Journal of Clinical Immunology

, Volume 13, Issue 1, pp 58–67 | Cite as

Cytokine profile in systemic lupus erythematosus, rheumatoid arthritis, and other rheumatic diseases

  • Mansour Al-Janadi
  • Suliman Al-Balla
  • Abdullah Al-Dalaan
  • Syed Raziuddin
Original Articles


We investigated serum levels of interleukin-6 (IL-6), interferon-gamma (IFN-γ), and tumor necrosis factor alpha (TNFα) from patients with systemic lupus erythematosus (SLE) and its various clinical manifestations of disease and from patients with rheumatoid arthritis (RA) and other rheumatic diseases. The serum levels of IL-6 and IFN-γ were highly elevated from patients with SLE associated with lymphadenopathy (LN) or nephrotic syndrome (NS). On the contrary, the serum levels of TNFα were elevated from most patients with SLE associated with thrombocytopenia (TP). However, serum levels of TNFα were in the normal range from patients with SLE associated with NS, LN, or central nervous system disease. Of interest, patients with SLE associated with humoral immunodeficiency disorder, hypogammaglobulinemia, had highly elevated levels of serum IL-6. The concanavalin A-stimulated mononuclear cells (MNC) of patients with SLE associated with TP secreted highly elevated levels of TNFα compared to other patient groups. We suggest that abnormal production of various cytokines in SLE is an intrinsic defect of MNC and the immune system that may be the key element for a variety of clinical manifestations of this disease.

Key words

Systemic lupus erythematosus rheumatoid arthritis, interleukin-6 interferon gamma tumor necrosis factor alpha 


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Copyright information

© Plenum Publishing Corporation 1993

Authors and Affiliations

  • Mansour Al-Janadi
    • 1
    • 2
    • 3
  • Suliman Al-Balla
    • 1
    • 2
    • 3
  • Abdullah Al-Dalaan
    • 1
    • 2
    • 3
  • Syed Raziuddin
    • 1
    • 2
    • 3
  1. 1.Department of Medicine, Department of Clinical ImmunologyKing Saud University, College of MedicineAbhaSaudi Arabia
  2. 2.Division of Rheumatology, Department of MedicineKing Saud University, College of MedicineRiyadhSaudi Arabia
  3. 3.King Faisal Specialist Hospital and Research CentreRiyadhSaudi Arabia

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