Serum soluble interleukin-2 receptor as a biomarker in immunoglobulin G4-related disease |
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Authors: | Tomohiro Handa Hajime Yoshifuji Yuzo Kodama Hiroshi Yamamoto Seijiro Minamoto |
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Affiliation: | 1. Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan;2. Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan;3. Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan;4. First Department of Internal Medicine, Shinshu University School of Medicine, Nagano, Japan;5. Department of Medicine for Allergic Diseases, Osaka Habikino Medical Center, Osaka, Japan |
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Abstract: | Objectives: Serum soluble interleukin-2 (IL-2) receptor (sIL-2R) might reflect disease activity in immunoglobulin G4-related disease (IgG4-RD). We aimed to elucidate the clinical significance of blood markers, including sIL-2R, in patients with IgG4-RD.Methods: We enrolled 59 patients with IgG4-RD and investigated the association between blood markers (white blood cells, C-reactive protein, sIL-2R, IgG, IgG4, IgE, total hemolytic complement), and clinical indices.Results: At baseline, serum sIL-2R (Rs?=?0.532, p?.001) and IgG4 (Rs?=?0.545, p?.001) levels showed significant correlation to the number of organs involved. During follow-up period (median, 70 months; range, 7–195 months), 40 patients were treated with corticosteroids. Receiver operating characteristic (ROC) analysis showed that baseline sIL-2R levels most accurately predicted patients requiring glucocorticoid treatment (area under the ROC curve, 0.807). Among the 46 patients who improved, sIL-2R and IgG4 levels decreased in 42 and 41 patients, respectively. Among them, serum sIL-2R levels decreased to a normal range in 42 patients (91%), whereas IgG4 levels normalized in 19 (41%).Conclusion: The serum sIL-2R level is a potential biomarker for IgG4-RD that may reflect the number of involved organs and may predict patients requiring glucocorticoid treatment. |
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Keywords: | Biomarker IgG4-related disease soluble IL-2 receptor |
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