Serum B-cell activating factor in myeloperoxiase-antineutrophil cytoplasmic antibodies-associated vasculitis.

Autor:	Xin G; Department of Microbiology and Immunology (GX, YS, K-SL), Shantou University Medical College, Shantou, Guangdong, People's Republic of China; Renal Division (MC, M-HZ), Peking University First Hospital, Beijing, People's Republic of China; and Department of Nephrology (L-XX), Guangdong General Hospital, Guangzhou, Guangdong, People's Republic of China., Chen M, Su Y, Xu LX, Zhao MH, Li KS
Jazyk:	angličtina
Zdroj:	The American journal of the medical sciences [Am J Med Sci] 2014 Jul; Vol. 348 (1), pp. 25-9.
DOI:	10.1097/MAJ.0b013e3182a55ab6
Abstrakt:	Background: In this study, the serum B-cell activating factor belonging to tumor necrosis factor family (BAFF) levels in patients with myeloperoxidase (MPO)-antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis (AAV) were measured, and their clinical significance was further analyzed. Methods: One hundred twenty-one patients with MPO-AAV were enrolled in this study. Eighty-three patients had active vasculitis and 38 were in remission. Fifty-five healthy individuals were used as healthy controls. The levels of serum BAFF were assessed using commercial available enzyme-linked immunosorbent assay kits. The correlations between serum BAFF and Birmingham Vasculitis Activity Score, erythrocyte sedimentation rate and MPO-ANCA were further evaluated. Results: The levels of serum BAFF of patients with MPO-AAV in both active (6.06±5.02 ng/mL) and remission phases (3.60±3.83 ng/mL) were significantly higher than those in healthy controls (0.87±0.31 ng/mL) (P<0.001, respectively). The serum BAFF levels in patients with active vasculitis were significantly higher than those in remission (P<0.001). Serum BAFF levels were significantly correlated with Birmingham Vasculitis Activity Score (r=0.320, P<0.001) and erythrocyte sedimentation rate value (r=0.311, P<0.01) in all patients, but no correlation was found between the levels of serum BAFF and MPO-ANCA. Using receiver-operating characteristics statistics, the cutoff values of serum BAFF level for indicating the presence of MPO-AAV and active vasculitis were 1.58 and 4.20 ng/mL, respectively. Conclusions: The levels of serum BAFF were elevated in patients with MPO-AAV and associated with disease activity, but they were not related with the levels of MPO-ANCA.
Databáze:	MEDLINE
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