loading page

The CXCL13 chemokine serves as a potential biomarker to diagnose systemic lupus erythaematosus with disease activity
  • +6
  • yanli zeng,
  • Yan Zhang,
  • Yiqiang Lin,
  • Xuelian Wang,
  • Qinggui Chen,
  • Qinghe Huang,
  • Jiajia Wang,
  • Longcan Jiang,
  • Yun Xiao
yanli zeng
Center of Clinical Laboratory, Zhongshan Hospital, School of Medicine, Xiamen University
Author Profile
Yan Zhang
Center of Clinical Laboratory, Zhongshan Hospital, School of Medicine, Xiamen University
Author Profile
Yiqiang Lin
Center of Clinical Laboratory, Zhongshan Hospital, School of Medicine, Xiamen University
Author Profile
Xuelian Wang
Department of Obstetrics and Gynecology, Zhongshan Hospital of Xiamen University
Author Profile
Qinggui Chen
Department of general surgery, Zhongshan Hospital of Xiamen University
Author Profile
Qinghe Huang
Department of Intensive Care Unit, Zhongshan Hospital of Xiamen University
Author Profile
Jiajia Wang
Center of Clinical Laboratory, Zhongshan Hospital, School of Medicine, Xiamen University
Author Profile
Longcan Jiang
Center of Clinical Laboratory, Zhongshan Hospital, School of Medicine, Xiamen University
Author Profile
Yun Xiao
Center of Clinical Laboratory, Zhongshan Hospital, School of Medicine, Xiamen University
Author Profile

Abstract

Objectives: Our study purpose was to assess the regulatory response of the chemokine CXCL13 in the serum of patients with systemic lupus erythaematosus (SLE) and to evaluate its influence on the inflammatory process in SLE. Methods: Serum samples from 97 SLE patients, 49 non-SLE patients (23 patients with other autoimmune diseases and 26 patients with rheumatoid arthritis ) and 50 healthy controls were analysed for the concentration of CXCL13 using ELISA. Results: The results indicated that the serum levels of CXCL13 were significantly higher in SLE patients than in non-SLE patients and healthy controls (p<0.001). Moreover, the level of CXCL13 decreased as the level of anti-dsDNA IgG decreased after treatment between the anti-dsDNA-positive SLE patients and the anti-dsDNA-negative SLE patients. In addition, serum CXCL13 levels were correlated with SLEDAI in different activities of SLE, renal involvement and active LN. Furthermore, the level of CXCL13 was positively related to the SLEDAI,level of anti-dsDNA IgG , level of ESR and RAI of high-avidity IgG ANAs (HA IgG ANAs). Additionally, ROC curve analysis revealed that the serum CXCL13 levels were robust in discriminating patients with active SLE from patients with inactive SLE and SLE patients with high-avidity IgG ANAs from SLE patients with low-avidity IgG ANAs. Conclusions: First, we demonstrated that CXCL13 was elevated in SLE patients regardless of the presence or absence of anti-dsDNA IgG ANAs. Furthermore, HA IgG ANAs might affect the circulation of CXCL13. Therefore, the chemokine CXCL13 might be a risk factor influencing the inflammatory process in SLE.