabolism/pathology MH - Muscular Dystrophy, Duchenne/*metabolism MH - Reference Values MH - Tumor Necrosis Factor-alpha/metabolism MH - Up-Regulation PMC - PMC3335450 EDAT- 2012/04/13 06:00 MHDA- 2012/07/21 06:00 PMCR- 2013/04/24 CRDT- 2012/04/13 06:00 PHST- 2012/04/13 06:00 [entrez] PHST- 2012/04/13 06:00 [pubmed] PHST- 2012/07/21 06:00 [medline] PHST- 2013/04/24 00:00 [pmc-release] AID - WNL.0b013e3182518302 [pii] AID - WNL203643 [pii] AID - 10.1212/WNL.0b013e3182518302 [doi] PST - ppublish SO - Neurology. 2012 Apr 24;78(17):1309-14. doi: 10.1212/WNL.0b013e3182518302. Epub 2012 Apr 11.