PMID- 24647150 OWN - NLM STAT- MEDLINE DCOM- 20151214 LR - 20240314 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 3 DP - 2014 TI - Increased levels of eotaxin and MCP-1 in juvenile dermatomyositis median 16.8 years after disease onset; associations with disease activity, duration and organ damage. PG - e92171 LID - 10.1371/journal.pone.0092171 [doi] LID - e92171 AB - OBJECTIVE: To compare cytokine profiles in patients with juvenile dermatomyositis (JDM) after medium to long-term follow-up with matched controls, and to examine associations between cytokine levels and disease activity, disease duration and organ damage. METHODS: Fifty-four JDM patients were examined median 16.8 years (2-38) after disease onset (follow-up) and compared with 54 sex- and age-matched controls. Cytokine concentrations in serum were quantified by Luminex technology. In patients, disease activity score (DAS), myositis damage index (MDI) and other disease parameters were collected by chart review (early parameters) and clinical examination (follow-up). RESULTS: Serum levels of eotaxin, monocyte chemoattractant protein-1 (MCP-1) and interferon-inducible protein 10 (IP-10) were elevated in JDM patients compared to controls (31.5%, 37.2% and 43.2% respectively, all p<0.05). Patients with active (n = 28), but not inactive disease (n = 26) had a higher level of MCP-1 than their respective controls. Levels of eotaxin and MCP-1 correlated with disease duration (r = 0.47 and r = 0.64, both p<0.001) and age in patients, but not with age in controls. At follow-up, MDI was associated with MCP-1(standardized beta = 0.43, p = 0.002) after adjusting for disease duration and gender. High MDI 1 year post-diagnosis predicted high levels of eotaxin and MCP-1 at follow-up (standardized beta = 0.24 and 0.29, both p<0.05) after adjusting for disease duration and gender. CONCLUSION: Patients with JDM had higher eotaxin, MCP-1 and IP-10 than controls. High eotaxin and MCP-1 at follow-up was predicted by early disease parameters, and MCP-1 was associated with organ damage at follow-up, highlighting a role of these chemokines in JDM. FAU - Sanner, Helga AU - Sanner H AD - Section of Rheumatology, Oslo University Hospital-Rikshospitalet, Oslo, Norway; Norwegian Competence Centre of Pediatric and Adolescent Rheumatology, Oslo University Hospital-Rikshospitalet, Oslo, Norway. FAU - Schwartz, Thomas AU - Schwartz T AD - Institute for Experimental Medical Research, Oslo University Hospital-Ulleval, Oslo, Norway; KG Jebsen Cardiac Research Center and Center for Heart Failure Research, University of Oslo, Oslo, Norway; Institute for Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Flato, Berit AU - Flato B AD - Section of Rheumatology, Oslo University Hospital-Rikshospitalet, Oslo, Norway; Institute for Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Vistnes, Maria AU - Vistnes M AD - Institute for Experimental Medical Research, Oslo University Hospital-Ulleval, Oslo, Norway; KG Jebsen Cardiac Research Center and Center for Heart Failure Research, University of Oslo, Oslo, Norway. FAU - Christensen, Geir AU - Christensen G AD - Institute for Experimental Medical Research, Oslo University Hospital-Ulleval, Oslo, Norway; KG Jebsen Cardiac Research Center and Center for Heart Failure Research, University of Oslo, Oslo, Norway. FAU - Sjaastad, Ivar AU - Sjaastad I AD - Institute for Experimental Medical Research, Oslo University Hospital-Ulleval, Oslo, Norway; KG Jebsen Cardiac Research Center and Center for Heart Failure Research, University of Oslo, Oslo, Norway; Department of Cardiology, Oslo University Hospital-Ulleval, Oslo, Norway. LA - eng PT - Journal Article DEP - 20140319 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (CCL11 protein, human) RN - 0 (Chemokine CCL11) RN - 0 (Chemokine CCL2) RN - Amyopathic dermatomyositis SB - IM MH - Adolescent MH - Adult MH - Age of Onset MH - Case-Control Studies MH - Chemokine CCL11/*blood MH - Chemokine CCL2/*blood MH - Child MH - Child, Preschool MH - Dermatomyositis/*blood/diagnosis MH - Female MH - Follow-Up Studies MH - Humans MH - Inflammation/pathology MH - Male MH - Time Factors MH - Young Adult PMC - PMC3960173 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/03/22 06:00 MHDA- 2015/12/15 06:00 PMCR- 2014/03/19 CRDT- 2014/03/21 06:00 PHST- 2013/10/08 00:00 [received] PHST- 2014/02/19 00:00 [accepted] PHST- 2014/03/21 06:00 [entrez] PHST- 2014/03/22 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] PHST- 2014/03/19 00:00 [pmc-release] AID - PONE-D-13-41136 [pii] AID - 10.1371/journal.pone.0092171 [doi] PST - epublish SO - PLoS One. 2014 Mar 19;9(3):e92171. doi: 10.1371/journal.pone.0092171. eCollection 2014.