MR Vol.14 No.3 indexに戻る

MODERN RHEUMATOLOGY Vol.14 No.3             
Increased serum interleukin-18 in a patient with systemic lupus erythematosus and T-cell large granular lymphocytic leukemia
Atsushi Ogata1 , Masayasu Kitano1, Maki Fukamizu1, Teruaki Hamano1 and Hajime Sano1
(1) Division of Rheumatology, Department of Internal Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, 663-8131, Japan
Received: 29 September 2003 Accepted: 01 March 2004
Abstract
 Interleukin-18 (IL-18) is a potent cofactor for T-helper (Th-1) cell development and inducer of cytotoxic T lymphocytes (CTL), and is reported to contribute to autoimmune diseases. T-cell large granular lymphocyte (T-LGL) leukemia involves the proliferation of autoreactive CTL that is often associated with autoimmune disorders. We found increased serum IL-18 concentrations in a 55-year-old woman with systemic lupus erythematosus (SLE) and T-LGL-leukemia. Her serum IL-18 concentrations correlated with the intensity of her SLE symptoms and the number of T-LGL cells in peripheral blood. This evidence suggests that IL-18 is involved in T-LGL-related autoimmune disorders.
 
Key words
Interleukin 18 (IL-18) - Systemic lupus erythematosus (SLE) - T-cell large granular lymphocyte (T-LGL) leukemia
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