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2015 ; 10
(9
): e0138753
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Elevated Concentrations of Serum Immunoglobulin Free Light Chains in Systemic
Lupus Erythematosus Patients in Relation to Disease Activity, Inflammatory
Status, B Cell Activity and Epstein-Barr Virus Antibodies
#MMPMID26402865
Draborg AH
; Lydolph MC
; Westergaard M
; Olesen Larsen S
; Nielsen CT
; Duus K
; Jacobsen S
; Houen G
PLoS One
2015[]; 10
(9
): e0138753
PMID26402865
show ga
OBJECTIVE: In this study, we examined the concentration of serum immunoglobulin
free light chains (FLCs) in systemic lupus erythematosus (SLE) patients and
investigated its association with various disease parameters in order to evaluate
the role of FLCs as a potential biomarker in SLE. Furthermore, FLCs' association
with Epstein-Barr virus (EBV) antibodies was examined. METHODS: Using a
nephelometric assay, ?FLC and ?FLC concentrations were quantified in sera from 45
SLE patients and 40 healthy controls. SLE patients with renal insufficiency were
excluded in order to preclude high concentrations of serum FLCs due to decreased
clearance. RESULTS: Serum FLC concentrations were significantly elevated in SLE
patients compared to healthy controls (p<0.0001) also after adjusting for Ig
levels (p<0.0001). The concentration of serum FLCs correlated with a global
disease activity (SLE disease activity index (SLEDAI)) score of the SLE patients
(r = 0.399, p = 0.007). Furthermore, concentrations of FLCs correlated with
titers of dsDNA antibodies (r = 0.383, p = 0.009), and FLC levels and SLEDAI
scores correlated in the anti-dsDNA-positive SLE patients, but not in
anti-dsDNA-negative SLE patients. Total immunoglobulin (IgG and IgA)
concentrations correlated with FLC concentrations and elevated FLC levels were
additionally shown to associate with the inflammatory marker C-reactive protein
and also with complement consumption determined by low C4 in SLE patients.
Collectively, results indicated that elevated serum FLCs reflects increased B
cell activity in relation to inflammation. SLE patients had an increased
seropositivity of EBV-directed antibodies that did not associate with elevated
FLC concentrations. An explanation for this could be that serum FLC
concentrations reflect the current EBV activity (reactivation) whereas
EBV-directed antibodies reflect the extent of previous infection/reactivations.
CONCLUSION: SLE patients have elevated concentrations of serum FLCs that
correlate with global disease activity scores and especially serologic markers
for active disease. These findings are suggestive of circulating FLCs having
potential as a new supplementary serologic biomarker in SLE.