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Rheumatology 2000; 39: 1078-1081
© 2000 British Society for Rheumatology

Elevation of plasma interleukin-18 concentration is correlated with disease activity in systemic lupus erythematosus

C. K. Wong, E. K. Li1, C. Y. Ho and C. W. K. Lam

Departments of Chemical Pathology and
1 Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong, China

Background. Previous studies have indicated that the autoimmune phenomenon might be caused by an imbalance of T-helper cell (Th) cytokines.

Methods. We investigated the plasma concentrations of a novel pro-inflammatory Th1 cytokine, interleukin (IL)-18, and its inducer, IL-12, in patients with systemic lupus erythematosus (SLE) and correlated them with the SLE disease activity index (SLEDAI). Plasma IL-18 and IL-12 concentrations of 40 SLE patients and 18 sex- and age-matched control subjects were measured by enzyme-linked immunosorbent assay.

Results. Plasma IL-18 and IL-12 concentrations were significantly higher in SLE patients than in control subjects [median (interquartile range): IL-18, 320.0 pg/ml (164.4–475.6 pg/ml) vs 130.1 pg/ml (57.8–202.4 pg/ml), P < 0.001; IL-12, 143.3 pg/ml (39.4–247.2 pg/ml) vs 84.7 pg/ml (29.3–140.1 pg/ml), P < 0.001]. Increases in IL-18 concentration correlated positively and significantly with SLEDAI score (r = 0.449, P = 0.004).

Conclusion. The novel cytokine IL-18 might play a crucial role in triggering the inflammatory processes in SLE.

KEY WORDS: Interleukin-18, Interleukin-12, Systemic lupus erythematosus, T-helper cell cytokines.

Correspondence to: C. W. K. Lam.


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