PMID- 28413686 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210109 IS - 2051-3380 (Print) IS - 2051-3380 (Electronic) IS - 2051-3380 (Linking) VI - 5 IP - 4 DP - 2017 Jul TI - Cytokine profiles of amyopathic dermatomyositis with interstitial lung diseases treated with mycophenolate. PG - e00235 LID - 10.1002/rcr2.235 [doi] LID - e00235 AB - A 59-year-old Japanese man diagnosed with interstitial lung disease associated with amyopathic dermatomyositis with anti-melanoma differentiation-associated gene 5 (MDA-5) antibodies was treated with intravenous methyl prednisolone (PSL) 1000 mg, oral PSL 1 mg/kg, and oral cyclosporin 200 mg daily. His respiratory condition worsened after treatment with two times of intravenous cyclophosphamide and another steroid pulse therapy as well as PSL and cyclosporin. Addition of mycophenolate mofetil (MMF), 1.5 g daily improved PaO(2)/FiO(2) (PF) ratio of the patient from 294 to 360 at 4 weeks and 416 at 15 weeks after addition of MMF. We measured cytokine concentration in preserved serum taken at 11 and 7 weeks before addition of MMF and at 4, 11, and 15 weeks after MMF administration. Of the 28 cytokines evaluated, the concentrations of fibroblast growth factors-2 (FGF-2), chemokine (C-X3-C motif) ligand 1 (CX3CL1), interleukin (IL)-1ra, IL-17A, inducible protein 10 (IP-10), and monocyte chemotactic protein-1 (MCP-1) decreased after addition of MMF. These results suggest that MMF may be beneficial to patients with interstitial lung disease by modification of the cytokine/growth factor protein expression. FAU - Hayashi, Masachika AU - Hayashi M AD - Division of Respiratory Medicine Niigata University Medical and Dental Hospital Niigata Japan. FAU - Aoki, Ami AU - Aoki A AD - Division of Respiratory Medicine Niigata University Medical and Dental Hospital Niigata Japan. FAU - Asakawa, Katsuaki AU - Asakawa K AD - Division of Respiratory Medicine Niigata University Medical and Dental Hospital Niigata Japan. FAU - Sakagami, Takuro AU - Sakagami T AD - Division of Respiratory Medicine Niigata University Medical and Dental Hospital Niigata Japan. FAU - Kikuchi, Toshiaki AU - Kikuchi T AD - Division of Respiratory Medicine Niigata University Medical and Dental Hospital Niigata Japan. FAU - Takada, Toshinori AU - Takada T AUID- ORCID: 0000-0001-5887-8375 AD - Division of Respiratory Medicine Niigata University Medical and Dental Hospital Niigata Japan. AD - Uonuma Institute of Community Medicine Niigata University Medical and Dental Hospital Minami-uonuma Japan. LA - eng PT - Case Reports DEP - 20170411 PL - United States TA - Respirol Case Rep JT - Respirology case reports JID - 101631052 PMC - PMC5387408 OTO - NOTNLM OT - Anti-melanoma differentiation-associated gene 5 antibody OT - cytokine OT - dermatomyositis OT - interstitial lung disease OT - mycophenolate mofetil EDAT- 2017/04/18 06:00 MHDA- 2017/04/18 06:01 PMCR- 2017/04/11 CRDT- 2017/04/18 06:00 PHST- 2017/01/11 00:00 [received] PHST- 2017/03/14 00:00 [revised] PHST- 2017/03/20 00:00 [accepted] PHST- 2017/04/18 06:00 [entrez] PHST- 2017/04/18 06:00 [pubmed] PHST- 2017/04/18 06:01 [medline] PHST- 2017/04/11 00:00 [pmc-release] AID - RCR2235 [pii] AID - 10.1002/rcr2.235 [doi] PST - epublish SO - Respirol Case Rep. 2017 Apr 11;5(4):e00235. doi: 10.1002/rcr2.235. eCollection 2017 Jul.