Skip to main content

Advertisement

Log in

The role of chemokines in Henoch Schonlein Purpura

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

Abstract

Background

The pathogenesis of Henoch Schonlein Purpura is incompletely understood and the role of chemokines is unknown.

Objective

To investigate the levels of CC chemokines, eotaxin, TARC, and CXC chemokine IP-10 in Henoch Schonlein Purpura.

Methods

Three groups of children were enrolled in the study: Henoch Schonlein Purpura in active stage (n = 26), Henoch Schonlein Purpura in remission phase (n = 26) and healthy children (n = 18). Levels of eotaxin, TARC, and IP-10 were determined in plasma using ELISA.

Results

No significant difference was observed in the plasma level of eotaxin and TARC levels between the HSP and healthy children (>0.05). We could not find any significant difference between acute phase of the disease and convalescent phase in eotaxin and TARC levels (P > 0.05). We have suggested significant decreases in plasma IP-10 in the acute phase of the disease compared with the convalescent phase (P < 0.05). There was a significant difference in IP-10 levels between active stage and healthy controls, too (<0.05). We could not find any significant correlation between chemokine levels and system involvement (>0.05).

Conclusion

Our study shows that plasma level of eotaxin and TARC levels do not differ between the HSP and healthy children. But, decreasing the release of the Th1 chemokine IP-10 in HSP active stage may show that in HSP, there is no shift to Th1 lymphocytes in children with HSP. Further investigations are warranted to more fully explore and understand the production of and potential role of these chemokines in HSP.

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

Similar content being viewed by others

References

  1. Cassidy JT, Petty RE (2001) Vasculitis, Henoch-Schonlein purpura. In: Cassidy JT, Petty E (eds) Pediatric rheumatology, 4th edn. Saunders, Philadelphia pp 569–579

    Google Scholar 

  2. Leung DY (1990) Immunologic aspects of Kawasaki syndrome. J Rheumatol Suppl 24:15–18

    PubMed  CAS  Google Scholar 

  3. Cohen TJ, Kallenberg CG (1991) Vasculitis. In: The TH, De Kallenberg CGM, Leij L (eds) Klinische Immunologie. Houten/Antwerpen, Bohn Stafleu Van Loghum, pp 216–233

  4. Ekenstam EA, Callen JP (1984) Cutaneous leukocytoclastic vasculitis. Clinical and laboratory features of 82 patients seen in private practice. Arch Dermatol 120:484–489

    Article  Google Scholar 

  5. McKee PH, Calonje E, Granter SR (2005) Vascular diseases, Leukocytoclastic vasculitis. In: McKee PH, Calonje E, Granter SR (eds) Pathology of the skin, 3rd edn. Mosby, Philadelphia, pp 709–775

    Google Scholar 

  6. Schall TJ (1994) The chemokines. In: The chemokine handbook, 2nd edn. Academic, New York, pp 419–460

  7. Ueno Y, Takano N, Kanegane H, Yokoi T, Yachie A, Miyawaki T, Taniguchi N (1989) The acute phase nature of interleukin-6: studies in Kawasaki disease and other febrile illnesses. Clin Exp Immunol 76:337–342

    PubMed  CAS  Google Scholar 

  8. Kim HS, Kim WD, Lee YH (2003) Production and expression of Groand RANTES by peripheral blood mono nuclear cells isolated from patients with kawasaki disease and measles. J Korean Med Sci 18:381–386

    Article  PubMed  CAS  Google Scholar 

  9. Richmond A, Shattuck RL (1966) Melanoma growth stimulatory activity: physiology, biology, structure/function and role in disease. In: Horyk R (ed) Chemoattractant Ligands and their receptors, CRS Press, Boca Raton, pp 87–124

    Google Scholar 

  10. Mahanty S, Bausch DG, Thomas RL, Goba A, Bah A, Peters CJ, Rollin PE (2001) Low levels of interleukin-8 and interferon-inducible protein-10 in serum are associated with infections in acute Lassa fever. J Infect Dis 183:1713–1721

    Article  PubMed  CAS  Google Scholar 

  11. Frangogiannis NG, Mendoza LH, Smith CW, Michael LH, Entman ML (2000) Induction of the synthesis of the C-X-C chemokine interferon γ inducible protein-10 in experimental canine endotoxemia. Cell Tissue Res 302:365–376

    Article  PubMed  CAS  Google Scholar 

  12. Miotto D, Christodopoulos P, Olivenstein R (2001) Expression of IFN-gamma-inducible protein; monocyte chemotactic proteins 1, 3, and 4; and eotaxin in Th1 and Th2-mediated lung diseases. J Allergy Clin Immunol 107:664–670

    Article  PubMed  CAS  Google Scholar 

  13. Borish LC, Steinke JW (2003) Cytokines and chemokines. J Allergy Clin Immunol 111:S460–S475

    Article  PubMed  CAS  Google Scholar 

  14. Luster AD (1998) Chemokines—chemotactic cytokines that mediate inflammation. N Engl J Med 338:436–445

    Article  PubMed  CAS  Google Scholar 

  15. Davin JC, Berge IJT, Weenig JJ (2001) What is the difference between IgA nephropathy and Henoch-Schonlein purpura nephritis? Kidney Int 59:823–834

    Article  PubMed  CAS  Google Scholar 

  16. Chung HS, Kim HY, Kim HS, Lee HJ, Yuh JH, Lee ES, Choi KH, Lee YH (2004) Production of chemokines in Kawasaki disease, Henoch-Schonlein purpura and acute febrile illness. J Korean Med Sci 19:800–804

    PubMed  Google Scholar 

  17. Yang YH, Lai HJ, Huang CM, Wang LC, Lin YT, Chiang BL (2004) Sera from children with active Henoch Schonlein purpura can enhance the production of interleukin 8 by human umblical venous endothelial cells. Ann Rheum Dis 63:1511–1513

    Article  PubMed  CAS  Google Scholar 

  18. Amoli MM, Thomson W, Hajeer AH, Calvino MC, Garcia-Porrua C, Ollier WE, Gonzalez-Gay MA (2002) Interleukin 8 gene polymorphism is associated with increased risk of nephritis in cutaneous vasculitis. J Rheumatol 29:2367–2370

    PubMed  CAS  Google Scholar 

  19. Mills JA, Michel BA, Block DA, Calabrese LH, Hunder GG, Arend WP (1990) The American College of Rheumatology 1990 criteria for the classification of Henoch-Schonlein purpura. Arthritis Rheum 33:1114–1121

    Article  PubMed  CAS  Google Scholar 

  20. Besbas N, Saatci U, Ruacan S (1997) The role of cytokines in Henoch Schonlein purpura. Scand J Rheumatol 26:456–460

    PubMed  CAS  Google Scholar 

  21. Bradley JR, Lockwood CM, Thiru S (1994) Endotheial cell activation in patients with systemic vasculitis. Q J Med 87:741–745

    CAS  Google Scholar 

  22. Butcher EC, Picker LJ (1996) Lymphocyte homing and homeostasis. Science 272:60

    Article  PubMed  CAS  Google Scholar 

  23. Baggiolini M (1998) Chemokines and leukocyte traffic. Nature 392:565

    Article  PubMed  CAS  Google Scholar 

  24. Quin S, Rottman JB, Myers N, Kassam N, Weinblatt M, Loetscher M, Koch AE, Moser B, Mackay CR (1998) The chemokine receptors CXCR3 and CCR5 mark subsets of T cells associated with certain inflammatory reactions. J Clin Invest 101:746

    Google Scholar 

  25. Bandeira-Melo C, Herbst A, Weller PF (2001) Eotaxins contributing to the diversity of eosinophil recruitment and activation. Am J Respir Cell Mol Biol 24:653–657

    PubMed  CAS  Google Scholar 

  26. Teruya-Feldstein J, Jaffe ES, Burd PR, Kingma DW, Setsuda JE, Tosato G (1999) Differential chemokine expression in tissues involved by Hodgkin’s disease: direct correlation of eotaxin expression and tissue eosinophilia. Blood 93:2463–2470

    PubMed  CAS  Google Scholar 

  27. Garcia-Zepeda EA, Rothenberg ME, Ownbey RT, Celestin J, Leder P, Luster AD (1996) Human eotaxin is a specific chemoattractant for eosinophil cells and provides a new mechanism to explain tissue eosinophilia. Nature Med 97:604–612

    Google Scholar 

  28. Ying S, Robinson DS, Meng Q, Barata LT, McEuen AR, Buckley MG, Walls AF, Askenase PW, Kay AB (1999) CC chemokines in allergen induced late phase cutaneous responses in atopic subjects: association of eotaxin with early 6-hour eosinophils and of eotaxin-2 and monocyte chemoattractant protein-4 with the later 24-hour tissue eosinophilia and relationship to basophils and other CC chemokines (monocyte chemoattractant protein-3 and RANTES). J Immunol 163:3976–3984

    PubMed  CAS  Google Scholar 

  29. Namgoong MK, Lim BK, Kim JS (1997) Eosinophilic cationic protein in Henoch-Schonlein purpura and IgA nephrophaty. Pediatr Nephrol 11:703–706

    Article  PubMed  CAS  Google Scholar 

  30. Kawasaki Y, Hosoya M, Suzuki H (2005) Possible pathogenic role of IL-5 and eosino cationic protein in Henoch-Schonlein purpura nephritis. Pediatr Int 47:512–517

    Article  PubMed  CAS  Google Scholar 

  31. Rankin SM, Conroy DM, Williams TJ (2000) Eotaxin and eosinophil recruitment: implications for human disease. Mol Med Today 6:20–27

    Article  PubMed  CAS  Google Scholar 

  32. Imai T, Baba M, Nishimura M, Kakizaki M, Takagi S, Yoshie O (1997) The T cell-directed CC chemokine TARC is a highly specific biological ligand for CC chemokine receptor 4. J Biol Chem 272:15036

    Article  PubMed  CAS  Google Scholar 

  33. Imai T, Takagi S, Nishimura M, Kakizaki M, Nishimura M, Wang J, Gray PW, Matsushima K, Yoshie O (1999) Selective recruitment of CCR4-bearing Th2 cells toward antigen-presenting cells by the CC chemokines thymus and activation-regulated chemokine and macrophage-derived chemokine. Int Immunol 11:81

    Article  PubMed  CAS  Google Scholar 

  34. Bonecchi R, Bianchi G, Bordignon PP, D’Ambrosio D, Lang R, Borsatti A, Sozzani S, Allavena P, Gray A, Mantovani A (1998) Differential expression of chemokine receptors and chemotactic responsiveness of type 1 T helper cells (Th1s) and Th2s. J Exp Med 187:129

    Article  PubMed  CAS  Google Scholar 

  35. Sallusto F, Lenig D, Mackay R, Lanzavecchia A (1998) Flexible programs of chemokine receptor expression on human polarized T helper 1 and 2 lymphocytes. J Exp Med 187:875

    Article  PubMed  CAS  Google Scholar 

  36. Kakinuma T, Nakamura K, Wakugawa M, Mitsui H, Tada Y, Saeki H (2001) Thymus and activation-regulated chemokine in atopic dermatitis: serum thymus and activation-regulated chemokine level is closely related with disease activity. J Allergy Clin Immunol 107:535–541

    Article  PubMed  CAS  Google Scholar 

  37. Leung DYM (2000) Atopic dermatitis: new insights and opportunities for terapotic intervention. J Allergy Clin Immunol 105:860–876

    Article  PubMed  CAS  Google Scholar 

  38. Sekiya T, Yamada H, Yamaguchi M, Yamamoto K, Ishii A, Yoshie O, Sano Y, Morita A, Matsushima K, Hirai K (2002) Increased levels of Th2-type CC chemokine thymus and activation-regulated chemokine (TARC) in serum and induced sputum of asthmatics. Allergy 57:173–177

    Article  PubMed  CAS  Google Scholar 

  39. Medoff BD, Sauty A, Tager AM, Maclean JA, Smith RN, Mathew A, Dufour JH, Luster AD (2002) IFN-γ-inducble protein 10 (CXCL10) contributes to airway hyperreactivity and airway inflammation in a mouse model of asthma. J Immunol 168:5278–5286

    PubMed  CAS  Google Scholar 

  40. Loetscher P, Pellegrino A, Gong JH, Mottioli I, Loetscher M, Bardi G, Baggiolini M, Clark-Lewis I (2001) The ligands of CXC chemokine receptor 3, I-TAC, Mig, and IP-10, are natural antagonists for CCR3. J Biological Chemist 276:2986–2991

    Article  CAS  Google Scholar 

  41. Homey B, Zlotnik A (1999) Chemokines in allergy. Curr Opin Immunol 11:626

    Article  PubMed  CAS  Google Scholar 

  42. Sallusto F, Mackay CR, Lanzavecchia A (1997) Selective expression of the eotaxin receptor CCR3 by human T helper 2 cells. Science 277:2005

    Article  PubMed  CAS  Google Scholar 

  43. Siveke JT, Hamann A (1998) T helper 1 and T helper 2 cells respond differentially chemokines. J Immunol 160:550

    PubMed  CAS  Google Scholar 

  44. Davin DJ, Pierard G, Dechenne C (1994) Possible pathogenic role of IgE in Henoch Schonlein purpura. Pediatr Nephrol 8:169–171

    Article  PubMed  CAS  Google Scholar 

  45. Davin DJ, Vandenbroek MC, Foidart JB (1985) Sequential measruments of the reticulo-endothelial system function in Henoch-Schonlein disease in childhood. Correlation with various immunological parameters. Acta Paediatr Scand 7:201–206

    Google Scholar 

  46. Urbanek R, Karitzky D, Kunzer W (1978) Serum IgE bei Hauterkrankungen im Kindersalter. Deutsche Med Wochenschr 103:503–508

    Article  CAS  Google Scholar 

  47. Tsuji Y, Abe Y, Hisano M, Sakai T (2004) Urinary leukotriene E4 in Henoch-Schonlein purpura. Clin Exp Allergy 34:1259–1261

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fulya Tahan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tahan, F., Dursun, I., Poyrazoglu, H. et al. The role of chemokines in Henoch Schonlein Purpura. Rheumatol Int 27, 955–960 (2007). https://doi.org/10.1007/s00296-007-0332-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-007-0332-7

Keywords

Navigation