Skip to main content

Advertisement

Log in

Seasonal distribution of systemic lupus erythematosus activity and its correlation with climate factors

  • Original Article
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

Systemic lupus erythematosus (SLE) is a complex autoimmune disease with a variety of clinical manifestations. Although inter-individual variations exist with respect to susceptibility to develop SLE, no study has been carried out to determine the role of different climate conditions in predisposing the susceptible individuals to SLE. The objective of this study was to investigate the role of different seasons and climate factors on SLE activity. From 2000 to 2009, the seasonal distribution of 2,802 active SLE patients recruited from Anhui Provincial Hospital and the First Affiliated Hospital of Anhui Medical University was analyzed retrospectively. The climate data were provided by the Institute of Geographical Sciences and Resources, Chinese Academy of Sciences. The correlation between climate factors and SLE activity was also analyzed. The proportion of active SLE patients in winter, spring, summer, and autumn was 10.06, 10.31, 9.74, and 8.66‰, respectively. In autumn, the proportion was much lower than that in winter and spring (P < 0.05). The proportion among winter, spring, and summer had no statistical difference (P > 0.05). The number of active SLE patients had no correlation with air temperature (r = 0.483, P > 0.05), relative humidity (r = −0.294, P > 0.05), and sunshine percentage (r = 0.503, P > 0.05), but it had positive correlation with amount of precipitation (r = 0.601, P < 0.05), wind velocity (r = 0.713, P < 0.01), and sunshine duration (r = 0.769, P < 0.01) and negative correlation with barometric pressure (r = −0.664, P < 0.05). The disease activity of patients with SLE is affected by seasons and climate factors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Pan HF, Ye DQ, Li XP (2008) Type 17 T-helper cells might be a promising therapeutic target for systemic lupus erythematosus. Nat Clin Pract Rheumatol 4:352–353

    PubMed  CAS  Google Scholar 

  2. Nath SK, Kilpatrick J, Harley JB (2004) Genetics of human systemic lupus erythematosus: the emerging picture. Curr Opin Immunol 16:794–800

    Article  PubMed  CAS  Google Scholar 

  3. Font J, Cervera R, Ramos-Casals M et al (2004) Clusters of clinical and immunologic features in systemic lupus erythematosus: analysis of 600 patients from a single center. Semin Arthritis Rheum 33:217–230

    Article  PubMed  Google Scholar 

  4. Watanabe N, Takabayashi K (2009) Recent investigations on the basis of pathogenesis of SLE and new therapeutic approaches. Nippon Rinsho 67:500–505

    PubMed  Google Scholar 

  5. Wong M, Tsao BP (2006) Current topics in human SLE genetics. Springer Semin Immunopathol 28:97–107

    Article  PubMed  CAS  Google Scholar 

  6. Carey R, Simmons S, Malherbe M (2008) Clinical features of patients with systemic lupus erythematosus (SLE) attending the SLE outpatient clinic at Universitas hospital in Bloemfontein, South Africa. SA Fam Pract 50(1):68

    Google Scholar 

  7. Nastos PT, Paliatsos AG, Papadopoulos M et al (2008) The effect of weather variability on pediatric asthma admissions in Athens, Greece. J Asthma 45:59–65

    Article  PubMed  Google Scholar 

  8. Raza N, Sajid MD, Suhail M et al (2008) Onset of chilblains in relation with weather conditions. J Ayub Med Coll Abbottabad 20:17–20

    PubMed  Google Scholar 

  9. Zhang HL, Xu SC, Tang DS et al (2009) Analysis of seasonal distribution of lupus activity and its correlation with meteorological factors. Chin J Clin (Electronic Edition) 3:56–61 (in Chinese)

    Google Scholar 

  10. Hochberg MC (1997) Updating the American college of rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 40:1725

    Article  PubMed  CAS  Google Scholar 

  11. Bombardier C, Gladman DD, Urowitz MB et al (1992) Derivation of the SLEDAI. A disease activity index for lupus patients. The committee on prognosis studies in SLE. Arthritis Rheum 35:630–640

    Article  PubMed  CAS  Google Scholar 

  12. Maddison PJ (1999) Nature and nurture in systemic lupus erythematosus. Adv Exp Med Biol 455:7–13

    Article  PubMed  CAS  Google Scholar 

  13. Mayes MD (1999) Epidemiologic Studies of environmental agents and systemic autoimmune diseases. Environ Health Perspect 107:743–748

    PubMed  Google Scholar 

  14. Latman NS (1987) Influence of atmospheric factors on the rheumatic diseases. Experientia 43:32–38

    Article  PubMed  CAS  Google Scholar 

  15. Sabry A, Elbasyouni SR, Sheashaa HA et al (2006) Correlation between levels of TNF-alpha and IL-6 and hematological involvement in SLE Egyptian patients with lupus nephritis. Int Urol Nephrol 38:727–731

    Google Scholar 

  16. Huang X, Hua J, Shen N et al (2007) Dysregulated expression of interleukin-23 and interleukin-21 subunits in systemic lupus erthematosus patients. Mod Rheumatol 17:220–223

    Article  PubMed  CAS  Google Scholar 

  17. Chun HY, Chung JW, Kim HA et al (2007) Cytokine IL-6 and IL-10 as biomarkers in systemic lupus erythematosus. J Clin Immunol 27:461–466

    Article  PubMed  CAS  Google Scholar 

  18. Crenesse D, Gugenheim J, Hornoy J et al (2000) Protein kinase activation by warm and cold hypoxia-reoxygenation in primary-cultured rat hepatocytes-JNK(1)/SAPK(1) involvement in apoptosis. Hepatology 32:1029–1036

    Article  PubMed  CAS  Google Scholar 

  19. Knight RJ, Liu H, Fishman E et al (2003) Cold ischemic injury, aortic allograft vasculopathy, and pro-inflammatory cytokine expression. J Surg Res 113:201–207

    Article  PubMed  CAS  Google Scholar 

  20. Monroy FP, Banerjee SK, Duong T et al (1999) Cold stress-induced modulation of inflammatory responses and intracerebral cytokine mRNA expression in acute murine toxoplasmosis. J Parasitol 85:878–886

    Article  PubMed  CAS  Google Scholar 

  21. Shiratsuch H, Basson MD (2005) Differential regulation of monocyte/macrophage cytokine production by pressure. Am J Surg 190:757–762

    Article  PubMed  CAS  Google Scholar 

  22. Ye DQ, Li XP, Zheng HL (1997) The risk factors of systemic lupus erythematosus in Hefei City. Chin J Public Health 13:338–339 (in Chinese)

    Google Scholar 

  23. Golan TD, Dan S, Haim H et al (1994) Solar ultraviolet radiation induces enhanced accumulation of oxygen radicals in murine SLE-derived splenocytes in vitro. Lupus 3:103–106

    Article  PubMed  CAS  Google Scholar 

  24. Foltyn VN, Golan TD (2001) In vitro ultraviolet irradiation induces pro-inflammatory responses in cells from premorbid SLE mice. Lupus 10:272–283

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This work was supported by grants from the National Natural Science Foundation of China (30571608, 30771848) and the Specialized Research Fund for the Doctoral Program of Higher Education of China (20070366002). We are deeply indebted to the people who have participated in this study; we also thank Dr Jian-hua Xu, the First Affiliated Hospital of Anhui Medical University, and Dr Xiang-pei Li, Anhui Provincial Hospital, for assistance in case identification. Their cooperation was invaluable to this research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dong-Qing Ye.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yang, J., Lu, YW., Pan, HF. et al. Seasonal distribution of systemic lupus erythematosus activity and its correlation with climate factors. Rheumatol Int 32, 2393–2399 (2012). https://doi.org/10.1007/s00296-011-1971-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-011-1971-2

Keywords

Navigation