Skip to main content

Serum Markers of T-Cell Activation in Relapses of Wegener’s Granulomatosis

  • Chapter
ANCA-Associated Vasculitides

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 336))

Summary

Levels of soluble IL-2 receptor (sIL-2R), soluble CD4 (sCD4) and CD8 (sCD8) were measured by sandwich ELISA as markers for T-cell activation in serial serum samples drawn monthly from 16 patients showing 18 histologically proven relapses of Wegener’s granulomatosis (WG). Levels of sIL-2R increased from 1162 U/ml (median, 95% CI 843 to 1814 U/ml) at three months before the relapse to 1684 U/ml (95% CI 1254 to 2202 U/ml) at the time of relapse for the whole group (P = 0.10). The 8 major relapses showed a profound rise in sIL-2R levels (P < 0.01). The level of sIL-2R at the moment of relapse correlated with the level of C-reactive protein (r = 0.547, P < 0.05) and with the disease activity score (r = 0.814, P < 0.001). There were no significant changes in levels of sCD4 or sCD8.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Borg ter EJ, Horst G, Limburg PC, Kallenberg CGM, 1990, Changes in plasma levels of interleukin-2 receptor in relation to disease exacerbations and levels of anti-dsDNA and complement in systemic lupus erythematosus. Clin Exp Immunol. 82, 21–27.

    Article  PubMed  Google Scholar 

  • Brouwer E, Cohen Tervaert JW, Weening JJ, Kallenberg CGM, 1991, Immunohistopathology of renal biopsies in Wegener’s granulomatosis (WG): clues to it’s pathogenesis? Kidney Int. 39, 1055–1056.

    Google Scholar 

  • Cohen Tervaert JW, Woude van der FJ, Fauci AS, Ambrus JL, Velosa J, Keane WF, Meijer S, Giessen van der M, The TH, Hem van der GK, Kallenberg CGM. (1989) Association between active Wegener’s Granulomatosis and anticytoplasmic antibodies. Arch Intern Med. 149, 2461–2465.

    Google Scholar 

  • Cohen Tervaert JW, Huitema MG, Hené RJ, Sluiter WJ, The TH, Hem van der GK, Kallenberg CGM. (1990) Relapses of Wegener’s granulomatosis: prevention by treatment based on antineutrophil cytoplasmic antibody levels–a controlled prospective study -. Lancet 336, 709–711.

    Google Scholar 

  • Fauci AS, Haynes BF, Katz P. (1978) The spectrum of vasculitis: clinical, pathologic, immunologic and therapeutic considerations. Ann Intern Med. 89, 660–676.

    Article  PubMed  CAS  Google Scholar 

  • Kallenberg CGM, Cohen Tervaert JW, Stegeman CA. (1990) Criteria for disease activity in Wegener’s granulomatosis: a requirement for longitudinal clinical studies. APMIS. 98, 37–40.

    Google Scholar 

  • Manoussakis MN, Papadopoulos GK, Drosos AA, Moutsopoulos HM. (1989) Soluble interleukin 2 receptor molecules in the serum of patients with autoimmune diseases. Clin Immunol Immunopathol. 50, 321–332.

    Article  PubMed  CAS  Google Scholar 

  • Rubin LA, Kurman CC, Fritz ME, Biddison WE, Boutin B, Yarchoan R, Nelson DL. (1985) Soluble interleukin 2 receptors are released from activated human lymphoid cells in vitro. J Immunol. 135, 3172–3177.

    PubMed  CAS  Google Scholar 

  • Woude van der FJ, Rasmussen N, Lobatto S, Wiik A, Permin H, Es van LA, Giessen van der M, Hem van der GK, The TH. (1985) Autoantibodies against neutrophils and monocytes: tool for diagnosis and marker of disease activity in Wegener’s granulomatosis. Lancet 1, 425–428.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer Science+Business Media New York

About this chapter

Cite this chapter

Stegeman, C.A., Tervaert, J.W.C., Huitema, M.G., Kallenberg, C.G.M. (1993). Serum Markers of T-Cell Activation in Relapses of Wegener’s Granulomatosis. In: Gross, W.L. (eds) ANCA-Associated Vasculitides. Advances in Experimental Medicine and Biology, vol 336. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9182-2_67

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-9182-2_67

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-9184-6

  • Online ISBN: 978-1-4757-9182-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics