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10.3390/ijms160818825

http://scihub22266oqcxt.onion/10.3390/ijms160818825
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C4581274!4581274 !26274951
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suck abstract from ncbi


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pmid26274951
      Int+J+Mol+Sci 2015 ; 16 (8 ): 18825-35
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  • Osteoclast Differentiation Is Impaired in a Subgroup of SLE Patients and Correlates Inversely with Mycophenolate Mofetil Treatment #MMPMID26274951
  • Fürnrohr BG ; Rhodes B ; Munoz LE ; Weiß K ; Vyse TJ ; Schett G
  • Int J Mol Sci 2015[Aug]; 16 (8 ): 18825-35 PMID26274951 show ga
  • Osteoporosis can arise in systemic lupus erythematosus (SLE) patients secondary to medication and/or chronic inflammation. To analyze if patients with SLE have phenotypically-impaired osteoclastogenesis, we differentiated ex vivo monocytes from 72 SLE patients and 15 healthy individuals into osteoclasts followed by TRAP staining and counting. We identified a subgroup of SLE patients (45%) with a significantly impaired osteoclast differentiation, relative to the other SLE patients or healthy individuals (OR 11.2; 95% CI 1.4-89.9). A review of medication indicated that patients with osteoclast counts equal to healthy donors were significantly more likely to be treated with mycophenolate mofetil (MMF) compared to patients with impaired osteoclastogenesis. We analyzed expression of RANKL and the MMF target genes IMPDH1 and IMPDH2 in osteoclasts by qPCR, but detected no difference. Since MMF might influence interferon-? (IFN?) and -? (IFN?) we measured serum IFN? and IFN? levels. Patients with very low osteoclast counts also had comparably higher IFN? serum levels than patients with normal osteoclast counts. We conclude that in vitro osteoclastogenesis is impaired in a subgroup of SLE patients. This correlates inversely with MMF treatment and high IFN? serum levels. Further observational study will be required to determine whether this translates into a clinically meaningful effect.
  • |*Cell Differentiation [MESH]
  • |Adrenal Cortex Hormones/therapeutic use [MESH]
  • |Anti-Inflammatory Agents, Non-Steroidal/*therapeutic use [MESH]
  • |Blood Cell Count [MESH]
  • |Case-Control Studies [MESH]
  • |Cell Count [MESH]
  • |Female [MESH]
  • |Gene Expression Regulation/drug effects [MESH]
  • |Humans [MESH]
  • |IMP Dehydrogenase/genetics/metabolism [MESH]
  • |Interferon-alpha/blood/metabolism [MESH]
  • |Lupus Erythematosus, Systemic/blood/*drug therapy/genetics/*pathology [MESH]
  • |Male [MESH]
  • |Mycophenolic Acid/*analogs & derivatives/therapeutic use [MESH]
  • |Osteoclasts/*cytology/*pathology [MESH]
  • |Receptor Activator of Nuclear Factor-kappa B/genetics/metabolism [MESH]


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