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Lupus, Vol. 4, No. 1, 29-32 (1995)
DOI: 10.1177/096120339500400107

Serum soluble markers of immune activation and disease activity in systemic lupus erythematosus

Mikhail Y Samsonov

Laboratory of Clinical Immunology, Cardiology Research Center, Moscow, Russia

Gernot P Tilz

Department of Internal Medicine, University of Graz, Graz, Austria

Olga Egorova

Institute of Rheumatology, Russian Medical Academia, Moscow, Russia

Gilbert Reibnegger

Institute of Medical Chemistry and Biochemistry, University of Innsbruck, Innsbruck, Fritz-Pregl-Str. 3, A-6020 Innsbruck, Austria

Rimma M Balabanova

Institute of Rheumatology, Russian Medical Academia, Moscow, Russia

Eugeney L Nassonov

Laboratory of Clinical Immunology, Cardiology Research Center, Moscow, Russia

Valentina A Nassonova

Institute of Rheumatology, Russian Medical Academia, Moscow, Russia

Helmut Wachter

Institute of Medical Chemistry and Biochemistry, University of Innsbruck, Innsbruck, Fritz-Pregl-Str. 3, A-6020 Innsbruck, Austria

Dietmar Fuchs

Institute of Medical Chemistry and Biochemistry, University of Innsbruck, Innsbruck, Fritz-Pregl-Str. 3, A-6020 Innsbruck, Austria

We investigated a possible association between markers of immune activation and disease activity in 52 patients with systemic lupus erythematosus (SLE). Serum concentrations of neopterin, beta- 2-microglobulin, 55 kD-type soluble tumor necrosis factor receptor, soluble interleukin-2 receptor and soluble CD8 were compared to the Index of European Consensus Lupus Activity Measurement (ECLAM). All markers of immune activation, except sCD8, significantly correlated with ECLAM. Stepwise multiple linear regression analysis revealed erythrocyte sedimentation rate and neopterin to correlate best with ECLAM (multiple correlation coefficient = 0.74, P < 0.001). The study shows that serum neopterin concentrations are a useful independent index for disease activity in SLE. The finding of enhanced concentrations of various parameters of immune activation in patients confirm a role of the T cell and macrophage activation in the pathogenesis of SLE.

Key Words: Systemic lupus erythematosus • Disease activity • Neopterin • Soluble tumor necrosis factor receptor • Soluble interleukin-2 receptor


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