Abstract
Objectives. To determine the potential of eotaxin-3 as a diagnostic marker for active disease and genetic susceptibility factor for Churg-Strauss syndrome (CSS). Methods. A total of 37 patients with active, relapsed or inactive CSS, 123 healthy controls and 138 disease controls were studied. Clinical data were collected and serum levels of eotaxin-3 were determined. Ex vivo stability of eotaxin-3 in serum samples was tested. Furthermore, the association of single nucleotide polymorphisms (SNPs) in the eotaxin-3 gene with CSS was determined in 161 CSS patients and 124 healthy controls. Results. Serum eotaxin-3 was highly elevated in active CSS patients. Neither eosinophilic diseases nor other small-vessel vasculitides were associated with high serum eotaxin-3 levels. Receiver operating characteristic curve analysis determined a sensitivity and specificity of 87.5 and 98.6% at a cut-off level of 80 pg/ml. None of the tested SNPs within the eotaxin-3 gene influenced the susceptibility to develop CSS. Conclusions. Serum eotaxin-3 is a sensitive and specific marker for the diagnosis of active CSS suitable for routine clinical practice. Previously described SNPs in the eotaxin-3 gene do not predict the risk of developing CSS.
| Original language | English |
|---|---|
| Article number | keq445 |
| Journal | Rheumatology |
| Volume | 50 |
| Issue number | 10 |
| Pages (from-to) | 1823-1827 |
| Number of pages | 5 |
| ISSN | 1462-0324 |
| DOIs | |
| Publication status | Published - 01.10.2011 |
Funding
Funding: This work was supported by the German Research Society (SFB 423/TP A34 to J.Z.) and the Kompetenznetzwerk Rheumatologie (Center Erlangen).