Abnormal Production of Pro- and Anti-Inflammatory Cytokines by Lupus Monocytes in Response to Apoptotic Cells
2011

Cytokine Response of Lupus Monocytes to Apoptotic Cells

Sample size: 47 publication Evidence: high

Author Information

Author(s): Sule Sangeeta, Rosen Antony, Petri Michelle, Akhter Ehtisham, Andrade Felipe

Primary Institution: Johns Hopkins University School of Medicine

Hypothesis

Do lupus monocytes express unique patterns of cytokine secretion in response to apoptotic cells?

Conclusion

Lupus monocytes have an abnormal balance in the secretion of pro- and anti-inflammatory cytokines in response to apoptotic cells.

Supporting Evidence

  • Lupus monocytes produce more TNF-α and less TGF-β compared to healthy controls.
  • The cytokine response is independent of phagocytic clearance efficiency.
  • Nucleic acids from apoptotic cells play a role in inducing TNF-α production by lupus monocytes.

Takeaway

Lupus patients' immune cells react differently to dying cells, making them produce more of one type of chemical that causes inflammation and less of another that helps calm things down.

Methodology

Monocytes from healthy controls and SLE patients were evaluated for cytokine production in response to apoptotic cells using a standardized assay.

Potential Biases

Potential biases in patient selection and cytokine measurement methods.

Limitations

The study does not establish a direct causal relationship between cytokine production and disease activity.

Participant Demographics

47 SLE patients (43 women, 4 men; mean age 47.4 years) and 13 healthy controls (6 women, 7 men; mean age 33.7 years).

Statistical Information

P-Value

p≤10−6 for TNF-α, p=0.0031 for TGF-β

Statistical Significance

p≤10−6 for TNF-α secretion, p=0.0031 for TGF-β

Digital Object Identifier (DOI)

10.1371/journal.pone.0017495

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