Significance of Interleukin 23 in Systemic Lupus Patients: Relation to Disease Activity and Damage Indices

Maysa M Haroon,1 Gehan A Hegazy,2,3 Mohammed A Hassanien,4,5 Olfat Shaker,6 Wafaa H Hussein1 1Department of Rheumatology, Faculty of Medicine, Cairo University, Cairo, Egypt; 2Clinical Biochemistry Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; 3Medical...

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Main Authors: Haroon MM, Hegazy GA, Hassanien MA, Shaker O, Hussein WH
Format: Article
Language:English
Published: Dove Medical Press 2023-01-01
Series:Biologics: Targets & Therapy
Subjects:
Online Access:https://www.dovepress.com/significance-of-interleukin-23-in-systemic-lupus-patients-relation-to--peer-reviewed-fulltext-article-BTT
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author Haroon MM
Hegazy GA
Hassanien MA
Shaker O
Hussein WH
author_facet Haroon MM
Hegazy GA
Hassanien MA
Shaker O
Hussein WH
author_sort Haroon MM
collection DOAJ
description Maysa M Haroon,1 Gehan A Hegazy,2,3 Mohammed A Hassanien,4,5 Olfat Shaker,6 Wafaa H Hussein1 1Department of Rheumatology, Faculty of Medicine, Cairo University, Cairo, Egypt; 2Clinical Biochemistry Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; 3Medical Division, National Research Centre, Giza, Egypt; 4Vice Presidency for Educational Affairs and Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia; 5Medical Biochemistry Department, Faculty of Medicine, Tanta University, Tanta, Egypt; 6Departments of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Cairo University, Cairo, EgyptCorrespondence: Maysa M Haroon, Department of Rheumatology, Faculty of Medicine, Cairo University, 71 El Kasr El Aini Street, P.O.Box 11562, Cairo, Egypt, Tel +201025868370, Email maysaharoon@yahoo.comBackground: Dysregulation of both cellular and humoral immune responses is central in systemic lupus erythematosus (SLE) pathogenetic mechanisms. Proinflammatory cytokines, such as interleukin 23 (IL23), and their roles in promoting such dysregulation have recently been highly considered. This research compared IL23 serum levels in 85 Egyptian SLE patients and 85 healthy controls. Then, IL23 level was correlated to various SLE disease parameters, disease activity, and damage indices.Results: IL23 serum levels were significantly elevated in SLE patients versus healthy individuals. Furthermore, IL23 levels were positively correlated with SLE disease activity index (SLEDAI) and were positively correlated with arthritis, seizures, consumption of complements (C3, C4), and with parameters of nephritis (hematuria, pyuria, casts, and proteinuria). A positive correlation was also found between IL23 levels and oral prednisolone dose.Conclusion: IL23 has higher levels in the serum of SLE patients, and is correlated to activity of the disease, especially lupus nephritis. Further researchis needed to explore its exact role in SLE pathogenesis and whether it can be considered a potential biomarker or therapeutic target in SLE.Keywords: interleukin 23, proinflammatory cytokines, systemic lupus erythematosus, SLE disease activity index, lupus nephritis
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spelling doaj.art-1d254fad939e4bf8aed80d84e040dbfb2023-01-17T17:54:48ZengDove Medical PressBiologics: Targets & Therapy1177-54912023-01-01Volume 171981035Significance of Interleukin 23 in Systemic Lupus Patients: Relation to Disease Activity and Damage IndicesHaroon MMHegazy GAHassanien MAShaker OHussein WHMaysa M Haroon,1 Gehan A Hegazy,2,3 Mohammed A Hassanien,4,5 Olfat Shaker,6 Wafaa H Hussein1 1Department of Rheumatology, Faculty of Medicine, Cairo University, Cairo, Egypt; 2Clinical Biochemistry Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; 3Medical Division, National Research Centre, Giza, Egypt; 4Vice Presidency for Educational Affairs and Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia; 5Medical Biochemistry Department, Faculty of Medicine, Tanta University, Tanta, Egypt; 6Departments of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Cairo University, Cairo, EgyptCorrespondence: Maysa M Haroon, Department of Rheumatology, Faculty of Medicine, Cairo University, 71 El Kasr El Aini Street, P.O.Box 11562, Cairo, Egypt, Tel +201025868370, Email maysaharoon@yahoo.comBackground: Dysregulation of both cellular and humoral immune responses is central in systemic lupus erythematosus (SLE) pathogenetic mechanisms. Proinflammatory cytokines, such as interleukin 23 (IL23), and their roles in promoting such dysregulation have recently been highly considered. This research compared IL23 serum levels in 85 Egyptian SLE patients and 85 healthy controls. Then, IL23 level was correlated to various SLE disease parameters, disease activity, and damage indices.Results: IL23 serum levels were significantly elevated in SLE patients versus healthy individuals. Furthermore, IL23 levels were positively correlated with SLE disease activity index (SLEDAI) and were positively correlated with arthritis, seizures, consumption of complements (C3, C4), and with parameters of nephritis (hematuria, pyuria, casts, and proteinuria). A positive correlation was also found between IL23 levels and oral prednisolone dose.Conclusion: IL23 has higher levels in the serum of SLE patients, and is correlated to activity of the disease, especially lupus nephritis. Further researchis needed to explore its exact role in SLE pathogenesis and whether it can be considered a potential biomarker or therapeutic target in SLE.Keywords: interleukin 23, proinflammatory cytokines, systemic lupus erythematosus, SLE disease activity index, lupus nephritishttps://www.dovepress.com/significance-of-interleukin-23-in-systemic-lupus-patients-relation-to--peer-reviewed-fulltext-article-BTTinterleukin 23-proinflammatory cytokines- systemic lupus erythematosus- sle disease activity index- lupus nephritis
spellingShingle Haroon MM
Hegazy GA
Hassanien MA
Shaker O
Hussein WH
Significance of Interleukin 23 in Systemic Lupus Patients: Relation to Disease Activity and Damage Indices
Biologics: Targets & Therapy
interleukin 23-proinflammatory cytokines- systemic lupus erythematosus- sle disease activity index- lupus nephritis
title Significance of Interleukin 23 in Systemic Lupus Patients: Relation to Disease Activity and Damage Indices
title_full Significance of Interleukin 23 in Systemic Lupus Patients: Relation to Disease Activity and Damage Indices
title_fullStr Significance of Interleukin 23 in Systemic Lupus Patients: Relation to Disease Activity and Damage Indices
title_full_unstemmed Significance of Interleukin 23 in Systemic Lupus Patients: Relation to Disease Activity and Damage Indices
title_short Significance of Interleukin 23 in Systemic Lupus Patients: Relation to Disease Activity and Damage Indices
title_sort significance of interleukin 23 in systemic lupus patients relation to disease activity and damage indices
topic interleukin 23-proinflammatory cytokines- systemic lupus erythematosus- sle disease activity index- lupus nephritis
url https://www.dovepress.com/significance-of-interleukin-23-in-systemic-lupus-patients-relation-to--peer-reviewed-fulltext-article-BTT
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