Role of some Immunological and non-Immunological Parameters in Prognosis and diagnosis of Systemic lupus erythematosus in Iraqi women patients

Authors

  • Asma Sabah Jassim Department of Biology, College of Science, Mustansiriyah University, 10052 Baghdad, IRAQ.
  • Ekhlass N. Ali Department of Biology, College of Science, Mustansiriyah University, 10052 Baghdad, IRAQ. https://orcid.org/0000-0001-9402-6153
  • Ibtesam Ghadban Auda Department of Biology, College of Science, Mustansiriyah University, 10052 Baghdad, IRAQ. https://orcid.org/0000-0003-1658-6715
  • Mohammed Hadi Munshed Al-osami Department of Medicine, College of Medicine, University of Baghdad, 10071 Baghdad, Iraq https://orcid.org/0000-0001-8521-5876

DOI:

https://doi.org/10.23851/mjs.v34i4.1363

Keywords:

autoimmune disease, Systemic lupus erythematosus, IL17, IFN-γ, TLR7, ANA, anti-dsDNA

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by autoantibody's presence in the circulation and involvement of many systems. The current study aims to study the role of some immunological and non-immunological parameters in SLE development and to illustrate the correlations between these parameters. The current study included 50 blood samples collected from SLE patients and apparently healthy control. The methods of work included Complete Blood Count (CBC) analysis to assess blood components, you mean to analyse Hb, WBC, ESR, ELISA technique to measure serum levels of TLR-7, IL-17, and TNF, antinuclear antibody test (ANA) and double-strand DNA antibody (anti ds DNA). The study results showed a significant increase in serum levels of each WBC (p< 0.005), ESR (p< 0.001), IL17(p< 0.004), TLR7(p< 0.005), IFN-γ (p< 0.001), ANA (p< 0.001), and anti dsDNA (p< 0.001) in SLE patients compared to apparently healthy control but the Hb is decreasing level was low in the SLE patients compared with control. In conclusion, the low hemoglobin, WBC, and ESR are non-specific parameters associated with SLE pathogenesis.    ANA, Anti-ds-DNA as excellent biomarkers for the diagnosis of SLE and serum level of TLR-7, TNF-γ, and IL-17 were evaluated in SLE patients compared to healthy people and they may be suggested as a prognostic tool in SLE patients.

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References

S. Molina Rios, R. Rojas Martinez GM Estévez Ramirez, YF Medina. Systemic Lupus Erythematosus and Antiphospholipid Syndrome After COVID-19 Vaccination. A Case Report. Mod Rheumatol Case Rep. 2022 Mar 04

CrossRef | PubMed

MG. Tayem, L. Shahin, J. Shook, MM Kesselman. A Review of Cardiac Manifestations in Patients With Systemic Lupus Erythematosus and Antiphospholipid Syndrome With a Focus on Endocarditis. Cureus. 2022 Jan;14(1):e21698.

CrossRef | PubMed

M. Scheen, A. Adedjouma, E. Esteve, D. Buob, N. Abisror, V. Planche, O. Fain, JJ Boffa S. De Seigneux, A. Mekinian, F. Haidar. Kidney disease in antiphospholipid antibody syndrome: Risk factors, pathophysiology and management. Autoimmun Rev. 2022 May;21(5):103072.

CrossRef | PubMed

D. L. Su, Z. M. Lu, M.N. Shen, X. Li, & L.Y. Sun, Roles of pro- and anti-inflammatory cytokines in the pathogenesis of SLE. Journal of biomedicine & biotechnology, 2012, 347141.

CrossRef | PubMed

N. Amatya, AV. Garg, SL. Gaffen . IL-17 Signaling: The Yin and the Yang. Trends Immunol.May;38(5):310-322. 2017.

CrossRef | PubMed

T. Koga, K. Ichinose, A. Kawakami, GC Tsokos. Current Insights and Future Prospects for Targeting IL-17 to Treat Patients with Systemic Lupus Erythematosus. Front Immunol.Feb1;11:624971. 2021.

CrossRef | PubMed

J.C. Martin,. D. L. Baeten,. R. Josien,. Emerging role of IL-17 and Th17 cells in systemic lupus erythematosus, Clinical Immunology,Volume 154, Issue 1,2014,Pages 1-12, 2014

CrossRef | PubMed

JC. Santacruz, MJ. Mantilla,I. Rueda ,S Pulido,G. Rodriguez-Salas, J. Londono. A Practical Perspective of the Hematologic Manifestations of Systemic Lupus Erythematosus. Cureus. 2022 Mar 7;14(3):e22938.

CrossRef

A. Paradowska-Gorycka, A. Wajda, B Stypinska, E. Walczuk, E. Rzeszotarska, M Walczyk, et al. Variety of endosomal TLRs and interferons (IFN-a, IFN-b, IFNg) expression profiles in patients with SLE, SSc and MCTD. Clin Exp Immunol 2021 204:49-63.

CrossRef | PubMed

S. Mohammadi, S. Sedighi, A. Memarian, &Y. Yazdani. Overexpression of interferon-γ and indoleamine 2, 3-dioxygenase in systemic lupus erythematosus: relationship with the disease activity. Laboratoriums Medizin,41(1), 41-47. 2017

CrossRef

V. Oke, I. Gunnarsson, J. Dorschner et al. High levels of circulating interferons type I, type II and type III associate with distinct clinical features of active systemic lupus erythematosus. Arthritis Res Ther 2019;21:107

CrossRef | PubMed

W. Liu, , S. Zhang, &J. Wang,. IFN-γ, should not be ignored in SLE. Frontiers in Immunology, 13, 954706. 2022

CrossRef | PubMed

J. Yang,Y. Chu, X. Yang, D. Gao, L. Zhu X. Yang, et al. Th17 and natural treg cell population dynamics in systemic lupus erythematosus. Arthritis Rheum 60:1472-83. 2009.

CrossRef | PubMed

D. Zhao, M. Guo, B. Liu et al . Frontline science. Tim-3-mediated dysfunctional engulfment of apoptotic cells in SLE. J Leukoc Biol, 102: 1313-22 23 . 2017

CrossRef | PubMed

T. Schmidt, H-J. Paust, CF. Krebs, J-E. Turner, A. Kaffke, SB. Bennstein, et al. Function of the Th17/interleukin-17A immune response in murine lupus nephritis. Arthritis Rheumatol, 67:475-87. 2015.

CrossRef | PubMed

T. Koga ,K. Otomo, M. Mizui, N. Yoshida M. Umeda, K. Ichinose, et al. Calcium/Calmodulin-dependent kinase IV facilitates the recruitment of interleukin-17-Producing cells to target organs through the CCR6/CCL20 axis in Th17 cell-driven inflammatory diseases. Arthritis Rheumatol , 68:1981-8. 2016.

CrossRef | PubMed

CK. Wong, LC. Lit, LS. Tam, EK. Li, PT. Wong, CW. Lam. Hyperproduction of IL-23 and IL-17 in patients with systemic lupus erythematosus: implications for Th17-mediated inflammation in auto-immunity. Clin Immunol; 127: 385-393.2008.

CrossRef | PubMed

XF. Zhao, HF. Pan, H. Yuan, et al. Increased serum interleukin 17 in patients with systemic lupus erythematosus. Mol Biol Rep; 37: 81-85 2010

CrossRef | PubMed

T. Wang, J. Marken, J. Chen, V. B.Tran, Q. Z. Li, ,M. Li, & N. V Giltiay. High TLR7 expression drives the expansion of CD19+ CD24hiCD38hi transitional B cells and autoantibody production in SLE patients. Frontiers in immunology, 10, 1243, 2019.â€

CrossRef | PubMed

M. Santiago-Raber,.I. Dunand-Sauthier, T Wu,. Q Li,. S. Uematsu, S. Akira, W. Reith, C Mohan, B.L. Kotzin, S. Izui,. Critical role of TLR7 in the acceleration of systemic lupus erythematosus in TLR9-deficient mice, Journal of Autoimmunity; 34 (4): 339-348.2010.

CrossRef | PubMed

B. D. Lyn-Cook, C. Xie, J Oates., E. Treadwell, B. Word, G Hammons, & K. Wiley, Increased expression of Toll-like receptors (TLRs) 7 and 9 and other cytokines in systemic lupus erythematosus (SLE) patients: ethnic differences and potential new targets for therapeutic drugs. Molecular immunology, 61(1), 38-43. 2014

CrossRef | PubMed

Q. Ge,. X. Gu,. W. Yu,. G. Zhang, W. Liang,.M. Li, G. Zhai, M. Yan. Antinuclear antibodies in healthy population: Positive association with abnormal tissue metabolism, inflammation and immune dysfunction. International Immunopharmacology, Volume 113, Part A,2022,109292.

CrossRef | PubMed

D. A. González, Varela, A. R Varela, I. M Rodríguez , A.G. Vera, M.D. Sánchez,. A.A. Esquivel, C.C. Rodríguez, A. C. de León, Anti-dsDNA antibodies in systemic lupus erythematosus: A combination of two quantitative methods and the ANA pattern is the most efficient strategy of detection, Journal of Immunological Methods,Volume 427,2015,Pages 30-35.

CrossRef | PubMed

AS. Wiik, N. Bizzaro. Missing links in high quality diagnostics of inflammatory systemic rheumatic diseases. It is all about the patient! Autoimmun Highlights.; 3:35-49. 2010

CrossRef | PubMed

J. Gołąb, M. Jakóbisiak,W. Lasek, et al. Immunologia. Warszawa: PWN; 2014.

B. Grygiel-Górniak, N. Rogacka, & M Puszczewicz, Antinuclear antibodies in healthy people and non-rheumatic diseases - diagnostic and clinical implications. Reumatologia, 56(4), 243-248.2018. https://doi.org/10.5114/reum.2018.77976

CrossRef | PubMed

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Key Dates

Published

30-12-2023

Issue

Section

Original Article

How to Cite

[1]
A. S. . Jassim, E. N. Ali, I. G. Auda, and M. H. M. Al-osami, “Role of some Immunological and non-Immunological Parameters in Prognosis and diagnosis of Systemic lupus erythematosus in Iraqi women patients”, Al-Mustansiriyah Journal of Science, vol. 34, no. 4, pp. 29–36, Dec. 2023, doi: 10.23851/mjs.v34i4.1363.

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