Cytokine clusters as potential diagnostic markers of disease activity and renal involvement in systemic lupus erythematosus

Objective To describe interactions among cytokines and to identify subgroups of systemic lupus erythematosus (SLE) patients based on cytokine levels using principal component analysis and cluster analysis. Methods Levels of 12 cytokines were measured using sensitive multiplex bead assays and associa...

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Main Authors: Joonhong Park, Woori Jang, Hye Sun Park, Ki Hyun Park, Seung-Ki Kwok, Sung-Hwan Park, Eun-Jee Oh
Format: Article
Language:English
Published: SAGE Publishing 2020-06-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060520926882
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author Joonhong Park
Woori Jang
Hye Sun Park
Ki Hyun Park
Seung-Ki Kwok
Sung-Hwan Park
Eun-Jee Oh
author_facet Joonhong Park
Woori Jang
Hye Sun Park
Ki Hyun Park
Seung-Ki Kwok
Sung-Hwan Park
Eun-Jee Oh
author_sort Joonhong Park
collection DOAJ
description Objective To describe interactions among cytokines and to identify subgroups of systemic lupus erythematosus (SLE) patients based on cytokine levels using principal component analysis and cluster analysis. Methods Levels of 12 cytokines were measured using sensitive multiplex bead assays and associations with SLE features including disease activity and renal involvement were assessed. Results In a group of 203 SLE patients, strong correlations were observed between interleukin (IL)6 and interferon (IFN)γ levels (r = 0.624), IL17 and IFNγ levels (r = 0.768), and macrophage inflammatory protein (MIP)1α and MIP1β levels (r = 0.675). Cluster analysis revealed two distinct patient groups characterized by high levels of IL8, MIP1α, and MIP1β (group 1) or of IL2, IL6, IL10, IL12, IFNγ, and tumor necrosis factor α (group 2). Active disease was more common in group 1 (49/88, 55.7%) than in group 2 (40/115, 34.8%). More patients in group 2 had renal involvement (42/115, 36.5%) than in group 1 (22/88, 25%). Conclusions Assessment of cytokine profiles can identify distinct SLE patient subgroups and aid in understanding clinical heterogeneity and immunological phenotypes.
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spelling doaj.art-7198e363959147a8bc6207993bf33cef2022-12-21T19:56:31ZengSAGE PublishingJournal of International Medical Research1473-23002020-06-014810.1177/0300060520926882Cytokine clusters as potential diagnostic markers of disease activity and renal involvement in systemic lupus erythematosusJoonhong ParkWoori JangHye Sun ParkKi Hyun ParkSeung-Ki KwokSung-Hwan ParkEun-Jee OhObjective To describe interactions among cytokines and to identify subgroups of systemic lupus erythematosus (SLE) patients based on cytokine levels using principal component analysis and cluster analysis. Methods Levels of 12 cytokines were measured using sensitive multiplex bead assays and associations with SLE features including disease activity and renal involvement were assessed. Results In a group of 203 SLE patients, strong correlations were observed between interleukin (IL)6 and interferon (IFN)γ levels (r = 0.624), IL17 and IFNγ levels (r = 0.768), and macrophage inflammatory protein (MIP)1α and MIP1β levels (r = 0.675). Cluster analysis revealed two distinct patient groups characterized by high levels of IL8, MIP1α, and MIP1β (group 1) or of IL2, IL6, IL10, IL12, IFNγ, and tumor necrosis factor α (group 2). Active disease was more common in group 1 (49/88, 55.7%) than in group 2 (40/115, 34.8%). More patients in group 2 had renal involvement (42/115, 36.5%) than in group 1 (22/88, 25%). Conclusions Assessment of cytokine profiles can identify distinct SLE patient subgroups and aid in understanding clinical heterogeneity and immunological phenotypes.https://doi.org/10.1177/0300060520926882
spellingShingle Joonhong Park
Woori Jang
Hye Sun Park
Ki Hyun Park
Seung-Ki Kwok
Sung-Hwan Park
Eun-Jee Oh
Cytokine clusters as potential diagnostic markers of disease activity and renal involvement in systemic lupus erythematosus
Journal of International Medical Research
title Cytokine clusters as potential diagnostic markers of disease activity and renal involvement in systemic lupus erythematosus
title_full Cytokine clusters as potential diagnostic markers of disease activity and renal involvement in systemic lupus erythematosus
title_fullStr Cytokine clusters as potential diagnostic markers of disease activity and renal involvement in systemic lupus erythematosus
title_full_unstemmed Cytokine clusters as potential diagnostic markers of disease activity and renal involvement in systemic lupus erythematosus
title_short Cytokine clusters as potential diagnostic markers of disease activity and renal involvement in systemic lupus erythematosus
title_sort cytokine clusters as potential diagnostic markers of disease activity and renal involvement in systemic lupus erythematosus
url https://doi.org/10.1177/0300060520926882
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