High plasma levels of the soluble form of CD30 activation molecule reflect disease activity in patients with Wegener's granulomatosis

Guochun Wang, Hinrich Hansen, Efstratios Tatsis, Elena Csernok*, Hilmar Lemke, Wolfgang L. Gross

*Corresponding author for this work
75 Citations (Scopus)

Abstract

PURPOSE: To determine the plasma levels of soluble CD30 (sCD30) in Wegener's granulomatosis (WG) patients, and to investigate the possible correlation of sCD30 with disease extent and activity. PATIENTS AND METHODS: sCD30 was determined by radioimmunoassay in 57 WG patients, 25 patients with rheumatoid arthritis (RA), 23 patients with bacterial infections and 21 healthy controls (HC). The extent and activity of WG disease were assayed according to disease extent index (DEI) and standard laboratory parameters. RESULTS: Plasma sCD30 levels in generalized WG (22.5 ± 1.5 U/mL), but not in initial phase WG (12.1 ± 4.0 U/mL), were significantly increased compared with HC (8.8 ± 0.9 U/mL, P < 0.0001). Furthermore, of 11 generalized WG patients who received long-term follow-up, sCD30 levels declined when the disease activity changed from active disease to remission (29.1 ± 1.9 U/mL to 15.9 ± 1.8 U/mL, P = 0.0001). Similar results were observed in the whole group of generalized WG, eg, sCD30 levels in active disease (29.4 ± 1.4 U/mL) were significantly higher than in partial remission (17.9 ± 1.9 U/mL, P < 0.001) and in complete remission (13.7 ± 3.3 U/mL, P < 0.001). No significant difference was noted between complete remission and HC. In addition, sCD30 levels were correlated with other parameters of disease extent and activity such as DEI, plasma levels of sIL-2R, PR3-ANCA, ESR and CRP. The sCD30 levels were increased in RA patients compared with HC (15.2 ± 2.1 U/mL, P < 0.05), but no correlation was found between disease activity parameters and sCD30 levels. In contrast, in patients with bacterial infections sCD30 levels (6.9 ± 0.9 U/mL) were not significantly different compared with HC. CONCLUSION: Plasma levels of sCD30 are not only significantly increased but also correlate with disease extent and activity in generalized WG. These findings suggest that sCD30 can act as a useful marker for evaluation of disease extent and activity, and that generalized WG may be associated with Th2-type immune response.

Original languageEnglish
JournalAmerican Journal of Medicine
Volume102
Issue number6
Pages (from-to)517-523
Number of pages7
ISSN0002-9343
DOIs
Publication statusPublished - 06.1997

Research Areas and Centers

  • Academic Focus: Center for Infection and Inflammation Research (ZIEL)

DFG Research Classification Scheme

  • 204-05 Immunology

Fingerprint

Dive into the research topics of 'High plasma levels of the soluble form of CD30 activation molecule reflect disease activity in patients with Wegener's granulomatosis'. Together they form a unique fingerprint.

Cite this