[Elevated serum IL-25 levels in rheumatoid arthritis patients with bone erosion and interstitial lung disease]

Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2017 Aug;33(8):1118-1122.
[Article in Chinese]

Abstract

Objective To detect the serum levels of IL-25 and IL-17 in rheumatoid arthritis (RA) patients and investigate the potential relationship with bone erosion and concomitant interstitial lung disease (ILD). Methods The study enrolled a total of 117 RA patients and 56 healthy subjects as controls. The serum levels of IL-25 and IL-17 were determined by ELISA, and rheumatoid factor (RF) was detected by turbidimetric immunoassay, anticyclic citrullinated peptide (anti-CCP) antibody as well as erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were also tested. ILD was identified on high-resolution computed tomography (HR-CT), the degree of bone erosion was inspected by musculoskeletal ultrasonography, and radiographic grade was graded by Sharp-van der Heijde Score (SHS). Disease activity in RA was scored with the DAS28 and visual analogue scale (VAS). Correlation analysis was used to evaluate the correlations of IL-25 and IL-17 in different groups. Results Compared with healthy control group, the serum levels of IL-25 and IL-17 increased significantly in the patients with RA. Compared with bone erosion negative group, the serum level of IL-25 was higher significantly in bone erosion group. The level of IL-25 was higher in the ILD group of RA patients than the non-ILD group. In addition, there were positive correlations between the serum level of IL-25 and RF-IgG (r=0.285), RF-IgA (r=0.314), RF-IgM (r=0.380). Meanwhile, the serum level of IL-17 had the positive correlations with RF-IgG (r=0.198) and RF-IgM (r=0.273). Both of them had no correlations with anti-CCP antibody. Conclusion The serum level of IL-25 is raised in RA patients with bone erosion and ILD.

MeSH terms

  • Adult
  • Aged
  • Anti-Citrullinated Protein Antibodies / blood
  • Arthritis, Rheumatoid / immunology*
  • Bone Diseases / immunology*
  • Female
  • Humans
  • Interleukin-17 / blood*
  • Lung Diseases, Interstitial / immunology*
  • Male
  • Middle Aged
  • Rheumatoid Factor / blood

Substances

  • Anti-Citrullinated Protein Antibodies
  • IL25 protein, human
  • Interleukin-17
  • Rheumatoid Factor